[Code of Federal Regulations]
[Title 29, Volume 9]
[Revised as of July 1, 2004]
From the U.S. Government Printing Office via GPO Access
[CITE: 29CFR2510.3-40]

[Page 359-366]
 
                             TITLE 29--LABOR
 
 CHAPTER XXV--EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF 
                                  LABOR
 
PART 2510_DEFINITIONS OF TERMS USED IN SUBCHAPTERS C, D, E, F, AND G OF 
THIS CHAPTER--Table of Contents
 
Sec. 2510.3-40  Plans Established or Maintained Under or Pursuant to 
Collective Bargaining Agreements Under Section 3(40)(A) of ERISA.

    (a) Scope and purpose. Section 3(40)(A) of the Employee Retirement 
Income Security Act of 1974 (ERISA) provides that the term ``multiple 
employer welfare arrangement'' (MEWA) does not include an employee 
welfare benefit plan that is established or maintained under or pursuant 
to one or more agreements that the Secretary of Labor (the Secretary) 
finds to be collective bargaining agreements. This section sets forth 
criteria that represent a finding by the Secretary whether an 
arrangement is an employee welfare benefit plan established or 
maintained under or pursuant to one or more collective bargaining 
agreements. A plan is established or maintained under or pursuant to 
collective bargaining if it meets the criteria in this section. However, 
even if an entity meets the criteria in this section, it will not be an 
employee welfare benefit plan established or maintained under or 
pursuant to a collective bargaining agreement if it comes within the 
exclusions in the section. Nothing in or pursuant to this section shall 
constitute a finding for any purpose other than the exception for plans 
established or maintained under or pursuant to one or more collective 
bargaining agreements under section 3(40) of ERISA. In a particular case 
where there is an attempt to assert state jurisdiction or the 
application of state law with respect to a plan or other arrangement 
that allegedly is covered under Title I of ERISA, the Secretary has set 
forth a procedure for obtaining individualized findings at 29 CFR part 
2570, subpart H.
    (b) General criteria. The Secretary finds, for purposes of section 
3(40) of ERISA, that an employee welfare benefit plan is ``established 
or maintained under or pursuant to one or more

[[Page 360]]

agreements which the Secretary finds to be collective bargaining 
agreements'' for any plan year in which the plan meets the criteria set 
forth in paragraphs (b)(1), (2), (3), and (4) of this section, and is 
not excluded under paragraph (c) of this section.
    (1) The entity is an employee welfare benefit plan within the 
meaning of section 3(1) of ERISA.
    (2) At least 85% of the participants in the plan are:
    (i) Individuals employed under one or more agreements meeting the 
criteria of paragraph (b)(3) of this section, under which contributions 
are made to the plan, or pursuant to which coverage under the plan is 
provided;
    (ii) Retirees who either participated in the plan at least five of 
the last 10 years preceding their retirement, or
    (A) Are receiving benefits as participants under a multiemployer 
pension benefit plan that is maintained under the same agreements 
referred to in paragraph (b)(3) of this section, and
    (B) Have at least five years of service or the equivalent under that 
multiemployer pension benefit plan;
    (iii) Participants on extended coverage under the plan pursuant to 
the requirements of a statute or court or administrative agency 
decision, including but not limited to the continuation coverage 
requirements of the Consolidated Omnibus Budget Reconciliation Act of 
1985, sections 601-609, 29 U.S.C. 1169, the Family and Medical Leave 
Act, 29 U.S.C. 2601 et seq., the Uniformed Services Employment and 
Reemployment Rights Act of 1994, 38 U.S.C. 4301 et seq., or the National 
Labor Relations Act, 29 U.S.C. 158(a)(5);
    (iv) Participants who were active participants and whose coverage is 
otherwise extended under the terms of the plan, including but not 
limited to extension by reason of self-payment, hour bank, long or 
short-term disability, furlough, or temporary unemployment, provided 
that the charge to the individual for such extended coverage is no more 
than the applicable premium under section 604 of the Act;
    (v) Participants whose coverage under the plan is maintained 
pursuant to a reciprocal agreement with one or more other employee 
welfare benefit plans that are established or maintained under or 
pursuant to one or more collective bargaining agreements and that are 
multiemployer plans;
    (vi) Individuals employed by:
    (A) An employee organization that sponsors, jointly sponsors, or is 
represented on the association, committee, joint board of trustees, or 
other similar group of representatives of the parties who sponsor the 
plan;
    (B) The plan or associated trust fund;
    (C) Other employee benefit plans or trust funds to which 
contributions are made pursuant to the same agreement described in 
paragraph (b)(3) of this section; or
    (D) An employer association that is the authorized employer 
representative that actually engaged in the collective bargaining that 
led to the agreement that references the plan as described in paragraph 
(b)(3) of this section;
    (vii) Individuals who were employed under an agreement described in 
paragraph (b)(3) of this section, provided that they are employed by one 
or more employers that are parties to an agreement described in 
paragraph (b)(3) and are covered under the plan on terms that are 
generally no more favorable than those that apply to similarly situated 
individuals described in paragraph (b)(2)(i) of this section;
    (viii) Individuals (other than individuals described in paragraph 
(b)(2)(i) of this section) who are employed by employers that are bound 
by the terms of an agreement described in paragraph (b)(3) of this 
section and that employ personnel covered by such agreement, and who are 
covered under the plan on terms that are generally no more favorable 
than those that apply to such covered personnel. For this purpose, such 
individuals in excess of 10% of the total population of participants in 
the plan are disregarded;
    (ix) Individuals who are, or were for a period of at least three 
years, employed under one or more agreements between or among one or 
more ``carriers'' (including ``carriers by air'') and one or more 
``representatives'' of employees for collective bargaining purposes and 
as defined by the Railway Labor Act, 45 U.S.C. 151 et seq., providing 
for such individuals' current or subsequent participation in the plan, 
or providing for

