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Small hospitalization plan and filing exemption
Summary An employer asked whether its group hospitalization plan covering sixteen employees had to file Form EBS-1. DOL found it was an ERISA welfare plan. It said a limited exemption existed for some plans with fewer than 100 participants but the submitted facts were insufficient to decide whether this plan qualified.
Document
Federal opinion letter
Agency
U.S. Department of Labor, Employee Benefits Security Administration (EBSA)
Document number
P/OPINION 76-115
Date issued
October 30, 1976
Status
Unknown
EBSA's index does not mark withdrawn or superseded opinions; still posted on dol.gov as of 2026-10-26.
Status last verified October 26, 2026
Topics
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About this page: The full text below is the official document from U.S. Department of Labor, Employee Benefits Security Administration (EBSA). Ezel adds the plain-English summary and tracks the document's status. The official source linked on this page is authoritative for any reliance.
P/OPINION 76-115
3(1)
October 30, 1976
Dear :
This is in response to your letter dated August 21, 1975,
requesting a determination whether the Hospitalization
Plan of (named), Inc., (Plan) is required to file Form
EBS-1 under the Employee Retirement Income Security Act of
1974 (ERISA). I am sorry we were unable to reply sooner.
The Plan covers sixteen employees and is funded through a
group contract with (named). Some of the employees make
contributions toward the family policy.
Section 3(1) of the ERISA includes in its definition of
an "employee welfare benefit plan" any plan, fund, or
program established or maintained by an employer to the
extent that such plan was established or is maintained for
the purpose of providing medical, surgical or hospital
care benefits for its participants or their beneficiaries,
through the purchase of insurance or otherwise. The Plan,
therefore, is an employee welfare benefit plan within the
meaning of section 3(1).
However, a regulation issued on August 15, 1975, by the
Department provides a limited exemption for certain small
welfare plans covering fewer than 100 participants.
There is insufficient information in your letter to
determine if the Plan meets the requirements for this
limited exemption. Section 2520.104-20 of the enclosed
regulation describes the scope, application and
limitations of this exemption.
I am also enclosing a Form EBS-1 should the Plan not be
qualified for this limited exemption.
Sincerely,
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