Filed under: Combs & Company Blog, Covid-19, Disaster Relief, Families First Coronavirus Response Act, FFCRA, FMLA, Health Insurance, Important Notice, Insurance 101, Insurance Education, WIFS, Women in Insurance | Tags: Chelsea Whalley, Coronavirus, Covid-19, Emergency Paid Sick Leave, FMLA, J Donovan Financial, Vlog
Looking for an easy digestible explanation of how the Emergency Paid Sick Leave works for companies under 500 employees? Check out this great video from colleague, Chelsea Whalley of J Donovan Financial.
– Effective April 2nd 2020 for groups UNDER 500 EMPLOYEES
*A business closure does NOT warrant Paid Sick Leave!*
– All employees are eligible, regardless of tenure
– Differences between Full Time & Part Time Employees
– Full Time: 80 hours of fully compensated time off
– Part Time: Entitled to the Average number of hours worked over 2 weeks
Filed under: CARES Act, Combs & Company, Combs & Company Blog, Covid-19, Disaster Relief, Important Notice, Insurance 101, Insurance Education, Susan L Combs | Tags: CARES Act, Coronavirus, Covid-19, Disaster Relief, Olivera Medenica
As we know there is so much information out there right now revolving around Covid-10. If you are looking for how the CARES Act and other legislation will impact your business, please read below for a helpful article we received from Olivera Medenica, Partner of Dunnington, Bartholow & Miller LLP.
Within the past few days—and as recently as 72 hours ago—the United States government, the State of New York and the City of New York adopted legislation intended to provide economic relief to businesses and individuals impacted by the COVID-19 emergency. The following is a review of various loans, loan forgiveness provisions, and other benefits created by these recent acts.*
U.S. Federal Laws
On March 27, 2020, an approximately $2 trillion coronavirus response bill, the Coronavirus Aid Relief, and Economic Security (“CARES”) Act (H.R. 748), was signed into law.
The CARES Act:
- Provides Forgivable Loans to Small Businesses
Under the CARES Act’s Paycheck Protection Program, the Small Business Administration (the “SBA”) will back loans of up to $10 million from banks to businesses with not more than 500 employees for those businesses to pay employee salaries, paid sick or medical leave, health insurance premiums, and basic immediate operating expenses like mortgage, rent, and utility payments (“Covered Expenses”).
Borrower Eligibility
There are very few borrower requirements to obtain a loan under the CARES Act. Those requirements include a good-faith certification that the borrower (a) needs the loan to continue operations during the COVID-19 pandemic, (b) will use the funds to retain workers and maintain payroll, or pay the other immediate operating costs, (c) does not have any other pending application under this program for the same purpose, and (d) has not received duplicative amounts under this program from February 15, 2020 until December 31, 2020.
Eligible businesses include private and public non-profits, sole proprietorships, individuals who are self-employed, and businesses with not more than 500 employees (including full-time and part-time employees) per location. For businesses in the hospitality and dining industries, there is a special eligibility rule: if the business has more than one physical location, it employs not more than 500 employees per physical location, and it is assigned to the “Accommodation and Food services” sector (Sector 72) of the North American Industry Classification System, that business is eligible for a loan.
Notably, the CARES Act includes a “Sense of the Senate” that the SBA should issue guidance to lenders to ensure that the processing and disbursements of loans prioritizes small businesses in underserved and rural markets, small businesses owned by individuals who are socially or economically disadvantaged, women owned businesses, and businesses that have been in operation for less than two years.
The Loan Amount
The maximum loan amount (the “Loan Amount”) is the lesser of (a) 2.5 multiplied by the average total monthly payroll costs incurred from the previous one-year period (plus the outstanding amount of any loan that the business received under the SBA’s Disaster Loan Program between January 31, 2020 and the date on which that loan may have been refinanced as part of the Paycheck Protection Program (“Prior SBA Loan Amount”)), or (b) for businesses that were not in existence from February 15, 2019 to June 30, 2019, 2.5 multiplied by the average total monthly payroll costs incurred from January 1, 2020 to February 29, 2020 (plus any Prior SBA Loan Amount), or (c) $10 million. Payroll costs include compensation to independent contractors (including compensation based on commission) up to $100,000 in one year.
Loan Forgiveness
A borrower is entitled to loan forgiveness in an amount equal to Covered Expenses paid during the 8-week period following loan origination (the “Loan Forgiveness Covered Period”). Forgiveness is subject to reduction based on a reduction of the business’s employees, and wages and salaries as explained below (the “Forgiveness Amount”).
