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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
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.
Which employers must follow ERISA laws? ERISA law applies for most employers, regardless of size or type of business. This includes corporations, S corporations, LLC, sole proprietorships, and nonprofits. ERISA law does not apply to governmental employers, which includes public school districts.
Common ERISA violations include denying benefits improperly, breaching fiduciary duties, and interfering with employee rights under the plan.
ERISA applies to a wide range of employee benefits – pensions, 401(k) and 403(b) plans (non-government employees), disability, health, and life insurance benefits, along with severance and other benefits administered by employers.
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans.
Civil and criminal sanctions are enforced when employers fail to adhere to ERISA standards for private-sector employee benefit plans. Violations include denying benefits improperly, breaching fiduciary duties, or interfering with employee rights under the plan.
All private employers and employee organizations, such as unions, that offer health plans to employees have to follow ERISA. Only churches and government groups are exempt. If you offer your employees health coverage, you'll have to follow certain rules and procedures as a result of ERISA.
The plan must cover at least one employee for ERISA to apply. ERISA does not apply for plans covering only self-employed individuals or partners.
Under ERISA, each fund is subject to additional requirements and obligations once more than 25 percent of the fund's assets under management (AUM) are subject to ERISA (the 25 percent threshold).
ERISA stands for Employee Retirement Income Security Act, which is a federal law that sets minimum standards for retirement plans in the private sector. Non-ERISA plans, on the other hand, are not governed by ERISA and are not subject to its regulations.