E M P L O Y E E   B E N E F I T S ,   C O M P E N S A T I O N
                    &   P E N S I O N   L A W
                 Vol. 4,  No. 2: January 30, 2003
_________________________________________________________________

Publisher:     LSN Employment, Labor, Compensation & Pension Journals
               a division of
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Editor:        PAMELA PERUN
               Urban Institute
               Mailto:pamela@planetnow.com

Copyright:     SSEP, Inc. 2003. All rights reserved.

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                      Topic of This Issue:
                      Tax and ERISA Issues
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T A B L E   of   C O N T E N T S
_________________________________________________________________


NEW and FORTHCOMING ARTICLES

"Can 401(k) Accumulations Generate Significant Income for Future
 Retirees?"
      EBRI Issue Brief, No. 251, November 2002
     SARAH HOLDEN
        Investment Company Institute
     JACK VANDERHEI
        Temple University
        Risk Management & Insurance & Actuarial Science


"Benefit Cost Comparisons Between State and Local Governments and
 Private-Sector Employers"
      EBRI Notes, Vol. 23, No. 10, October 2002
     KENNETH J. MCDONNELL
        Employee Benefit Research Institute (EBRI)


"Integrating the Tax Burdens of the Federal Income and Payroll
 Taxes on Labor Income"
      Virginia Tax Review, Vol. 22, Summer 2002
     DEBORAH A. GEIER
        Cleveland State University College of Law


"Removal of the ERISA Preemption Shield: Will the Third Circuit's
 Approach Make a Difference? In re U.S. Healthcare, Inc."
      Delaware Journal of Corporate Law, Vol. 26, No. 2, pp.
      585-603, November 2001
     DEBORAH J. MASSARO
        Independent


"Another ERISA Twist: The Mysterious Case of Pegram and the
 Missing Fiduciary"
      University of Pittsburgh Law Review, Vol. 63, No. 2, pp.
      235-292, 2002
     E. HAAVI MORREIM
        University of Tennessee, Memphis
        College of Medicine

WORKING PAPERS

"What ERISA Means by 'Equitable': The Supreme Court's Trail of
 Error in Russell, Mertens and Great-West"
     JOHN H. LANGBEIN
        Yale Law School


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 To provide the broadest coverage of research in Employee
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N E W   and   F O R T H C O M I N G   Articles
_________________________________________________________________

"Can 401(k) Accumulations Generate Significant Income for Future
 Retirees?"
      EBRI Issue Brief, No. 251, November 2002

      BY:  SARAH HOLDEN
              Investment Company Institute
           JACK VANDERHEI
              Temple University
              Risk Management & Insurance & Actuarial Science

Document:  Available from the SSRN Electronic Paper Collection:
           http://papers.ssrn.com/paper.taf?abstract_id=357721

           Other Electronic Document Delivery:
           http://www.ebri.org
           SSRN only offers technical support for papers
           downloaded from the SSRN Electronic Paper Collection
           location. When URLs wrap, you must copy and paste
           them into your browser eliminating all spaces.

 Contact:  JACK VANDERHEI
   Email:  Mailto:temple@vanderhei.com
  Postal:  Temple University
           Risk Management & Insurance & Actuarial Science
           489 Ritter Annex
           Fox School of Business and Management
           Philadelphia, PA 19122  UNITED STATES
   Phone:  610-525-6139
     Fax:  435-603-1422
 Co-Auth:  SARAH HOLDEN
   Email:  Mailto:sholden@ici.org
  Postal:  Investment Company Institute
           Research Department
           1401 H Street, NW
           Washington, DC 20005  UNITED STATES

Paper Requests:
 Contact Alicia Willis at Mailto:publications@ebri.org, or 2121 K
 St., NW, Suite 600, Washington, DC 20037-1896.
 Phone:(202)572-7422, Fax:(202)775-6312. Full-Text downloads are
 available from SSRN Online for $7.50.

