Employer Information:
Corporations:
Enter
the company name followed by the employer/owner
first and last name. The web application will
recognize the corporation and put the documents
in the Company/Corporation's name. Employer
ID is not required.
Sole-Proprietors:
Company name and Employer ID is not required.
The spouse employee information will be entered
on the next page.
Email :
A legitimate email is required. We will use
your email to send a unique user ID and Password.
Help
Company:
Employer/Owner
First Name:
Employer/Owner
Last Name:
EMPLOYER
ID#:
Street
Address:
City:
State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Available in all US states
Postal
Code:
Phone:
Fax:
Email:
Employees:
This
is basic information about each employee that will
qualify for the plan.
Sole-Proprietors:
The employee will be the spouse.
Corporations:
In a corporation, spousal employment is not necessary.
List the owner as the employee. You do not
have to enter the spouse as a second employee.
Partnerships:
The partners cannot be employees of the partnership,
spousal employment is mandatory. The spouse
of each partner will be an employee and receive
benefits which would include the partner.
List
all employees that meet the eligibility requirements
for the plan. An additional fee of $97 applies
to each additional employee (not including Spouse).
If you have more than 7 employees, please contact
us.
Help
Spouse
Full Name:
EMPLOYEE
#1:
EMPLOYEE
#2:
EMPLOYEE
#3:
EMPLOYEE
#4:
EMPLOYEE
#5:
EMPLOYEE
#6:
EMPLOYEE
#7:
Job Descriptions:
Please
specify the job description for the employee(s).
The information in this section is used to create
an Employer/Employee agreement which is used to
solidify an employer/employee relationship between
a sole proprietor and his/her spouse. Generally,
a corporation would not use this section, since
the owner is typically an employee of the corporation
and does not have to prove employment in order to
receive benefits.
Sole
Proprietors:
Use the Job Description section to choose general
duties that are performed by the spouse employee.
Corporations:
An employer/employee agreement is optional.
Partnerships:
Partners who employ their spouse will need to fill
out an agreement.
Help
Job
Description Spouse:
Select...
Answering the
phone
Bookkeeping
Placing Ads
Providing Light
Help
Running Errands
Company Advisor
General Farm Labor
Delivering Grain
Putting
Together Mailings
Delivery & Shipping
Reception
Job
Description #1:
Select...
Answering the
phone
Bookkeeping
Placing Ads
Providing Light
Help
Running Errands
Company Advisor
General Farm Labor
Delivering Grain
Putting
Together Mailings
Delivery & Shipping
Reception
Job
Description #2:
Select...
Answering the
phone
Bookkeeping
Placing Ads
Providing Light
Help
Running Errands
Company Advisor
General Farm Labor
Delivering Grain
Putting
Together Mailings
Delivery & Shipping
Reception
Job
Description #3:
Select...
Answering the
phone
Bookkeeping
Placing Ads
Providing Light
Help
Running Errands
Company Advisor
General Farm Labor
Delivering Grain
Putting
Together Mailings
Delivery & Shipping
Reception
Job
Description #4:
Select...
Answering the
phone
Bookkeeping
Placing Ads
Providing Light
Help
Running Errands
Company Advisor
General Farm Labor
Delivering Grain
Putting
Together Mailings
Delivery & Shipping
Reception
Job
Description #5:
Select...
Answering the
phone
Bookkeeping
Placing Ads
Providing Light
Help
Running Errands
Company Advisor
General Farm Labor
Delivering Grain
Putting
Together Mailings
Delivery & Shipping
Reception
Job
Description #6:
Select...
Answering the
phone
Bookkeeping
Placing Ads
Providing Light
Help
Running Errands
Company Advisor
General Farm Labor
Delivering Grain
Putting
Together Mailings
Delivery & Shipping
Reception
Job
Description #7:
Select...
Answering the
phone
Bookkeeping
Placing Ads
Providing Light
Help
Running Errands
Company Advisor
General Farm Labor
Delivering Grain
Putting
Together Mailings
Delivery & Shipping
Reception
Employer/Employee Agreement:
You
may add any additional information to the Employer/Employee
Agreement below. This text box is used to
create custom language in the Employer/Employee
agreement. The text entered here will not
appear anywhere in the plan documentation except
for the employer agreement. Use this section
to enter specific language for such items as: commodity
wages, exact cash wages, hourly information, etc.
Employer/Employee
Agreement:
Plan Details:
The
Plan Detail section is used to establish the basic
business information.
Controlling
Interest:
If the employer owns controlling interest in
another company, any benefit they provide for the
employees of this business must be offered to the
qualifying employees in the other business.
The
Plan Start Date:
The plan start month by default is January.
Out of pocket expenses may only be deducted from
the inception of the plan forward.
The
Plan Administrator:
The plan administrator is a named individual,
typically an employee of the company or the employer.
Help
What
type of business do you own?
(S-Corp, LLC, etc.)
Do
you have controlling interest in another business?
When
will the plan start date be?
Who
will be the plan Administrator?
Eligibility Requirements:
This
information is used to include or exclude employees
from the plan. The employee must meet all
of the requirements above in order to qualify for
participation in the HRA.
Hours
Per Week - Enter the "average" hours
per week the spouse/employee works in the business.
Use the safe harbor rules below if needed. There
is no minimum. However, in order to have a
fair and reasonable wage, the hours should rarely
be below 5.
Months
Per Year - This is for seasonal employees.
Those employees employed less than 7 months a year
may be excluded. See the safe harbor rules
for seasonal employees below for further guidance.
Age
of Employees - 25 years is the maximum age used
to exclude employees.
New
Employees - Use this requirement to exclude
new employees after the plan has been established.
Part-time
employees:
The
safe harbor rule defines part-time employees as
employees whose customary weekly employment is less
than 25 hours per week. Part-time can also
include employees who work less than 35 hours per
week if other employees in similar work or the same
industry have substantially more hours (facts and
circumstances).
Seasonal
employees:
The safe harbor rule defines seasonal employees
as employees whose customary annual employment is
less than 7 months. Seasonal can also include
employees who work less than 9 months if other employees
in similar work or the same industry have substantially
more months (facts and circumstances).
Help
How
many hrs must employee(s) work each week?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
hours
How
many months must employee(s) work each year?
0
1
2
3
4
5
6
7
8
9
months
How
many years old must employees be?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
years
Current
employees must wait how many months?
months
New
employees must wait how many months?
0
1
3
6
9
12
24
36
months
Medical Expenses:
This
information contains the elected benefits of the
plan and is chosen by the employer. The 'Carry
Over Feature' allows the employee to utilize unused
benefits in future years.
Help
Health
Insurance Premiums:
All, None, or $ amount
Qualified
LTC Premiums:
All, None, or $ amount
Other
Accident/Health:
All, None, or $ amount
Term
Life Insurance:
All, None, or $ amount
Disability
Insurance:
All, None, or $ amount
Out-of-Pocket
Expense:
$ amount ($15K limit)
Carry
Over Feature:
$ amount
Carry
Over from Prev Plan:
$ amount
Special
Instructions: