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Mployment Enefits AW Eport
Mployment Enefits AW Eport
& BENEFITS
LAW REPORT
A Newsletter from the Employee Benefits and
Employment and Labor Practice Groups
totally different way. Her claim that fir- retaliating against an employee who things as company trade secrets, cus-
ing her in retaliation for refusing to sign “objects to, or refuses to participate in tomer lists, pricing information and
a restrictive covenant that violated New any activity, policy or practice which marketing strategies, and the company
Jersey public policy gave rise to a whistle- the employee reasonably believes is should limit restrictive covenants with
blower claim under CEPA, was a novel incompatible with a clear mandate of non-compete provisions to those
claim under New Jersey law. Employers public policy concerning public health, employees.
feared that employees, emboldened by safety or welfare or protection of the The company should clearly define in
the Maw decision, would feel free to environment.” N.J.S.A. 34:19-3(c)(3). the restrictive covenant the protectable
refuse to sign employment agreements To find a violation of a clear mandate business interests that are the subject
of public policy, the court of the restrictive covenant.
reasoned, requires that the
The company should clearly recite
activity about which the
in the employment agreement the
employee has complained
consideration being given to the
“must have public ramifi-
employee for his or her agreement
cations.” It concluded
to the restrictions and state that the
that the private dispute
consideration is contingent upon the
between an employer and
employee executing and accepting the
its employee over the
terms of the restrictive covenant
terms of a non-compete
agreement.
agreement “does not
implicate the violation of Companies should resist the urge to
a clear mandate of public expand the durationand geographic
policy as contemplated scope of the restrictive covenant
by CEPA.” beyond what is reasonably necessary
containing restrictive covenants or, Although the Supreme Court’s to protect the company’s legitimate
worse, attempt to abrogate already exe- decision in Maw appears to signal a business interests. A restrictive
cuted agreements on the basis that they tightening of the law allowing enforce- covenant that is found by a court to
violated public policy. ment of whistleblower claims, at the be unenforceable against a former
The fear engendered by the inter- same time, it reaffirms that reasonably employee because it is overbroad will
mediate Maw decision has been amelio- drafted, narrowly tailored restrictive jeopardize all of the other restrictive
rated, at least for the time being. In a covenants are enforceable under New covenant agreements with the com-
recently published decision, the New Jersey law. While dismissing Maw’s pany’s other employees. A skilled
Jersey Supreme Court reversed the whistleblower claims, the Supreme employment lawyer can help the
Appellate Division’s decision. The Court made it clear that restrictive company determine the appropriate
Supreme Court concluded that ACCI’s covenants that are drafted to protect an geographic scope and duration of a
requirement that Maw execute a employer’s legitimate business interests reasonable, enforceable restrictive
restrictive covenant agreement was, will be enforced. covenant.
essentially, a private dispute between Planning Tips • In order to max- Finally, the company must take
Maw and her employer that did not imize the likelihood that a restrictive appropriate measures to protect the
implicate public policy. The Court held covenant will be enforced, employers confidentiality of its trade and busi-
that Maw’s refusal to comply with the should follow these guidelines: ness secrets. Those measures should
requirement was not protected by be communicated to all employees,
CEPA, and ACCI was, therefore, free When considering whether to impose and the company should be diligent
to fire her. an employment agreement containing
in assuring that its procedures are
a restrictive covenant on its employees,
The Supreme Court’s decision followed and that its confidential
a company should first identify which
was based upon the language of CEPA, of its employees have access to confi- information is protected from
which prohibits an employer from dential information, including such disclosure.
This report, published as a service to Flaster/Greenberg clients and interested readers, is for general use
and information. The content should not be interpreted as rendering legal advice on any specific matter.