ABSTRACT:
 This Issue Brief develops a model that projects the proportion
 of an individual's preretirement income that might be replaced
 by 401(k) plan accumulations at retirement, under several
 different projected scenarios. The 401(k) participant behaviors
 in the model are based on the year-end 2000 database collected
 by the Employee Benefit Research Institute (EBRI) and the
 Investment Company Institute (ICI) in their collaborative effort
 known as the EBRI/ICI Participant-Directed Retirement Plan Data
 Collection Project. The most significant factor affecting
 projected replacement rates at retirement is having access to a
 401(k) plan. Projected replacement rates from 401(k)
 accumulations at retirement are reduced significantly when
 participants are not offered a 401(k) plan in all portions of
 their careers.

 Keywords: 401(k) Plans, Employment-based Benefits, Income
 Replacement Rate, Retirement Income, Social Security


JEL Classification: D31, D91, J26
______________________________

"Benefit Cost Comparisons Between State and Local Governments and
 Private-Sector Employers"
      EBRI Notes, Vol. 23, No. 10, October 2002

      BY:  KENNETH J. MCDONNELL
              Employee Benefit Research Institute (EBRI)

Document:  Available from the SSRN Electronic Paper Collection:
           http://papers.ssrn.com/paper.taf?abstract_id=348525

           Other Electronic Document Delivery:
           http://www.ebri.org
           SSRN only offers technical support for papers
           downloaded from the SSRN Electronic Paper Collection
           location. When URLs wrap, you must copy and paste
           them into your browser eliminating all spaces.

 Contact:  KENNETH J. MCDONNELL
   Email:  Mailto:MCDONNELL@EBRI.ORG
  Postal:  Employee Benefit Research Institute (EBRI)
           Suite 600
           2121 K Street, NW
           Washington, DC 20037-1896  UNITED STATES
   Phone:  (202) 775-6342
     Fax:  (202) 775-6312

    Note: This paper contains the fulltext of another article:
          "Findings From the 2002 Health Confidence Survey: Five
          Years of HCS Data Show Little Change in Confidence or
          Satisfaction."

Paper Requests:
 Contact Alicia Willis at Mailto:publications@ebri.org, or 2121 K
 St., NW, Suite 600, Washington, DC 20037-1896.
 Phone:(202)572-7422, Fax:(202)775-6312. Full-Text downloads are
 available from SSRN Online for $7.50.

ABSTRACT:
 This article examines some of the causes of the differences in
 total compensation costs for private-sector employers and state
 and local government employers. The datasets used are from the
 Bureau of Labor Statistics and from EBRI tabulations of the
 March 2001 Current Population Survey.

 Keywords: Employee Benefit Costs, Employment-based Benefits


JEL Classification: J32
______________________________

"Integrating the Tax Burdens of the Federal Income and Payroll
 Taxes on Labor Income"
      Virginia Tax Review, Vol. 22, Summer 2002

      BY:  DEBORAH A. GEIER
              Cleveland State University College of Law

 Contact:  DEBORAH A. GEIER
   Email:  Mailto:DEBORAH.GEIER@LAW.CSUOHIO.EDU
  Postal:  Cleveland State University College of Law
           1801 Euclid Avenue
           Cleveland, OH 44115  UNITED STATES
   Phone:  216-687-2341
     Fax:  216-687-6881

ABSTRACT:
 The staff of the Joint Committee on Taxation estimated in 2000
 that, under the law at that time, the top 1 percent would pay
 33.6 percent of the total federal personal income tax collected.
 If, however, all federal taxes are measured, including the
 regressive Social Security and Medicare taxes, the share paid by
 the top 1 percent plummets to 18.6 percent. These numbers will
 become even more pungent after the 2001 income and estate tax
 cuts for the super wealthy are fully phased in.

 Provocative empircal studies published by economists Andrew
 Mitrusi and James Poterba in 2000 show that nearly two-thirds of
 American households now pay more in federal payroll taxes than
 income taxes, chiefly becasue of significant increases in the
 payroll tax burden over the last 20 years, and that the wealthy
 experienced an aggregate tax reduction between 1979 and 1999,
 while low- and middle-income taxpayers experienced a tax
 increase. The combination of income and payroll taxes results in
 much higher effective tax rates, as well as a higher total tax
 burden, for the lower and middle classes - as well as a higher
 portion of the federal tax burden being borne by labor income
 (as opposed to capital income, which is concentrated in
 wealthier households) - than is probably widely appreciated.