To calculate the Forgiveness Amount, the Act instructs to multiply the total of the Covered Expenses incurred during the Loan Forgiveness Covered Period by the result of dividing the average number of full-time equivalent employees (“FTEEs”) that the business employed per month during the 8-week Loan Forgiveness Covered Period, by (at the election of the borrower) either (a) the average number of FTEEs that the business employed per month from February 15, 2019 to June 30, 2019, or (b) the average number of FTEEs that the businesses employed per month from January 1, 2020 to February 29, 2020. The Act also provides that employees whom the business laid off between February 15, 2020 and April 26, 2020, but rehired by June 30, 2020 will, in effect, be treated as employed individuals during the 8-week Loan Forgiveness Covered Period so as not to reduce the Forgiveness Amount.
The Forgiveness Amount will be reduced by the amount of employee salary reduction in excess of 25% of that employee’s total salary during the most recent full quarter during which the employee was employed before the Loan Forgiveness Covered Period. Thus, if the business did not reduce employee salary or wages during the Loan Forgiveness Covered Period by more than 25%, the Forgiveness Amount will not be reduced in this manner.
It is important for businesses to document the use of its funds received under the program pursuant to the documentation provisions in the CARES Act because businesses that to do not properly document their use may be ineligible for loan forgiveness.
Application Process
Businesses can apply for the loans through private sector lenders authorized by the SBA who can use their own paperwork to process the loans. It is estimated that it will take about two weeks for the SBA to approve each loan, and to guarantee it against default. Lenders will not distribute the loan money to businesses until the SBA has assured it that each loan is fully backed, so it may take at least two weeks from applying for the loan for businesses to start receiving the loan money.
Business owners are not required to provide personal guarantees or use their assets as collateral for the loan. There are no fees associated with obtaining the loan, and interest rates are capped at 4%.
- Provides Emergency EIDL Grants
The CARES Act provides, in certain circumstances, emergency Economic Injury Disaster Loan (EIDL) grants of up to $10,000 from the SBA to small businesses for those businesses to use the funds for, among other things, providing paid sick leave for employees, maintaining payroll, meeting increased costs due to an interrupted supply chain, and making rent or mortgage payments. It is currently uncertain as to what impact, if any, obtaining an emergency grant under this provision may have on applications made under the Paycheck Protection Program.
- Expands Unemployment Benefits
Under the CARES Act’s temporary Pandemic Unemployment Assistance Program, workers not usually eligible for state and federal unemployment benefits—such as independent contractors, and people who are self-employed or who have a limited work history—may receive unemployment benefits if they are unable to work because of the COVID-19 pandemic. Anyone who self-certifies that they are able and available to work but is unemployed or partially unemployed because of the COVID-19 pandemic is considered a “covered individual.” If workers have the ability to work remotely with pay, they are not eligible for these benefits.
Under the CARES Act, unemployment benefits are available for the weeks of unemployment, partial unemployment, or inability to work caused by COVID-19 beginning on or after January 27, 2020 (the date on which the Secretary of Health declared COVID-19 a public health emergency) and ending on or before December 31, 2020, and shall continue to be available as long as the individual’s unemployment, partial unemployment, or inability to work continues, for up to 39 weeks. Individuals will receive the amount that would be calculated under state law plus $600 each week for up to four months, as opposed to the usual three months. Additionally, the standard one-week waiting period is waived, so laid off employees immediately qualify for benefits.
- Provides Refundable Payroll Tax Credit to Employers
For businesses whose operations were fully or partially suspended by a government entity due to the COVID-19 pandemic or had a decrease in gross receipts of 50% or more compared to the same quarter last year, the CARES Act provides for a refundable payroll tax credit equal to 50% of the first $10,000 in wages per employee. This payroll tax credit can be claimed for employees who are retained but who do not work during the COVID-19 pandemic. Businesses with 100 or fewer full-time employees can claim the payroll tax credit for all employees’ wages—whether the employer is open for business or has been ordered to close. Businesses with more than 100 full-time employees can claim the credit for employees who are retained but who do not work due to the COVID-19 pandemic.