[[Page 361]]

contributions to be made to the plan by such carriers; or
    (x) Individuals who are licensed marine pilots operating in United 
States ports as a state-regulated enterprise and are covered under an 
employee welfare benefit plan that meets the definition of a qualified 
merchant marine plan, as defined in section 415(b)(2)(F) of the Internal 
Revenue Code (26 U.S.C.).
    (3) The plan is incorporated or referenced in a written agreement 
between one or more employers and one or more employee organizations, 
which agreement, itself or together with other agreements among the same 
parties:
    (i) Is the product of a bona fide collective bargaining relationship 
between the employers and the employee organization(s);
    (ii) Identifies employers and employee organization(s) that are 
parties to and bound by the agreement;
    (iii) Identifies the personnel, job classifications, and/or work 
jurisdiction covered by the agreement;
    (iv) Provides for terms and conditions of employment in addition to 
coverage under, or contributions to, the plan; and
    (v) Is not unilaterally terminable or automatically terminated 
solely for non-payment of benefits under, or contributions to, the plan.
    (4) For purposes of paragraph (b)(3)(i) of this section, the 
following factors, among others, are to be considered in determining the 
existence of a bona fide collective bargaining relationship. In any 
proceeding initiated under 29 CFR part 2570 subpart H, the existence of 
a bona fide collective bargaining relationship under paragraph (b)(3)(i) 
shall be presumed where at least four of the factors set out in 
paragraphs (b)(4)(i) through (viii) of this section are established. In 
such a proceeding, the Secretary may also consider whether other 
objective or subjective indicia of actual collective bargaining and 
representation are present as set out in paragraph (b)(4)(ix) of this 
section.
    (i) The agreement referred to in paragraph (b)(3) of this section 
provides for contributions to a labor-management trust fund structured 
according to section 302(c)(5), (6), (7), (8), or (9) of the Taft-
Hartley Act, 29 U.S.C. 186(c)(5), (6), (7), (8) or (9), or to a plan 
lawfully negotiated under the Railway Labor Act;
    (ii) The agreement referred to in paragraph (b)(3) of this section 
requires contributions by substantially all of the participating 
employers to a multiemployer pension plan that is structured in 
accordance with section 401 of the Internal Revenue Code (26 U.S.C.) and 
is either structured in accordance with section 302(c)(5) of the Taft-
Hartley Act, 29 U.S.C. 186(c)(5), or is lawfully negotiated under the 
Railway Labor Act, and substantially all of the active participants 
covered by the employee welfare benefit plan are also eligible to become 
participants in that pension plan;
    (iii) The predominant employee organization that is a party to the 
agreement referred to in paragraph (b)(3) of this section has maintained 
a series of agreements incorporating or referencing the plan since 
before January 1, 1983;
    (iv) The predominant employee organization that is a party to the 
agreement referred to in paragraph (b)(3) of this section has been a 
national or international union, or a federation of national and 
international unions, or has been affiliated with such a union or 
federation, since before January 1, 1983;
    (v) A court, government agency, or other third-party adjudicatory 
tribunal has determined, in a contested or adversary proceeding, or in a 
government-supervised election, that the predominant employee 
organization that is a party to the agreement described in paragraph 
(b)(3) of this section is the lawfully recognized or designated 
collective bargaining representative with respect to one or more 
bargaining units of personnel covered by such agreement;
    (vi) Employers who are parties to the agreement described in 
paragraph (b)(3) of this section pay at least 75% of the premiums or 
contributions required for the coverage of active participants under the 
plan or, in the case of a retiree-only plan, the employers pay at least 
75% of the premiums or contributions required for the coverage of the 
retirees. For this purpose, coverage

