ERISA Benefits Compliance Checklist

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ERISA Benefits Compliance Checklist

Company Name:

Plan Administrator:

Plan Year:

Plan Types Covered:

Plan Documentation & Summary Plan Descriptions

Maintain a current written plan document for each ERISA-covered benefit plan

Ensure each employee benefit plan governed by ERISA has a formal, written plan document that includes all required provisions under ERISA Section 402, such as the basis for benefit payments, the amendment and termination procedure, and the plan year.

Prepare and distribute Summary Plan Descriptions (SPDs) to participants

Provide an SPD written in a manner calculated to be understood by the average plan participant, covering plan benefits, participant rights, claims procedures, and ERISA rights, within 90 days of becoming a participant or 120 days of plan establishment.

Issue Summaries of Material Modifications (SMMs) within required timeframes

When material changes are made to a plan, distribute an SMM to participants within 210 days after the end of the plan year in which the change was adopted, or provide an updated SPD that incorporates the modifications.

Ensure plan documents and SPDs are consistent

Review plan documents and their corresponding SPDs to ensure consistency in all material terms, since courts may hold the employer to the more generous provision when conflicts exist between the two documents.

Maintain plan documents, SPDs, and amendments for the required retention period

Retain all plan documents, SPDs, SMMs, and amendments for at least six years after the filing date of any Form 5500 that references the documents, as required by ERISA Section 107.

Furnish copies of plan documents to participants upon written request

Provide copies of the latest SPD, plan document, trust agreement, and other plan instruments to any participant or beneficiary who makes a written request, within 30 days of the request, and charge no more than a reasonable reproduction cost.

Form 5500 Annual Reporting

File Form 5500 or 5500-SF annually for each covered plan

Submit the appropriate annual return/report (Form 5500 for large plans with 100 or more participants, or Form 5500-SF for small plans) electronically through the DOL's EFAST2 system by the last day of the seventh month following the end of the plan year.

Attach all required schedules to the Form 5500

Include applicable schedules such as Schedule A (Insurance Information), Schedule C (Service Provider Information), Schedule H or I (Financial Information), Schedule R (Retirement Plan Information), and the actuarial schedules for defined benefit plans.

Obtain an independent qualified public accountant (IQPA) audit for large plans

Engage an independent qualified public accountant to audit the financial statements of any plan with 100 or more participants at the beginning of the plan year, and attach the auditor's report and opinion to the Form 5500 filing.

File for an extension using Form 5558 if additional time is needed

If unable to file by the due date, submit Form 5558 to the IRS before the original deadline to obtain an automatic 2.5-month extension for the Form 5500 filing.

Distribute the Summary Annual Report (SAR) to participants

Provide the SAR to all plan participants and beneficiaries within nine months after the end of the plan year (or two months after the extended Form 5500 due date), summarizing the plan's financial activities and participant rights.

Correct late or missed Form 5500 filings using the DFVCP

If any Form 5500 filings are delinquent, use the DOL's Delinquent Filer Voluntary Compliance Program (DFVCP) to file late returns with reduced penalties before the DOL initiates enforcement action.

Fiduciary Duties & Responsibilities

Identify all plan fiduciaries and document their responsibilities

Determine who qualifies as a fiduciary under ERISA (any person who exercises discretionary authority or control over plan management, assets, or administration) and document their specific responsibilities, including named fiduciaries designated in the plan document.

Ensure fiduciaries act solely in the interest of plan participants and beneficiaries

Confirm that all fiduciary decisions are made for the exclusive purpose of providing benefits to participants and beneficiaries and defraying reasonable plan expenses, applying the prudent person standard of care in all actions.

Diversify plan investments to minimize the risk of large losses

Review the plan's investment portfolio to ensure adequate diversification across asset classes and investment managers, in accordance with the ERISA prudent diversification requirement, unless it is clearly prudent not to diversify under the circumstances.

Monitor and benchmark service provider fees and expenses

Regularly review and benchmark fees paid to plan service providers (recordkeepers, investment managers, TPAs, and advisors) against industry standards to ensure they are reasonable for the services rendered, fulfilling the fiduciary obligation under ERISA Section 408(b)(2).

Maintain a documented investment policy statement (IPS) for retirement plans

Adopt and follow a written investment policy statement that outlines the plan's investment objectives, asset allocation targets, fund selection criteria, monitoring procedures, and the process for replacing underperforming investments.

Conduct periodic fiduciary training for plan committee members

Provide regular training to all individuals serving in a fiduciary capacity on their ERISA obligations, including the duty of loyalty, duty of prudence, prohibited transaction rules, and personal liability exposure for fiduciary breaches.

Fidelity Bonding & Prohibited Transactions

Obtain fidelity bonds for every person who handles plan funds or assets

Ensure that every fiduciary and every person who handles plan funds or other property is bonded under an ERISA Section 412 fidelity bond in an amount not less than 10 percent of the amount of funds handled, with a minimum bond of $1,000 and a maximum of $500,000 (or $1,000,000 for plans holding employer securities).