New York City and New York State Laws
Employers that employ at least two employees in New York State seeking to avoid layoffs should also know about the Shared Work Program, which provides partial unemployment benefits to employees who are working reduced hours. To participate, employers must design a “Shared Work Plan” and apply to participate here at least one week before the proposed effective date. After an employer’s plan is approved, participating employees must file unemployment insurance Shared Work claims. Eligible employees include those who qualify to receive unemployment insurance benefits in New York state and who normally work no more than 40 hours per week. Covered employees may receive up to 26 weeks of regular Shared Work benefits in one year. Currently, it is unclear how employers would take advantage of the New York State Shared Work Program and the Federal Paycheck Protection Program simultaneously. One potential scenario is that the reduction in salary and wages under the Shared Work Program may reduce the amount of the loan forgiveness under the Paycheck Protection Program.
Under New York City’s Employee Retention Grant Program, small business in New York City (including nonprofits) that have been in operation for at least six months, with one to four employees that can demonstrate at least a 25% decrease in revenue as a result of the COVID-19 pandemic may be eligible to receive a grant covering up to 40% of their payroll for two months, for a maximum of up to $27,000. This program was implemented to help New York City businesses retain employees. More information can be found here.
Under New York City’s Small Business Continuity Loan Program, businesses in New York City with fewer than 100 employees that can demonstrate at least a 25% decrease in revenue as a result of the COVID-19 pandemic, and that it has the ability to repay the loan, may be eligible for an interest-free loan up of up to $75,000 to help retain employees and continue business operations. More information can be found here.
*Evolving Regulation and Implementation Procedures
The foregoing is intended as a summary of the various measures enacted within the past few days. The legislation examined above was understandably passed under exigent circumstances. Most, if not all, of the above will be subject to rule-making and interpretation. Therefore, implementation structures, procedures and subsequent regulations may vary from the analysis presented above.
For questions about the foregoing and further developments, please contact us. We also have assembled resources and alerts for COVID-19-related legal issues and considerations on our website under “News – COVID-19 Guidance.” Please check there for useful information and updates as events evolve.
*Required Disclaimer: This alert is provided for informational purposes and does not constitute, and should not be considered legal advice. Specific facts and circumstances will differ. Neither the transmission nor the receipt of this information shall create an attorney-client relationship between the transmitter and the recipient. You should not take, or refrain from taking, any action based upon information contained in this alert without consulting legal counsel of your own choosing. Under applicable professional rules of conduct, this informational publication may be considered attorney advertising.
Dunnington, Bartholow & Miller LLP is a full-service law firm providing corporate, employment, litigation, arbitration, mediation, intellectual property, real estate, immigration, trusts and estates planning services for national and international clientele. Find out more at www.dunnington.com. |
Filed under: Combs & Company Blog, Health Insurance, Insurance 101, Insurance Education, Susan L Combs, Vlog | Tags: Combs & Company Vlog, Formulary, Formulary Drugs, Insurance 101, Insurance Glossary, Susan L Combs
Check our our quick video to understand what you need to know about Formulary Drugs!
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Filed under: Combs & Company, Combs & Company Blog, Health Insurance, Insurance 101, Insurance Education, Vlog | Tags: Combs & Company Vlog, Insurance 101, Insurance Education, Susan L Combs
Check our our quick video about Flexible Spending Accounts (FSA)!
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Filed under: Combs & Company Blog, Insurance 101, New York PFL, Paid Family Leave, PFL, Susan L Combs | Tags: Combs & Company, Insurance Terms, New York Paid Family Leave, PFL, Susan L Combs
We have been getting a lot of questions on this so thought I’d give you a breakdown of how it works and what to expect for January 1, 2018 with New York Paid Family Leave.
What is it?
As of January 1, 2018, most employees who work in New York State will be eligible for Paid Family Leave. This is leave not for yourself, this is leave to take care of others which include: spouse, domestic partner, child, stepchild, parent, stepparent, in-laws, grandparent or grandchild. This is also available due to Active Military Duty Deployment. They are not including siblings at this time, so keep that in mind.
Who is eligible?
- Full-time employees: If you work a regular work schedule of 20 or more hours per week, you are eligible after 26 consecutive weeks of employment.*
- Part-time employees: If you work a regular work schedule of less than 20 hours per week, you are eligible after working 175 days, which do not need to be consecutive.*
- You are eligible regardless of your citizenship and/or immigration status.
*These weekly counts look back at 2017. What this means is if you have been a full-time employee for 2017 and been working over 20 hours per week for the 26 weeks leading up to January 1, 2018 – you would be eligible to go out on claim January 1, 2018.