[[Page 362]]

under the plan for dental or vision care, coverage for excepted benefits 
under 29 CFR 2590.732(b), and amounts paid by participants and 
beneficiaries as co-payments or deductibles in accordance with the terms 
of the plan are disregarded;
    (vii) The predominant employee organization that is a party to the 
agreement described in paragraph (b)(3) of this section provides, 
sponsors, or jointly sponsors a hiring hall(s) and/or a state-certified 
apprenticeship program(s) that provides services that are available to 
substantially all active participants covered by the plan;
    (viii) The agreement described in paragraph (b)(3) of this section 
has been determined to be a bona fide collective bargaining agreement 
for purposes of establishing the prevailing practices with respect to 
wages and supplements in a locality, pursuant to a prevailing wage 
statute of any state or the District of Columbia.
    (ix) There are other objective or subjective indicia of actual 
collective bargaining and representation, such as that arm's-length 
negotiations occurred between the parties to the agreement described in 
paragraph (b)(3) of this section; that the predominant employee 
organization that is party to such agreement actively represents 
employees covered by such agreement with respect to grievances, 
disputes, or other matters involving employment terms and conditions 
other than coverage under, or contributions to, the employee welfare 
benefit plan; that there is a geographic, occupational, trade, 
organizing, or other rationale for the employers and bargaining units 
covered by such agreement; that there is a connection between such 
agreement and the participation, if any, of self-employed individuals in 
the employee welfare benefit plan established or maintained under or 
pursuant to such agreement.
    (c) Exclusions. An employee welfare benefit plan shall not be deemed 
to be ``established or maintained under or pursuant to one or more 
agreements which the Secretary finds to be collective bargaining 
agreements'' for any plan year in which:
    (1) The plan is self-funded or partially self-funded and is marketed 
to employers or sole proprietors
    (i) By one or more insurance producers as defined in paragraph (d) 
of this section;
    (ii) By an individual who is disqualified from, or ineligible for, 
or has failed to obtain, a license to serve as an insurance producer to 
the extent that the individual engages in an activity for which such 
license is required; or
    (iii) By individuals (other than individuals described in paragraphs 
(c)(1)(i) and (ii) of this section) who are paid on a commission-type 
basis to market the plan.
    (iv) For the purposes of this paragraph (c)(1):
    (A) ``Marketing'' does not include administering the plan, 
consulting with plan sponsors, counseling on benefit design or coverage, 
or explaining the terms of coverage available under the plan to 
employees or union members;
    (B) ``Marketing'' does include the marketing of union membership 
that carries with it plan participation by virtue of such membership, 
except for membership in unions representing insurance producers 
themselves;
    (2) The agreement under which the plan is established or maintained 
is a scheme, plan, stratagem, or artifice of evasion, a principal intent 
of which is to evade compliance with state law and regulations 
applicable to insurance; or
    (3) There is fraud, forgery, or willful misrepresentation as to the 
factors relied on to demonstrate that the plan satisfies the criteria 
set forth in paragraph (b) of this section.
    (d) Definitions. (1) Active participant means a participant who is 
not retired and who is not on extended coverage under paragraphs 
(b)(2)(iii) or (b)(2)(iv) of this section.
    (2) Agreement means the contract embodying the terms and conditions 
mutually agreed upon between or among the parties to such agreement. 
Where the singular is used in this section, the plural is automatically 
included.
    (3) Individual employed means any natural person who furnishes 
services to another person or entity in the capacity of an employee 
under common law, without regard to any specialized definitions or 
interpretations of the