Verify the fidelity bond meets ERISA requirements

Confirm the bond is issued by a surety company listed on the Department of the Treasury's approved list, names the plan as an insured party, and covers losses due to fraud or dishonesty by the bonded persons.

Avoid prohibited transactions under ERISA Section 406

Review all plan transactions to ensure no prohibited transactions occur between the plan and parties in interest, including sales or exchanges of property, loans, furnishing goods or services, or transfers of plan assets to a party in interest.

Apply available prohibited transaction exemptions where applicable

When a transaction involves a party in interest, determine whether a statutory or class exemption (such as PTE 84-14 for QPA managers or PTE 2020-02 for investment advice) applies, and document the basis for relying on the exemption.

Correct prohibited transactions through the VFCP or EPCRS

If a prohibited transaction is discovered, take corrective action promptly, consider using the DOL's Voluntary Fiduciary Correction Program (VFCP) or the IRS Employee Plans Compliance Resolution System (EPCRS) to self-correct the violation and minimize penalties.

Claims Procedures & Participant Rights

Establish ERISA-compliant claims and appeals procedures for each plan

Implement written claims procedures that comply with DOL regulations under 29 CFR 2560.503-1, including timeframes for initial claims decisions (30 days for disability, 72 hours for urgent care, 15 days for pre-service, 30 days for post-service), full and fair review on appeal, and specific adverse benefit determination notice requirements.

Provide adverse benefit determination notices with all required information

Ensure that every claim denial notice includes the specific reasons for the denial, references to the plan provisions relied upon, a description of additional material needed and why, a description of the plan's appeal procedures, and a statement of the claimant's right to bring a civil action under ERISA Section 502(a).

Process appeals within the required timeframes

Review and decide appeals within the regulatory timeframes (45 days for disability claims with one 45-day extension, 72 hours for urgent care, 30 days for pre-service, 60 days for post-service), ensuring the review is conducted by someone other than the initial decision-maker.

Provide participants with access to documents relevant to their claims

Upon request, provide claimants with copies of all documents, records, and other information relevant to their claim for benefits, including internal rules, guidelines, and protocols used in making the adverse determination, free of charge.

Comply with the external review process for health plan claims

For group health plan claims subject to the ACA, implement a federal external review process (or comply with a state external review process that meets minimum federal standards) allowing participants to appeal adverse benefit determinations to an independent review organization.

Maintain complete claims and appeals records

Retain documentation of all benefit claims, supporting materials, decisions, appeal requests, appeal decisions, and related correspondence for each plan for the period specified in the plan document or at least six years after the date of the decision.

Compliance Monitoring & Regulatory Updates

Conduct an annual ERISA compliance review across all benefit plans

Perform a comprehensive annual review of all ERISA-governed plans to verify plan documents are current, Form 5500 filings are timely, fidelity bonds are adequate, SPDs are distributed, and claims procedures are operating properly.

Monitor DOL, IRS, and PBGC regulatory developments

Track regulatory updates, enforcement guidance, advisory opinions, and proposed rules from the DOL Employee Benefits Security Administration, IRS, and PBGC that may affect plan administration, fiduciary obligations, or reporting requirements.

Review plan operations for compliance with plan terms and ERISA requirements

Compare actual plan operations (eligibility determinations, contribution calculations, benefit payments, vesting calculations) against the written plan document and ERISA requirements to identify and correct any operational failures.

Engage qualified ERISA legal counsel for complex compliance questions

Consult with experienced ERISA counsel when addressing complex issues such as plan mergers, terminations, fiduciary litigation, prohibited transaction corrections, or IRS and DOL audit responses to ensure proper legal analysis and risk mitigation.

Document all compliance decisions and corrective actions

Maintain a compliance log documenting all significant plan administration decisions, identified compliance issues, corrective actions taken, and the rationale for each decision, creating a record that demonstrates a culture of good-faith compliance.

What Is an ERISA Benefits Compliance Checklist?

An ERISA benefits compliance checklist is a structured guide for ensuring that employee benefit plans meet the requirements of the Employee Retirement Income Security Act, the federal law governing the administration of private-sector retirement plans, health plans, and other welfare benefit plans. It covers plan document requirements, fiduciary duties, participant disclosures, Form 5500 annual reporting, claims procedures, and prohibited transaction avoidance. This checklist helps plan sponsors and fiduciaries fulfill their legal obligations and protect participants' benefit rights.

Why HR Teams Need This Checklist

ERISA fiduciary breaches can result in personal liability for plan fiduciaries, including HR professionals who exercise discretionary authority over plan administration. The Department of Labor's Employee Benefits Security Administration actively investigates plan administration failures, and class action lawsuits against fiduciaries for excessive fees, imprudent investments, or inadequate disclosures have resulted in settlements exceeding hundreds of millions of dollars. This checklist helps HR teams systematically review plan operations and identify compliance gaps before they become enforcement actions or lawsuits.