 This article explores the historical reasons why we have
 three, separate taxes on labor income at the federal level - the
 income tax, the Social Security tax, and the Medicare tax - and
 considers how and why we might integrate the tax burdens on
 labor income in some way today. After reviewing the history of
 these taxes and confronting the issue of whether we ought to
 link the payroll tax paid to future benefits received on an
 individual basis, the article ultimately concludes that a
 portion of the employee payroll taxes, both Social Security and
 Medicare, ought to be creditable, dollar for dollar, against any
 income tax liability, with a refundability feature capped by
 reference to a reasonable "personal exemption" amount. Cash
 Social Security payments received, if any, ought then to be
 fully includable in gross income under the income tax when
 received, though the value of medical care received under the
 Medicare program ought to remain excludable.

 A revenue neutral (and thus more realistic) alternative to
 integration might be to repeal the Social Security wage ceiling
 of $84,900 (just as under the Medicare tax) and slash the
 marginal rates as low as possible to retain revenue neutrality,
 while maintaining the payment formula (with the wage ceiling) as
 it is today. Once the Social Security and Medicare taxes are
 seen as true taxes that fund government spending that helps to
 support the infrastructure of our regulated capitalist economy -
 and not as equivalents to private pension plans or insurance
 contributions - then objections to repealing the wage ceiling
 should be muted. If progressivity in the tax burden is generally
 justified, then there is no reason why the Social Security tax
 should be predominantly borne by the middle and lower classes.


JEL Classification: H24
______________________________

"Removal of the ERISA Preemption Shield: Will the Third Circuit's
 Approach Make a Difference? In re U.S. Healthcare, Inc."
      Delaware Journal of Corporate Law, Vol. 26, No. 2, pp.
      585-603, November 2001

      BY:  DEBORAH J. MASSARO
              Independent

Document:  Available from the SSRN Electronic Paper Collection:
           http://papers.ssrn.com/paper.taf?abstract_id=333043

 Contact:  Linda J. Hahs
   Email:  Mailto:law.review@law.widener.edu
  Postal:  Delaware Journal of Corporate Law
           Widener University School of Law
           P.O. Box 7286
           Wilmington, DE 19803  UNITED STATES
   Phone:  302-477-2145

ABSTRACT:
 This comment analyzes the Third Circuit Court of Appeals' recent
 decision in In re U.S. Healthcare, Inc., and its potential
 impact on civil liability for Managed Care Organizations (MCOs).
 In most cases, the current Supreme Court view denies a
 sufficient legal remedy to both patients and their families who
 are victimized by poor medical decisions made by their MCOs.
 This problem exists because the Supreme Court has held that most
 claims against MCOs are governed by the Employment Retirement
 Income Security Act (ERISA), a federal statute that severely
 limits a complainant's recovery of damages and preempts
 meaningful state claims in this area.

 In In re U.S. Healthcare, Inc., the court circumvented ERISA
 preemption with the "quality-versus-quantity" distinction that
 it originally crafted in Dukes v. U.S. Healthcare, Inc. The
 court used this analysis to justify remanding the case to state
 court. It explained that ERISA only preempts state claims that
 relate to the quantity of care provided to the plan participant,
 while leaving intact the state claims that relate to the quality
 of that care. In its opinion, the court conceded that this
 distinction may not always be clear.

______________________________

"Another ERISA Twist: The Mysterious Case of Pegram and the
 Missing Fiduciary"
      University of Pittsburgh Law Review, Vol. 63, No. 2, pp.
      235-292, 2002

      BY:  E. HAAVI MORREIM
              University of Tennessee, Memphis
              College of Medicine

 Contact:  E. HAAVI MORREIM
   Email:  Mailto:hmorreim@utmem.edu
  Postal:  University of Tennessee, Memphis
           College of Medicine
           956 Court Avenue
           Suite B324
           Memphis, TN 38163  UNITED STATES
   Phone:  901-448-5686

ABSTRACT:
 In Pegram v. Herdrich, 530 U.S. 211 (2000), the Supreme Court
 addressed the question whether physicians who are owners of an
 HMO can be acting as ERISA fiduciaries when they make decisions
 about which interventions they will provide for their own
 patients while rendering medical care. The Seventh Circuit had
 ruled that these physicians can be ERISA fiduciaries and that
 such financial relationships can constitute a conflict of
 interest that, in turn, can breach their ERISA fiduciary duty.
 After observing that HMOs cannot function without at least some
 resource controls such as financial incentives, the Court ruled
 that it need not rule on breaches of fiduciary duty, because
 physicians who are making "mixed" decisions - in which
 determinations about eligibility for benefits are mixed with
 medical decisions about which interventions are appropriate for
 an individual patients' care - are not fiduciary decisions.