[[Page 363]]

terms ``employee,'' ``employer,'' or ``employed'' under federal or state 
statutes other than ERISA.
    (4) Insurance producer means an agent, broker, consultant, or 
producer who is an individual, entity, or sole proprietor that is 
licensed under the laws of the state to sell, solicit, or negotiate 
insurance.
    (5) Predominant employee organization means, where more than one 
employee organization is a party to an agreement, either the 
organization representing the plurality of individuals employed under 
such agreement, or organizations that in combination represent the 
majority of such individuals.
    (e) Examples. The operation of the provisions of this section may be 
illustrated by the following examples.

    Example 1. Plan A has 500 participants, in the following 4 
categories of participants under paragraph (b)(2) of this section:

----------------------------------------------------------------------------------------------------------------
                   Categories of participants                      Total number     Nexus group      Non-nexus
----------------------------------------------------------------------------------------------------------------
1. Individuals working under CBAs...............................       335 (67%)       335 (67%)               0
2. Retirees.....................................................        50 (10%)        50 (10%)               0
3. ``Special Class''--Non-CBA, non-CBA-alumni...................       100 (20%)        50 (10%)        50 (10%)
4. Non-nexus participants.......................................         15 (3%)               0         15 (3%)
                                                                 -----------------
      Total.....................................................      500 (100%)       435 (87%)        65 (13%)
----------------------------------------------------------------------------------------------------------------

    In determining whether at least 85% of Plan A's participant 
population is made up of individuals with the required nexus to the 
collective bargaining agreement as required by paragraph (b)(2) of this 
section, the Plan may count as part of the nexus group only 50 (10% of 
the total plan population) of the 100 individuals described in paragraph 
(b)(2)(viii) of this section. That is because the number of individuals 
meeting the category of individuals in paragraph (b)(2)(viii) exceeds 
10% of the total participant population by 50 individuals. The paragraph 
specifies that of those individuals who would otherwise be deemed to be 
nexus individuals because they are the type of individuals described in 
paragraph (b)(2)(viii), the number in excess of 10% of the total plan 
population may not be counted in the nexus group. Here, 50 of the 100 
individuals employed by signatory employers, but not covered by the 
collective bargaining agreement, are counted as nexus individuals and 50 
are not counted as nexus individuals. Nonetheless, the Plan satisfies 
the 85% criterion under paragraph (b)(2) because a total of 435 (335 
individuals covered by the collective bargaining agreement, plus 50 
retirees, plus 50 individuals employed by signatory employers), or 87%, 
of the 500 participants in Plan A are individuals who may be counted as 
nexus participants under paragraph (b)(2). Beneficiaries (e.g., spouses, 
dependent children, etc.) are not counted to determine whether the 85% 
test has been met.
    Example 2. (i) International Union MG and its Local Unions have 
represented people working primarily in a particular industry for over 
60 years. Since 1950, most of their collective bargaining agreements 
have called for those workers to be covered by the National MG Health 
and Welfare Plan. During that time, the number of union-represented 
workers in the industry, and the number of active participants in the 
National MG Health and Welfare Plan, first grew and then declined. New 
Locals were formed and later were shut down. Despite these fluctuations, 
the National MG Health and Welfare Plan meets the factors described in 
paragraphs (b)(4)(iii) and (iv) of this section, as the plan has been in 
existence pursuant to collective bargaining agreements to which the 
International Union and its affiliates have been parties since before 
January 1, 1983.
    (ii) Assume the same facts, except that on January 1, 1999, 
International Union MG merged with International Union RE to form 
International Union MRGE. MRGE and its Locals now represent the active 
participants in the National MG Health and Welfare Plan and in the 
National RE Health and Welfare Plan, which, for 45 years, had been 
maintained under collective bargaining agreements negotiated by 
International Union RE and its Locals. Since International Union MRGE is 
the continuation of, and successor to, the MG and RE unions, the two 
plans continue to meet the factors in paragraphs (b)(4)(iii) and (iv) of 
this section. This also would be true if the two plans were merged.
    (iii) Assume the same facts as in paragraphs (i) and (ii) of this 
Example. In addition to maintaining the health and welfare plans 
described in those paragraphs, International Union MG also maintained 
the National MG Pension Plan and International Union RE maintained the 
National RE Pension Plan. When the unions merged and the health and 
welfare plans were merged, National MG Pension Plan and National RE 
Pension Plan were merged to form National MRGE Pension Plan. When the 
unions merged, the employees and retirees covered under the pre-merger 
plans continued to be covered under the post-merger plans pursuant to 
the collective bargaining agreements

