This form is a Complaint For Declaratory Judgment To Determine ERISA Coverage. Adapt to your specific circumstances. Don't reinvent the wheel, save time and money.
Erisa Complaint Sample Without Notice In Fairfax
Category:
State:
Multi-State
County:
Fairfax
Control #:
US-000273
Format:
Word;
Rich Text
Instant download
Description
Free preview
Form popularity
FAQ
The Employee Benefits Security Administration is an agency within the Department of Labor that administers and enforces the provisions of Title I of the Employee Retirement Income Security Act (ERISA). ERISA established fiduciary and other standards for employee benefit plans sponsored by private-sector employers.
Common ERISA violations include denying benefits improperly, breaching fiduciary duties, and interfering with employee rights under the plan.
EBSA also conducts investigations of criminal violations regarding employee benefit plans such as embezzlement, kickbacks, and false statements under Title 18 of the U.S. Criminal Code. Prosecution of these criminal violations is handled by U.S. Attorneys' offices, see Criminal Enforcement News Releases.
Active enforcement activities include investigations, lawsuits, and the dissemination of information. Documents published by EBSA include the Reporting and Disclosure Guide for Employee Benefit Plans.
Filing an ERISA Claim: Step-by-Step Guide Step 1: Review Your Plan. The first step in filing an ERISA claim is to review your disability insurance policy thoroughly. Step 2: Gather Evidence. Step 3: File Your Claim. Step 4: Wait for a Decision. Step 5: Appeal if Necessary.
Contact your regional EBSA office to file a complaint or an appeal after exhausting your insurance appeals process. You can also find ERISA information through the U.S. Department of Labor online at .dol/ebsa.
The Employee Benefits Security Administration (EBSA) is responsible for administering and enforcing the fiduciary, reporting and disclosure provisions of Title I of the Employee Retirement Income Security Act of 1974 (ERISA). Until February 2003, EBSA was known as the Pension and Welfare Benefits Administration (PWBA).
The Employee Retirement Income Security Act of 1974 (ERISA) covers most voluntarily established private sector employee benefit plans. Private-sector employers are responsible for making sure their retirement plans comply with ERISA regulations.
Fairfax County Consumer Affairs receives complaints occurring in Fairfax County and seeks to resolve them by means of voluntary mediation or arbitration. If you have a question or need advice about a consumer issue, contact Consumer Affairs at 703-222-8435, TTY 711, to speak to a consumer specialist.
You may complete a complaint form online or download one of our complaint forms. For further assistance call our Consumer Protection Hotline at 1-800-552-9963 if calling from Virginia, or (804) 786-2042 if calling from the Richmond area or from outside Virginia.