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November 8, 2004    DOL > EBSA > Publications > 1999 APAR Report   

1999 Annual Performance and Accountability Report

Pension And Welfare Benefit Programs

The goals and measures contained in EBSA’s Annual Performance Plan for FY 1999 supported those contained in the EBSA FY 1997 - 2002 Strategic Plan and fall under the Department’s 2nd strategic goal-- A Secure Workforce. EBSA’s primary mission is to protect the pension, health and other employee benefits of the over 150 million participants and beneficiaries in private sector employee benefit plans in excess of 6 million plans and $4.3 trillion in assets. Through its program, EBSA safeguards and promotes the economic security of workers and families. To accomplish this, EBSA has established the following agency goals:

  • Deter and correct violations of the relevant statutes. EBSA deters and corrects violations of the relevant statutes by identifying civil violations and achieving appropriate correction in a cost- effective manner (i.e. voluntary compliance, administrative proceedings or federal court action); detecting, investigating and referring criminal violations to prosecutorial authorities; ensuring that annual reports are filed timely and accurately; and ensuring that audits of employee benefit plans comply with professional standards.

  • Facilitate compliance by plan sponsors, plan officials, service providers and other members of the regulated community. EBSA facilitates compliance through the timely issuance of advisory opinions, exemptions, regulations, compliance guides and other issuances designed to assist the regulated community in understanding and complying with their responsibilities under the law, while removing unnecessary impediments and protecting the rights and benefits of participants and beneficiaries. These efforts are supplemented by EBSA participation in conferences, symposia, and programs designed to expand an understanding of ERISA’s compliance requirements.

  • Assist workers in understanding their rights and protecting their benefits. EBSA assists workers in understanding their rights and protecting their benefits by disclosing plan documents; developing publications, news releases, and other educational materials which inform participants of their rights under Federal law; assists in the development of amicus curiae briefs to further participant rights and benefits; and maintains a nationwide participant assistance program which provides written and telephone responses to participant problems and inquiries.

  • Encourage the growth of employment-based benefits. As one of the principal agencies with responsibility in the area of pension, health and other employee benefits, EBSA plays a leadership role in the development of retirement, health and employee benefits policy. EBSA discharges its responsibilities in this area in a variety of forms including, but not limited to, maintaining an active research program; continuing its educational outreach efforts to help plan sponsors and participants understand their rights and obligations as well as the importance of and options for retirement savings and health care benefits; assisting the Administration, other Federal agencies (e.g. the Departments of Treasury and Health and Human Services, the Internal Revenue Service, and the Pension Benefit Guaranty Corporation, among others) and the Congress in the development and/or review of legislative initiatives affecting employee benefits.

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Protect Pension and Health Benefits

FY 1999 was the first year for reporting specific performance measures under the Government Performance and Results Act (GPRA). During FY 1998, baseline measures were established in which to compare our FY 1999 results. EBSA met or exceeded its performance goals in 10 of 11 instances, with the exception being exemption determination processing. With respect to exemption determination processing, there exists mitigating circumstances that will be delineated later in the report.

Goal - Increase by 2.5% the number of closed investigations of employee pension and health benefit plans where assets are restored and prohibited transactions corrected.

Results - The Department closed 958 investigations of employee pension and health and benefit plans where assets were restored, an increase of 56% over FY 1998 (Figure 1). In addition, 389 cases were closed where prohibited transactions were corrected, an increase of 62% over FY 1998.

Indicator - Increasing the number of cases with fiduciary results demonstrates the Department’s success in protecting plan assets. In other words, where plan assets have been endangered by an imprudent act on the part of the fiduciary or have been otherwise misused, the Department seeks to have the transaction corrected to minimize potential loss or to have the plan made whole through the restoration of assets.

Analysis - The Department exceeded its FY 1999 performance goals. More importantly, in FY 1999, the Department increased by 26% over FY 1998, the number of limited investigations converted to fiduciary cases. In addition, cases closed with fiduciary results were up 44% over FY 1998, a primary strategy to achieving our goal.

In FY 1999, the Department restored approximately $494 million to benefit plans as a result of its investigative efforts. Assets that, in the absence of investigative efforts, would have been lost to participants and beneficiaries. This is an increase of approximately 45% since 1995. Because of the volatile nature of recoveries, past performance is not indicative of future performance in any given year nor is the trend constantly increasing. However, over the period of several years, the trend has generally been upward.

Strategies - During FY 1999, regional offices employed more effective targeting techniques to increase the number of cases converted from limited review investigations to fiduciary investigations in which possible fiduciary or criminal violations have been identified. Some offices requested special computer generated targeting runs designed to identify specific types of plans (e.g., ESOPs), or investment/asset categories (e.g., those holding real estate/mortgages or those where assets have been transferred to other plans). Other offices went directly to financial institutions to assist them in identifying plans which may have a delinquent contribution problem or which may have been abandoned by responsible plan officials. In addition, the National Office took a proactive role in identifying plans which may had delinquent contribution issues and supplied field offices with computer runs identifying likely targets.

Goal Assessment & Plans - In FY 2000, EBSA will maintain this goal but will set a more ambitious target given our recent experience. In addition, to protect against irregular fluctuations, we will utilize a two-year rolling average. In FY 2001, we will begin reporting separate and distinct measures for pension and health enforcement to reflect our increasing responsibilities in the health related enforcement arena.

Expand Pension Coverage, Particularly Among Women, Minorities, and Small Business Workers.

Goal - Increase by 1% the number of workers who are covered by a pension plan sponsored by their employer, particularly women, minority, and workers in small businesses.

Result - The number of private wage and salary workers in pension programs increased from 45.1 million in 1997 to 47.6 million in 1998, an increase of 5% (Figure 2). With respect to those groups where pension coverage has been historically lower, the increase among women was 5%, among minorities 6%, and among workers in small businesses 8%.

Indicator - The number of private wage and salary workers in pensions programs. Improving the financial security of Americans during their retirement years is a major Secretary priority. More specifically, expanding pension coverage to those Americans who have historically experienced low pension coverage is of particular concern.

Analysis - The data suggests that the Department was successful in achieving a primary performance goal that directly improves the lives and conditions of American families-- ensuring a better security in retirement.

Strategies - Many factors contribute to the expansion of pension coverage such as, the structure and health of the economy (e.g. level of employment and economic growth, sectoral shifts in economic activity) and demographics (aging population, increasing numbers of women and minorities). In addition to these external factors, the Department also contributes through aggressive educational strategies such as the Retirement Savings Education Campaign and Partnerships, targeted public service announcements, promotional cards in tax returns, 800 telephone line, interactive web sites and videos for small businesses to name a few. The Department will continue to aggressively educate our customers regarding the importance of retirement planning, particularly participation in pension plans, and anticipates continued success in expanding pension coverage.

Goal Assessment & Plans - In FY 2000, we will maintain this goal. We will continue to aggressively pursue education and outreach, in general, and will continue targeting those groups who have historically shown a lower rate of pension coverage -- women, minorities, and workers in small businesses . As a result, we anticipate continued expansion of pension coverage.

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Improve Health Care Portability and Continuity

Goal - Promulgate final health benefit and regulatory guidance, including technical advice, implementing the Health Insurance and Accountability Act of 1996 (HIPAA), the Newborns’ and Mothers’ Protection Act of 1996, and the Mental Health Parity Act of 1996.

Result - The Department made significant progress during FY 1999 by issuing interim final regulations for the above referenced laws. In addition, to ensure a coordinated effort with the other federal agencies responsible for administering their respective portion of the laws, the Department entered into a Memorandum of Understanding with the Departments of Health and Human Services and the Department of Treasury. The Department also launched a Health Benefits Education Campaign and issued new and updated health care publications.

Indicator - Progress is checked via the Federal Register. The Congress passed landmark legislation in 1996 governing certain health benefit entitlements that impact virtually all people receiving health benefits under ERISA plans. The Department was assigned regulatory, interpretive, enforcement, and disclosure responsibilities under these laws.

Analysis - These new laws establish federal requirements for virtually all of the nations private health benefits programs. This initial activity, while not quantified, establishes the foundation for addressing important issues like improved portability and continuity of health insurance coverage provided in connection with employment, preexisting conditions exclusions, special enrollment rights, and prohibition of discrimination against individuals based on health status related factors.

Strategies - The Department developed a compliance guide checklist for enforcement personnel and conducted a limited pilot to ascertain initial compliance with the new health care laws. We are currently analyzing the results of the pilot and will further tailor our enforcement efforts, as appropriate, based on the results.