www.flastergreenberg.com
4
employees. The Act requires the State fewer than 50 employees and provides specific preemptive provisions. It is
of New Jersey to offer dependent cov- medical and hospital or dental benefits. unclear how coverage would be imple-
erage to the non-working or uninsured The Act directs the State Insurance mented and what the tax treatment
member of a couple that has a Commission to make changes to the may be, as these federal laws may
Certificate for health care, dental and limited number of control. It
retirement plan purposes. This applies state-authorized remains to be
to coverage under the State’s Health small employer seen when the
Benefits Programs, the Public plans, in order to …the tax implications of U.S. Department
Employee’s Retirement System, the provide for of Labor or the
Police and Firemen’s Retirement dependent cover- coverage need to be considered courts provide
System, the Judicial Retirement age for persons because the federal tax code guidance or
Systems, the State Police Retirement covered by the Act. rulings on the
System and the Teacher’s Pension and Small employers in defines “spouse” more narrowly preemption of
Annuity Fund. New Jersey are not the Act whether
required to follow than the Act. ERISA-covered
Employees of State-Related
Entities • These employers (such as the Act for retire- plans that desire
counties, municipalities and boards of ment benefits, to opt in to the
education) may, but need not, opt into although they may. Act will be per-
coverage under the Act. To opt in, Large Private Employers • mitted to follow the Act’s require-
the employer entity simply adopts a Under the Act, plans with 50 or more ments, or at least those that deal more
resolution to that effect and would employees are not required to afford with plan administration than the
therefore treat the non-working or dependent status for health or dental actual provision of benefits.
uninsured member of a couple with a plan coverage to the non-working or Guidance also is needed for multi-
Certificate as a dependent under the uninsured member of a domestic state or multi-national private employers
above-referenced State plans. Any other partnership civil union with a Certifi- that are maintaining health plans or
type of health, dental or retirement cate, although they may do so. On an retirement plans and who desire to opt
plans sponsored by these employers elective basis, to facilitate voluntary in to the Act. For example, does the Act
would require individual changes by opt-ins by larger private employers, apply to New Jersey-based employees
the sponsoring employer. the insurance contract underlying the of a Nevada company? Does the
Individual Coverage for Health health benefits or dental plan must mandatory coverage rule for small
contain the appropriate provisions. employer plans apply if the New Jersey
or Dental Benefits • The Act applies
Vision and Disability Plans • facility has fewer than 50 employees,
to every individual health or dental ben-
A vision-only plan or disability plan even though the employer has thou-
efits policy delivered, issued or executed
(regardless of the size of the employer) sands of employees nationwide? What
in New Jersey and approved by the
need not contain provisions recogniz- rights should Ohio employees have
State’s Department of Banking and
ing dependent status for non-working where the parent company is in New
Insurance. Such coverage is typically
or uninsured members of a domestic Jersey and recognizes civil unions in
purchased by the unemployed or those
partnership. New Jersey? Finally, the tax implica-
people employed by a company that
tions of coverage need to be consid-
does not offer benefits. Of course, the Retirement Plans • Small and ered because the federal tax code
plan’s cost will increase when adding a large private employers’ retirement plans defines “spouse” more narrowly than
dependent. are not required to treat the non-work- the Act. Therefore, the income tax
Employees of Private ing or uninsured member of a domestic treatment of coverage may differ for
Employers • This classification is partnership civil union as a dependent, the non-working or uninsured members
broken into two categories: (i) small although the private employer may of civil unions.
employers and (ii) all other employers. decide to provide such coverage.
The Act further differentiates between The author thanks his colleague Nicole T. Donoian,
Other Laws • Employer-sponsored an associate in the firm’s Family Law Practice
the requirements for health and dental group health plans are also covered by Group, for her valuable guidance and assistance in
plans and retirement plans. federal laws such as: (i) the Employee preparing this article. A more comprehensive dis-
Retirement Income Security Act of cussion of the new Act, prepared by Steven
Small Employer Health Plan • Sacharow, a shareholder and head of the firm’s
The Act applies to “small employer 1974, as amended (“ERISA”); (ii) the Family Law Practice Group, with the assistance of
health plans,” which are programs Family and Medical Leave Act, and (iii) Ms. Dononian, was published in the New Jersey
offered by a private employer, provid- the continuation coverage requirements Law Journal (a copy of which is available on the
firm’s web site at www.flastergreenberg.com).
ed the employer has at least two but of “COBRA”, some of which contain
s part of last year’s Medicaid law, Is there any other coverage that is allowed?
A Congress created a new tax-advantaged
account that may help employers con-
tain the cost of providing health insurance.