 This Article argues that the Court's analysis was incorrect,
 because under at least some circumstances physicians can indeed
 serve as ERISA fiduciaries, even while in the act of directly
 providing care to their own patients. One particularly clear
 case is the physician who is paid via capitation. A close
 examination of ERISA's distinctive statutory definition of
 "fiduciary" shows that, because capitation gives the physician
 complete control over a designated range of financial resources,
 the capitated physician's decisions about resource use
 (including which costly interventions to order for their own
 patients) can fully satisfy ERISA's definition, at least with
 the ambit of capitated resource control. In any given instance,
 the question whether a treating physician is also acting as an
 ERISA fiduciary depends on the exact financial arrangements
 under which he is functioning.

 To determine that a treating physician has the type of
 resource control that renders him an ERISA fiduciary, however,
 does not imply that each and every medical decision he makes for
 his patients is therefore a fiduciary decision. Indeed, most
 medical care decisions are not. Rather, this Article shows that
 only a certain limited subset of medical care decisions are
 fiduciary, and it provides criteria to discern which are which.
 At that point it becomes possible to discuss the conflicts of
 interest that can arise when treating physicians also serve as
 ERISA fiduciaries.

 In the context of this analysis, the Article explains why
 courts, including the Supreme Court, are deeply confused about
 the financial structures by which health care is now delivered.

______________________________

W O R K I N G   P A P E R   Abstracts
_________________________________________________________________

"What ERISA Means by 'Equitable': The Supreme Court's Trail of
 Error in Russell, Mertens and Great-West"

      BY:  JOHN H. LANGBEIN
              Yale Law School

Document:  Available from the SSRN Electronic Paper Collection:
           http://papers.ssrn.com/paper.taf?abstract_id=371104

Paper ID:  Yale Law & Economics Research Paper No. 269
    Date:  January 2003

 Contact:  JOHN H. LANGBEIN
   Email:  Mailto:john.langbein@yale.edu
  Postal:  Yale Law School
           P.O. Box 208215
           New Haven, CT 06520-8215  UNITED STATES
   Phone:  (202) 432-7299

Paper Requests:
 Contact Karen Crocco, Program for Studies in Law, Economics, and
 Public Policy, Yale Law School, 127 Wall Street, P.O. Box
 208215, Yale Station, New Haven, CT 06520-8215.
 Mailto:karen.crocco@yale.edu

ABSTRACT:
 In a pair of cases decided by 5-4 majorities (Mertens, 1993;
 Great-West, 2002) interpreting the scope of remedy for
 wrongdoing under ERISA, the Supreme Court has construed the
 statute's grant of 'appropriate equitable relief' to prevent the
 victims of ERISA-prohibited conduct from being compensated for
 consequential injury. The Court read ERISA's authorization of
 'appropriate equitable relief' to have disinterred the
 law/equity division from the era before the two systems were
 fused in the 1930's, and the Court treated equity as not having
 awarded monetary relief. As a consequence, lower courts have
 held ERISA to preclude remedy in a host of situations in which
 wrongful plan administration (almost always in violation of
 ERISA's fiduciary rules) has caused expense, physical harm, or
 other suffering.

 This paper explains why and how the Court's interpretation of
 ERISA remedy law went wrong, beginning with the Court's earlier
 encounter with the field in Russell (1985). The main theme is
 that the reach of trust-law principles in ERISA is far deeper
 and more controlling than the opinions in Mertens and Great-West
 allow. When federalizing the administration of pension and
 employee benefit plans in ERISA, Congress made a deliberate
 choice to subject these plans to the pre-existing regime of
 trust law rather than to invent a new regulatory structure. In
 its most important dimension, ERISA is federal trust law.
 Congress intended ERISA remedy law to replicate the core
 principles of trust remedy law in the regulation of pension and
 benefit plans, including the long-familiar make-whole standard
 of trust remedy law.