How much is taken out of my paycheck?
- This is a prorated amount (no more than $1.65 per week) depending on how the company does payroll, but it is basically capped around $85 FOR THE YEAR, so you won’t even notice it coming out of your check! Here is the deductions calculator if you want to know exactly!
How much do I get?
- This is going to be a 4-year phase in and you are going to start seeing these acronyms a lot: AWW and SAWW. AWW stands for Average Weekly Wage and SAWW stands for State Average Weekly Wage. The SAWW they are using for 2018 is $1305.92, which translates into the Max Weekly Benefit you can get is $652.96 for 8 weeks.
- Here is a grid showing the phase in numbers from state website!
Benefits Increase Through 2021
Year | Weeks of Leave | Benefit |
2018 | 8 weeks | 50% of employee’s AWW, up to 50% of SAWW |
2019 | 10 weeks | 55% of employee’s AWW, up to 55% of SAWW |
2020 | 10 weeks | 60% of employee’s AWW, up to 60% of SAWW |
2021 | 12 weeks | 67% of employee’s AWW, up to 67% of SAWW |
- Example: An employee who makes $1,000 a week would receive a benefit of $500 a week (50% of $1,000). Another employee who makes $2,000 a week would receive a benefit of $652.96, because this employee is capped at one-half of New York State’s Average Weekly Wage —currently $1,305.92. Half of that amount is $652.96.
- Leave can be taken either all at once or in full-day increments. You may take the maximum time-off benefit in any given 52-week period. The 52-week clock starts on the first day you take Paid Family Leave.
As an Employee, what do you need to do if you need to go out on claim?
- Notify your employer. You need to do this at least 30 days before you want your leave to start (if possible). For example, if you are due with a baby 2/1, you can plan ahead, but if the baby comes 4 weeks early, you need to notify your employer as soon as possible.
- Submit a claim form. You’ll need to ask your employer or the employer’s insurance company what forms you should complete and get the supporting documentation that is requested. Make sure to keep a copy for your records. You can actually submit your claim form 30 days before or 30 days after the event and then the carrier has 18 days to respond to your claim.
Click here for the Employee Fact Sheet by New York State!
As an Employer, what do you need to do?
- If you have State Mandated Disability, your carrier will most likely offer the Paid Family Leave coverage. If you haven’t received an email or a letter from your carrier, you need to reach out to them ASAP.
- As this is an Employee Paid benefit, Employees will have deductions taken out of their paychecks for this. If your payroll company hasn’t reached out to you about this, check with them before your first January 2018 payroll run.
- You also must Post a Workforce Notice, which you should also be getting in the mail from your carrier.
- If you currently Self Insure your Disability, here’s a list of carriers that you can get this coverage from!
- Update your handbook to include the new policy if you have one!
Click here for the Employer Fact Sheet by New York State!
I know this doesn’t cover absolutely everything you might have a question on, but if you read and understand this, you’ll be more equipped than 99% of New Yorkers out there!
Filed under: Combs & Company, Combs & Company Blog, Insurance 101, Susan L Combs, Uncategorized | Tags: Combs & Company Vlog, EPOs, Exclusive Provider Organizations, Insurance 101, Insurance Terms, Susan L Combs
Check our our quick video about Exclusive Provider Organizations (EPOs)!
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Filed under: Combs & Company, Insurance 101, Susan L Combs, Vlog | Tags: Combs & Company Vlog, Insurance 101, Susan L Combs, What are Exclusions
Check our our quick video about what Exclusions are in an insurance policy!
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Filed under: Combs & Company, Health Insurance, Insurance 101, Insurance Education, Obamacare | Tags: Combs & Company, Essential Health Benefits, Insurance 101, Insurance Glossary
When the ACA (Affordable Care Act) became law, we were introduced to many new terms. Check our our quick video about Essential Health Benefits!
For more Insurance 101, check our our Combs & Co YouTube Channel!
Filed under: Combs & Company, Combs & Company Blog, Health Insurance, Insurance 101, Insurance Education | Tags: Combs & Company, Evidence of Insurability, Insurance 101, Insurance Glossary
Check our our quick video about Evidence of Insurability!
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Filed under: Combs & Company Blog, Health Insurance, Insurance 101, PPACA, Reform | Tags: Combs & Company Vlog, Employer Responsibility, Insurance 101
Check our our quick video about Employer Responsibility!
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