With respect to customer assistance, the Department updated a reference booklet, entitled “Questions and Answers: Recent Changes in Health Care Law”. The booklet contains questions and answers that address issues raised by the interim rules under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The booklet was designed to help employees and employers understand their rights and obligations under HIPAA, as well as the provisions of the Mental Health Parity Act of 1996, the Newborns’ and Mothers’ Health Protection Act of 1996, and the Women’s Health and Cancer Rights Act of 1998. The Department firmly believes that an informed and knowledgeable public enables individuals to understand their rights under the law and, when possible, to recover any benefits.

Goal Assessment & Plans - The Department will not maintain this goal but will begin reporting on its health initiative results as a separate and distinct measure in FY 2001. The new measure and related performance goal may be found in the Department’s revised Strategic Plan.

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Other Significant Accomplishments

During FY 1999, EBSA assessed civil penalties of more than $14.7 million. The civil penalty assessment program was established in FY 1991 under provisions of the Employee Retirement and Income Security Act (ERISA), sections 502(c)(2), 502(I), and 502(1). Collections of assessed penalties for the past five years, including interest and other charges, are as follows:

FY 1995: $5,463,000
FY 1996: $13,142,000
FY 1997: $11,285,000
FY 1998: $12,384,000
FY 1999: $13,071,000

The program-specific measure of civil cases opened decreased in FY 1999 from 5,858 to 4,081 after steadily increasing for the preceding four years. In FY 1999 the investigative emphasis was altered to improve the selection of cases for investigation. While this transition resulted in fewer cases being opened, the benefit of this change, as previously indicated in the report, increased the number of cases closed with fiduciary results by 44% , or 453 cases from 1,029 in FY 1998 to 1,482 in FY 1999. There was also a corresponding increase of 26% in the number of cases that were converted to fiduciary investigations from limited investigations from 1,575 in FY 1998 to 1,991 in FY 1999.

In FY 1999, the number of civil cases referred for litigation increased to 178, compared to 164 in the prior year and up from 113 in FY 1995. Assistance to participants continues to markedly increase benefit recoveries for plan participants. In FY 1999, benefit recoveries totaled $74 million compared to $42 million in FY 1998, up from $17 million in FY 1995. While our increase in Enforcement staff and Pension Benefit Advisors during this period may be partially responsible for the increase, we are also achieving efficiencies as a result of technological improvements such as our automated service for the distribution of information (i.e. pamphlets). Pension Benefit Advisors are now spending less time responding to simplistic information requests and more time actually resolving complex benefit issues. We anticipate this trend to continue as we reap the full benefits of automation and a seasoned, fully-trained staff. EBSA also included this measure into its FY 2000 Annual Performance Plan.

The outputs for exemptions granted increased slightly over FY 1998. However, the amount of time to process an exemption increased, which resulted in EBSA failing to achieve one GPRA goal. The exemption program facilitates meritorious investment transactions for pension plans which would otherwise be prohibited under ERISA. During FY 1999, approximately 36 of the 198 exemption cases closed were highly complex, requiring careful attention to develop appropriate safeguards and conditions to address any potential conflicts of interest. Some of these cases were well over one year old. Continuing to eliminate the more complex cases from the inventory is a necessary step which will hopefully yield results in reduced average processing time for the coming years. In fact, the remaining number of aged, complex cases may still have an adverse impact on our processing time in FY 2000. However, we are attempting to mitigate this impact and anticipate that by FY 2001, the benefits of eliminating the aged cases will result in significant improvement in processing time.

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Future Adjustments

In FY 2000, EBSA will maintain several enforcement goals but will set more ambitious targets given our recent experience. In addition, to protect against irregular fluctuations, we will utilize a two-year rolling average (e.g. Goals 2.3 and 2.5). In FY 2001, we will begin reporting separate and distinct measures for pension and health enforcement to reflect our increasing responsibilities in the health related enforcement arena (Goal 2.3). Further details as to our adjustments may be found in the Department’s FY 1999 Annual Accountability and Performance Report as well as its FY 2000 and FY 2001 Annual Performance Plans.

We will also continue to aggressively pursue education and outreach, in general, and will continue targeting those groups who have historically shown a lower rate of pension coverage -- women, minorities, and workers in small businesses . As a result, we anticipate continued expansion of pension coverage.