As noted above, generally, an individual cannot be cov-
ered by any other plan that is not an HDHP. The law allows
certain limited types of coverage, for instance, workers’ com-
Called “health savings accounts” or pensation, homeowner’s insurance and insurance that pro-
“HSAs,” they represent the latest attempt vides coverage for specific diseases. One can also have insur-
to introduce greater consumer responsibility ance for specific types of medical expenses, such as expenses
for health care choices. incidental to disability, dental or vision care, and long-term
Elliot D. Raff
care insurance.
What is an HSA?
One type of coverage that has raised potentially signifi-
An HSA is like an individual retirement account (“IRA”)
cant issues is prescription drug coverage. The IRS has ruled
that can be used to pay for health expenses. Contributions
that prescription drug coverage is not a type of coverage that
are made on a pre-tax basis by individuals or employers.
is permitted in addition to the HDHP. Thus, prescription
Contributions made by an individual are deductible and not
drug coverage must satisfy the HDHP requirements; i.e.,
included in income when made by an employer. Further,
have an annual deductible at least equal to the limits indicat-
earnings on the HSA grow tax-free. Most important, unlike
ed above. Subsequent guidance recognized that this would
a traditional health flexible spending account, an HSA does
be problematic for individuals enrolled in plans that other-
not have the “use it or lose it” feature. Unused amounts
wise meet the definition of an HDHP. Consequently, the
rollover year after year. For 2004, the contribution limits are
IRS further ruled that until January 1, 2006, an individual
$2,400 for single coverage and $5,150 for family coverage
will be eligible to maintain an HSA if he or she is covered by
(or the actual annual deductible if lower).
an HDHP and a separate plan (or rider to the plan) provid-
Who can establish an HSA? ing coverage for prescription drugs before the minimum
deductible is met (otherwise, the high deductible will apply
Not everyone can establish an HSA. To be eligible, the
to the prescription drug coverage as well). “Other coverage”
individual must:
would also include health insurance provided by a spouse’s
1. Be covered by a “high deductible health plan” employer, including under a traditional flexible spending
or “HDHP”. account. Thus, care must be taken to ensure that the “no
2. Not be covered by any other plan that is not an HDHP other coverage rule” is satisfied.
(with a few exceptions).
How Does an HSA Differ from an FSA?
3. Not be entitled to Medicare.
A health care flexible spending account (“FSA”) is usually
4. Not be claimed as a dependent on any other person’s funded with employee pre-tax contributions as part of a cafe-
tax return. teria plan. As most people who contribute to an FSA know,
amounts in an FSA are subject to a “use it or lose it” rule.
What is an HDHP? Thus, individuals who contribute to an FSA often find them-
A health plan is considered an HDHP if it has the selves scurrying to incur medical expenses at year’s end so as
following features: to avoid losing the FSA balance, for instance, buying new
eyeglasses, going to the dentist, having a general physical,
Coverage Annual Deductible Annual out-of-pocket limit
etc. Critics maintain that this type of health care consump-
Individual $1,000 or more up to $5,000 tion is wasteful — the patient is looking for treatment solely
Family $2,000 or more up to $10,000 to avoid negative financial consequences — and symptomatic
of the prevailing attitude that individuals do not take finan-
The “annual out-of-pocket limit” is the maximum expo- cial responsibility for their health care.
sure individuals and families have for self-funding their health
care expenses. By contrast, amounts contributed to and held by an
HSA are non-forfeitable — they rollover from year to
Given the high deductible, the HDHP should be viewed year. Also, contributions are credited with earnings,
as providing catastrophic coverage; i.e., for major illnesses which are also non-forfeitable. Thus, an HSA is a way to
and hospitalizations. Not surprisingly, it is the combination accumulate a fund to pay for health care in the future.
of the high deductible, the annual contribution limit and the
higher out-of-pocket limit that makes employers reluctant to Proponents of HSAs maintain that individuals should be
sponsor/provide an HDHP with an HSA. On the other required to assume greater financial responsibility for treat-
hand, as discussed below, it is this very feature that propo- ment. Just as consumers shop for the best price before buy-
nents tout as having the greatest potential impact on health ing a computer or a car, people should consider the financial
care economics. consequences of a course of treatment and consider whether
(continued on page 6)
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Speakers:
Elliot D. Raff, Esquire Albert A. Fox, CIMA, CFP, ARPC Edward M. Penberthy, CIMA, CFP, ARPC
Flaster/Greenberg P.C. Vice President, Merrill Lynch Vice President, Merrill Lynch
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