The written foundation of every ERISA health plan — plan documents, SPDs, wrap documents, amendments, and the cafeteria plan that makes pre-tax premiums possible.
The plan document is the formal legal instrument governing the plan — every ERISA plan must have one. The SPD is the plain-language summary that must be distributed to participants. Insurance certificates and booklets alone usually satisfy neither requirement fully.
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A wrap document "wraps" ERISA-required plan and SPD language around insurance certificates and benefit booklets, combining multiple welfare benefits into a single ERISA plan. It fills the compliance gaps carriers leave and can reduce multiple Form 5500 filings to one.
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An SMM is the notice participants must receive when a plan changes materially between SPD updates. It's generally due within 210 days after the plan year of the change — but just 60 days for material reductions in group health coverage or benefits.
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A Section 125 cafeteria plan (including simple premium-only plans) is the IRS-required written plan that lets employees pay premiums and contribute to FSAs pre-tax. Without an up-to-date written cafeteria plan document, those pre-tax deductions technically fail — creating tax exposure.
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Review plan documents, the wrap, SPDs, and the cafeteria plan at least annually — ideally alongside renewal — and update them whenever benefits, carriers, eligibility, or the law change. SPDs must be re-furnished every five years if the plan has been amended, every ten regardless.
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