[[Page 364]]

and also were given credit in the post-merger plans for their years of 
service and coverage in the pre-merger plans. Retirees who originally 
were covered under the pre-merger plans and continue to be covered under 
the post-merger plans based on their past service and coverage would be 
considered to be ``retirees'' for purposes of 2550.3-40(b)(2)(ii). 
Likewise, bargaining unit alumni who were covered under the pre-merger 
plans and continued to be covered under the post-merger plans based on 
their past service and coverage and their continued employment with 
employers that are parties to an agreement described in paragraph (b)(3) 
of this section would be considered to be bargaining unit alumni for 
purposes of 2550.3-40(b)(2)(vii).
    Example 3. Assume the same facts as in paragraph (ii) of Example 2 
with respect to International Union MG. However, in 1997, one of its 
Locals and the employers with which it negotiates agree to set up a new 
multiemployer health and welfare plan that only covers the individuals 
represented by that Local Union. That plan would not meet the factor in 
paragraph (b)(4)(iii) of this section, as it has not been incorporated 
or referenced in collective bargaining agreements since before January 
1, 1983.
    Example 4. (i) Pursuant to a collective bargaining agreement between 
various employers and Local 2000, the employers contribute $2 per hour 
to the Fund for every hour that a covered employee works under the 
agreement. The covered employees are automatically entitled to health 
and disability coverage from the Fund for every calendar quarter the 
employees have 300 hours of additional covered service in the preceding 
quarter. The employees do not need to make any additional contributions 
for their own coverage, but must pay $250 per month if they want health 
coverage for their dependent spouse and children. Because the employer 
payments cover 100% of the required contributions for the employees' own 
coverage, the Local 2000 Employers Health and Welfare Fund meets the 
``75% employer payment'' factor under paragraph (b)(4)(vi) of this 
section.
    (ii) Assume, however, that the negotiated employer contribution rate 
was $1 per hour, and the employees could only obtain health coverage for 
themselves if they also elected to contribute $1 per hour, paid on a 
pre-tax basis through salary reduction. The Fund would not meet the 75% 
employer payment factor, even though the employees' contributions are 
treated as employer contributions for tax purposes. Under ERISA, and 
therefore under this section, elective salary reduction contributions 
are treated as employee contributions. The outcome would be the same if 
a uniform employee contribution rate applied to all employees, whether 
they had individual or family coverage, so that the $1 per hour employee 
contribution qualified an employee for his or her own coverage and, if 
he or she had dependents, dependent coverage as well.
    Example 5. Arthur is a licensed insurance broker, one of whose 
clients is Multiemployer Fund M, a partially self-funded plan. Arthur 
takes bids from insurance companies on behalf of Fund M for the insured 
portion of its coverage, helps the trustees to evaluate the bids, and 
places the Fund's health insurance coverage with the carrier that is 
selected. Arthur also assists the trustees of Fund M in preparing 
material to explain the plan and its benefits to the participants, as 
well as in monitoring the insurance company's performance under the 
contract. At the Trustees' request, Arthur meets with a group of 
employers with which the union is negotiating for their employees' 
coverage under Fund M, and he explains the cost structure and benefits 
that Fund M provides. Arthur is not engaged in marketing within the 
meaning of paragraph (c)(1) of this section, so the fact that he 
provides these administrative services and sells insurance to the Fund 
itself does not affect the plan's status as a plan established or 
maintained under or pursuant to a collective bargaining agreement. This 
is the case whether or how he is compensated.
    Example 6. Assume the same facts as Example 5, except that Arthur 
has a group of clients who are unrelated to the employers bound by the 
collective bargaining agreement, whose employees would not be ``nexus 
group'' members, and whose insurance carrier has withdrawn from the 
market in their locality. He persuades the client group to retain him to 
find them other coverage. The client group has no relationship with the 
labor union that represents the participants in Fund M. However, Arthur 
offers them coverage under Fund M and persuades the Fund's Trustees to 
allow the client group to join Fund M in order to broaden Fund M's 
contribution base. Arthur's activities in obtaining coverage for the 
unrelated group under Fund M constitutes marketing through an insurance 
producer; Fund M is a MEWA under paragraph (c)(1) of this section.
    Example 7. Union A represents thousands of construction workers in a 
three-state geographic region. For many years, Union A has maintained a 
standard written collective bargaining agreement with several hundred 
large and small building contractors, covering wages, hours, and other 
terms and conditions of employment for all work performed in Union A's 
geographic territory. The terms of those agreements are negotiated every 
three years between Union A and a multiemployer Association, which signs 
on behalf of those employers who have delegated their bargaining 
authority to the Association. Hundreds of other employers--including 
both local and traveling contractors--have chosen to become bound to the