EBSA has included a new goal to measure the results of our customer assistance efforts. In FY 2000, we will begin measuring benefit recoveries as a result of Pension Benefit Adviser assistance. In FY 1999, the Department had benefit recoveries in excess of $62 million.

Finally, in FY 2000, EBSA embarked on an initiative, in Partnership with the Department, to improve its performance measures and to address performance data validation and reliability. MRJ, a noted expert in the field of data validity and results-based management, is assisting EBSA in transitioning from output to outcome measures. Simultaneously, MRJ is working with EBSA management in reviewing its internal data controls as a means for ensuring the most reliable and accurate data to the extent practicable. We anticipate that FY 2001 will be the first full year to benefit from this initiative.

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Summary of Performance Goals and Results

Goal Description

Result

1.1 Respond to all requests for plan documents, annual reports and other information maintained for public disclosure within an average of 10 working

6.3 Days
Exceeded

1.2 Provide timely assistance to participants and beneficiaries. Respond to 90% of written requests within 30 days. Respond to 99% of telephone request by c.o.b. the next business day.

99.21%
99.98%
Exceeded

1.3 Provide policy and technical assistance to the Office of the Solicitor necessary to the development of Amicus Curiae Briefs within 10 days of the requested date for such assistance.

10 Days
MET

2.1 Ensure that no more than 3% of the employee benefit plan annual 5500 filings are deficient.

Deferred (1)

2.2 Ensure that no more than 12% of the 1999 employee benefit plan audits fail to comply with professional accounting and auditing standards.

Deferred

2.3 Increase by 2.5% both the number of closed investigations of employee pension and health benefits plans where assets are restored (to 537) and the number where prohibited transactions are corrected (to 241).

AR - 958
PTs - 389
Exceeded

2.4 Increase by 2.5% (to 610) the number of fiduciary investigations closed where plan assets are protected from mismanagement and risk of future loss is reduced.

633
Exceeded

2.5 Increase by .25% (to 15.92%) the ratio of closed civil cases with corrected violations to total civil cases closed.

36.49%
Exceeded

2.6 Increase by .25% (to 42.66%) the ratio of criminal cases referred for prosecution to United States Attorneys or to State prosecutors to total criminal cases.

45.30%
Exceeded

3.1 Promulgate final health benefit regulatory guidance, including technical advice, implementing the Health Insurance Portability and Accountability Act of 1996 (HIPPA), the Newborns’ and Mothers’ Health Protection Act of 1996 and the Mental Health Parity Act of 1996.

Met

3.2 Reduce response time for requests for advisory opinions, technical guidance, and exemptions. (1) Acknowledge requests within two weeks of receipt, (2) reduce exemption processing time by 3% a year (to 174), (3) and respond to requests for advisory opinions and technical guidance within an average of 180 days.

1. Met
2. 241
3. Met

3.3 Develop small business regulatory compliance guides no later than 180 days after the effective date of relevant final regulation.

N/A (2)

4.1 Increase by 1% (to 45.5 million) the number of workers who are covered by a pension plan sponsored by their employer, particularly women, minority and workers in small businesses.

47.6 Million
Exceeded

4.2 A research program that is responsive to developing issues and data needs.

Met (3)

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Footnotes

  1. The goal, originally slated to be measured in FY 1999, was deferred until FY 2002 pending completion of the implementation of EFAST and resulting receipt and analysis of the first year’s data. In addition, EBSA will have implemented and addressed issues arising out of the revision of the new Form 5500.

  2. No final regulations were issued to trigger this particular requirement.

  3. EBSA completed studies in several topical areas; The include: (1) Increases in the number of individuals lacking health insurance and stubbornly low rates of health benefit coverage at small businesses have heightened interest in the relative effectiveness of alternative employer health insurance purchasing mechanisms. EBSA completed a project modeling such mechanisms' effectiveness and effect on health insurance markets and coverage; (2) Another contract produced two relevant research papers, one on self-insurance and another on collective purchasing; (3) studying the implications of alternative liability environments for decision making, and a broader follow-up study of decision making processes, outcomes, and their determinants; (4) gaps in pension coverage and threats to retirement income adequacy --a study of the incidence, determinants, and role of pre-retirement pension cash-outs, and completed the first stage of a project to model lifetime pension coverage given workers' expected career patterns; (5) published the Private Pension Bulletin Number 8, a detailed statistical report on pension plan participation and finances.

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