Key Areas Covered in This Checklist

This checklist covers plan document and amendment requirements, summary plan description distribution, Form 5500 annual report filing and schedules, fidelity bond requirements, fiduciary duty compliance including prudence and loyalty, prohibited transaction identification, plan audit requirements for large plans, claims and appeals procedures under DOL regulations, participant fee disclosures for 401(k) plans, qualified domestic relations order procedures, and COBRA and HIPAA portability requirements for group health plans.

How to Use This Free ERISA Compliance Checklist

Use Hyring's free checklist generator to create an ERISA compliance review customized to the types of employee benefit plans your organization sponsors. The Brief view provides an annual compliance check for employers with standard plan structures, while the Detailed view addresses the complexities of self-funded health plans, defined benefit pension plans, and multiple plan sponsors. Download the checklist to coordinate with plan trustees, investment advisors, TPAs, and legal counsel throughout the plan year.

Frequently  Asked  Questions

What employee benefit plans are covered by ERISA?

ERISA covers most private-sector employee benefit plans, including retirement plans such as 401(k), profit-sharing, and defined benefit pension plans, as well as welfare benefit plans such as group health, dental, vision, life insurance, disability, and certain severance arrangements. ERISA does not cover government plans, church plans, workers' compensation, unemployment insurance, or plans maintained solely to comply with disability, unemployment, or workers' compensation laws. Understanding which plans are subject to ERISA is the first step in determining compliance obligations.

What is a summary plan description and when must it be provided?

A summary plan description is a document that explains the plan's benefits, participant rights and obligations, claims procedures, and how the plan operates in language that can be understood by the average participant. SPDs must be furnished to participants within 90 days of becoming covered by the plan and to beneficiaries within 90 days of first receiving benefits. Updated SPDs must be distributed every five years if there have been plan amendments, or every ten years if there have been no changes. Material plan changes require a summary of material modifications within 210 days after the plan year in which the change was adopted.

What is Form 5500 and when is it due?

Form 5500 is the annual report that employee benefit plans must file with the Department of Labor to report financial condition, investments, and operations. It is due by the last day of the seventh month after the plan year ends, which is July 31 for calendar-year plans. A 2.5-month extension is available by filing Form 5558 before the original due date, extending the deadline to October 15 for calendar-year plans. Late filing penalties include DOL penalties of up to $250 per day with no maximum, and IRS penalties of $250 per day up to $150,000.

What are ERISA fiduciary duties?

ERISA fiduciaries must act solely in the interest of plan participants and beneficiaries for the exclusive purpose of providing benefits and defraying reasonable plan administration expenses. They must act with the care, skill, prudence, and diligence of a prudent person familiar with such matters, diversify plan investments to minimize the risk of large losses, and act in accordance with the plan documents to the extent consistent with ERISA. Any person who exercises discretionary authority or control over plan management, assets, or administration is a fiduciary regardless of their title.

What is a prohibited transaction under ERISA?

A prohibited transaction is any direct or indirect transaction between a plan and a party in interest, which includes fiduciaries, plan service providers, employers, employee organizations, and their relatives. Prohibited transactions include the sale, exchange, or leasing of property, lending of money, furnishing goods or services, and transfer of plan assets. ERISA also prohibits fiduciaries from dealing with plan assets for their own benefit or acting on behalf of a party whose interests are adverse to the plan. Certain exemptions exist for routine transactions such as reasonable service provider compensation.

When is a plan audit required for Form 5500 filing?

An independent qualified public accountant audit is required for employee benefit plans with 100 or more participants at the beginning of the plan year, classified as large plans on Form 5500. Plans with fewer than 100 participants file as small plans and are generally exempt from the audit requirement. Plans that had between 80 and 120 participants may use the 80-120 rule to maintain their prior year's filing status. The audit must be conducted in accordance with AICPA standards and the auditor's report must be attached to the Form 5500.

What are the ERISA claims and appeals procedure requirements?

ERISA requires every benefit plan to establish and maintain reasonable claims procedures that include written notice of denied claims with specific reasons, reference to the plan provisions on which the denial is based, a description of any additional information needed, and an explanation of the plan's review procedures. Participants must be given at least 60 days to appeal a denial, and the plan must render a decision within 60 days of receiving the appeal for non-group health plans. Group health plans have shorter timeframes and must comply with the additional requirements of the ACA's internal and external review processes.

What is a fidelity bond and which plans require one?

ERISA Section 412 requires every fiduciary of an employee benefit plan and every person who handles plan funds or other property to be bonded. The bond must be in an amount equal to at least 10 percent of the plan assets handled, with a minimum of $1,000 and a maximum of $500,000 for plans that do not hold employer securities, or $1,000,000 for plans that do hold employer securities. The bond must be obtained from a surety company approved by the Department of the Treasury. Failure to maintain the required fidelity bond is itself a fiduciary violation.
Adithyan RKWritten by Adithyan RK
Surya N
Fact Checked by Surya N
Published on: 3 Mar 2026Last updated:
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