[[Page 365]]

terms of Union A's standard area agreement for various periods of time 
and in various ways, such as by signing short-form binders or ``me too'' 
agreements, executing a single job or project labor agreement, or 
entering into a subcontracting arrangement with a signatory employer. 
All of these employ individuals represented by Union A and contribute to 
Plan A, a self-insured multiemployer health and welfare plan established 
and maintained under Union A's standard area agreement. During the past 
year, the trustees of Plan A have brought lawsuits against several 
signatory employers seeking contributions allegedly owed, but not paid 
to the trust. In defending that litigation, a number of employers have 
sworn that they never intended to operate as union contractors, that 
their employees want nothing to do with Union A, that Union A procured 
their assent to the collective bargaining agreement solely by threats 
and fraudulent misrepresentations, and that Union A has failed to file 
certain reports required by the Labor Management Reporting and 
Disclosure Act. In at least one instance, a petition for a 
decertification election has been filed with the National Labor 
Relations Board. In this example, Plan A meets the criteria for a 
regulatory finding under this section that it is a multiemployer plan 
established and maintained under or pursuant to one or more collective 
bargaining agreements, assuming that its participant population 
satisfies the 85% test of paragraph (b)(2) of this section and that none 
of the disqualifying factors in paragraph (c) of this section is 
present. Plan A's status for the purpose of this section is not affected 
by the fact that some of the employers who deal with Union A have 
challenged Union A's conduct, or have disputed under labor statutes and 
legal doctrines other than ERISA section 3(40) the validity and 
enforceability of their putative contract with Union A, regardless of 
the outcome of those disputes.
    Example 8. Assume the same facts as Example 7. Plan A's benefits 
consultant recently entered into an arrangement with the Medical 
Consortium, a newly formed organization of health care providers, which 
allows the Plan to offer a broader range of health services to Plan A's 
participants while achieving cost savings to the Plan and to 
participants. Union A, Plan A, and Plan A's consultant each have added a 
page to their Web sites publicizing the new arrangement with the Medical 
Consortium. Concurrently, Medical Consortium's Web site prominently 
publicizes its recent affiliation with Plan A and the innovative 
services it makes available to the Plan's participants. Union A has 
mailed out informational packets to its members describing the benefit 
enhancements and encouraging election of family coverage. Union A has 
also begun distributing similar material to workers on hundreds of non-
union construction job sites within its geographic territory. In this 
example, Plan A remains a plan established and maintained under or 
pursuant to one or more collective bargaining agreements under section 
3(40) of ERISA. Neither Plan A's relationship with a new organization of 
health care providers, nor the use of various media to publicize Plan 
A's attractive benefits throughout the area served by Union A, alters 
Plan A's status for purpose of this section.
    Example 9. Assume the same facts as in Example 7. Union A undertakes 
an area-wide organizing campaign among the employees of all the health 
care providers who belong to the Medical Consortium. When soliciting 
individual employees to sign up as union members, Union A distributes 
Plan A's information materials and promises to bargain for the same 
coverage. At the same time, when appealing to the employers in the 
Medical Consortium for voluntary recognition, Union A promises to 
publicize the Consortium's status as a group of unionized health care 
service providers. Union A eventually succeeds in obtaining recognition 
based on its majority status among the employees working for Medical 
Consortium employers. The Consortium, acting on behalf of its employer 
members, negotiates a collective bargaining agreement with Union A that 
provides terms and conditions of employment, including coverage under 
Plan A. In this example, Plan A still meets the criteria for a 
regulatory finding that it is collectively bargained under section 3(40) 
of ERISA. Union A's recruitment and representation of a new occupational 
category of workers unrelated to the construction trade, its promotion 
of attractive health benefits to achieve organizing success, and the 
Plan's resultant growth, do not take Plan A outside the regulatory 
finding.
    Example 10. Assume the same facts as in Example 7. The Medical 
Consortium, a newly formed organization, approaches Plan A with a 
proposal to make money for Plan A and Union A by enrolling a large group 
of employers, their employees, and self-employed individuals affiliated 
with the Medical Consortium. The Medical Consortium obtains employers' 
signatures on a generic document bearing Union A's name, labeled 
``collective bargaining agreement,'' which provides for health coverage 
under Plan A and compliance with wage and hour statutes, as well as 
other employment laws. Employees of signatory employers sign enrollment 
documents for Plan A and are issued membership cards in Union A; their 
membership dues are regularly checked off along with their monthly 
payments for health coverage. Self-employed individuals similarly 
receive union membership cards and make monthly payments, which are 
divided between Plan A and the Union. Aside from health coverage 
matters,

[[Page 366]]

these new participants have little or no contact with Union A. The new 
participants enrolled through the Consortium amount to 18% of the 
population of Plan A during the current Plan Year. In this example, Plan 
A now fails to meet the criteria in paragraphs (b)(2) and (b)(3) of this 
section, because more than 15% of its participants are individuals who 
are not employed under agreements that are the product of a bona fide 
collective bargaining relationship and who do not fall within any of the 
other nexus categories set forth in paragraph (b)(2) of this section. 
Moreover, even if the number of additional participants enrolled through 
the Medical Consortium, together with any other participants who did not 
fall within any of the nexus categories, did not exceed 15% of the total 
participant population under the plan, the circumstances in this example 
would trigger the disqualification of paragraph (c)(2) of this section, 
because Plan A now is being maintained under a substantial number of 
agreements that are a ``scheme, plan, stratagem or artifice of evasion'' 
intended primarily to evade compliance with state laws and regulations 
pertaining to insurance. In either case, the consequence of adding the 
participants through the Medical Consortium is that Plan A is now a MEWA 
for purposes of section 3(40) of ERISA and is not exempt from state 
regulation by virtue of ERISA.

    (f) Cross-reference. See 29 CFR part 2570, subpart H for procedural 
rules relating to proceedings seeking an Administrative Law Judge 
finding by the Secretary under section 3(40) of ERISA.
    (g) Effect of proceeding seeking Administrative Law Judge Section 
3(40) Finding.
    (1) An Administrative Law Judge finding issued pursuant to the 
procedures in 29 CFR part 2570, subpart H will constitute a finding 
whether the entity in that proceeding is an employee welfare benefit 
plan established or maintained under or pursuant to an agreement that 
the Secretary finds to be a collective bargaining agreement for purposes 
of section 3(40) of ERISA.
    (2) Nothing in this section or in 29 CFR part 2570, subpart H is 
intended to provide the basis for a stay or delay of a state 
administrative or court proceeding or enforcement of a subpoena.

[68 FR 17480, Apr. 9, 2003]