Research · 6 min read
What an Employer May Not Do Because of a Benefit You Use
One sentence in the retirement income security statute forbids acting against someone for exercising a plan right — or to stop a right from ever attaching. Three other rulebooks carry narrower versions aimed at health questions specifically.
Key takeaways
- The interference provision has two limbs: acting against someone for exercising a plan right, and acting for the purpose of interfering with a right they may become entitled to.
- Its subject is any person, not only an employer, and a separate sentence protects anyone who gives information or testifies.
- The companion section is criminal and is limited to fraud, force, violence or threats of force or violence, with the penalty attaching to a wilful violation.
- The disability regulation makes the absence of retaliation, coercion and threats part of the definition of a voluntary wellness program, so retaliation removes the basis for asking at all.
- That regulation separately forbids requiring an employee to agree to disclosure of medical information, or to waive confidentiality protections, as a condition of participating or earning an incentive.
- The genetic information regulation forbids denying insurance access or retaliating because a spouse declined to answer, and forbids retaliation for refusing genetic monitoring not required by law.
Answer first: two prohibitions in one sentence, and the second is the wider one
The interference provision of the retirement income security statute is short enough to read in full, and its structure repays the attention.
It shall be unlawful for any person to discharge, fine, suspend, expel, discipline, or discriminate against a participant or beneficiary for exercising any right to which he is entitled under the provisions of an employee benefit plan, the subchapter, a named tax code section, or a predecessor statute — or for the purpose of interfering with the attainment of any right to which such participant may become entitled under the plan, the subchapter, or that predecessor statute.
Everything before the dash is a retaliation prohibition: an action taken because a right was exercised. Everything after it is something different and broader: an action taken for the purpose of interfering with the attainment of a right the person may become entitled to. The second does not require that any right have been exercised, or even that one yet exists.
The list of prohibited actions is enumerated rather than general — discharge, fine, suspend, expel, discipline, or discriminate against — and the last of those is the open-ended one.
The section covers two further situations in its remaining sentences. It is unlawful for any person to discharge, fine, suspend, expel, or discriminate against any person because he has given information or has testified or is about to testify in any inquiry or proceeding relating to the chapter or the predecessor statute. And in the case of a multiemployer plan, it is unlawful for the plan sponsor or any other person to discriminate against a contributing employer for exercising rights under the chapter or for giving information or testifying in an inquiry or proceeding relating to it before Congress.
The statute links enforcement of this protection to its civil enforcement section. This article explains the prohibited conduct; it does not determine which civil remedies or procedures apply to an individual claim.
Who is bound, and the phrase that decides it
The subject of the sentence is not the employer. It is any person.
That matters for how the provision maps onto a real arrangement, because health benefits routinely involve several entities — the employer, the plan, a plan sponsor, an administrator, an insurer, a vendor. The prohibition as written is not confined to the entity that signs the paycheque.
The multiemployer sentence makes the same point from a different angle: there the protected party is a contributing employer and the potential wrongdoer is the plan sponsor or any other person. The provision is written to run in more than one direction.
The classes protected in the main sentence are participants and beneficiaries — terms defined elsewhere in the statute and not defined on this page — while the informant sentence protects any person who has given information or testified or is about to testify.
The companion section, which is a criminal one
Immediately after the interference provision sits a second, narrower section addressing a different kind of pressure.
It shall be unlawful for any person, through the use of fraud, force, violence, or threat of the use of force or violence, to restrain, coerce, intimidate, or attempt to restrain, coerce, or intimidate any participant or beneficiary for the purpose of interfering with or preventing the exercise of any right to which he is or may become entitled under the plan, the subchapter, the named tax code section, or the predecessor statute.
The means are exhaustive here in a way they are not in the interference provision: fraud, force, violence, or threat of the use of force or violence. That is what separates the two sections. The first covers employment actions; the second covers coercion by those specific means.
A willful violation can carry a criminal fine, imprisonment for up to ten years, or both. General federal fine provisions can affect the amount, so the historical dollar figure printed in this section should not be treated as a current penalty quote.
The word wilfully is doing work in that sentence: the criminal consequence attaches to a wilful violation, not to any violation.
Three narrower versions, aimed at health questions
Other rulebooks carry their own non-retaliation clauses, and each is tied to a specific mechanism rather than to plan rights generally.
The disability regulation makes non-retaliation part of the definition of voluntary. A wellness program that includes disability-related inquiries or medical examinations is voluntary only as long as the covered entity, among other things, does not take any adverse employment action or retaliate against, interfere with, coerce, intimidate, or threaten employees within the meaning of the Americans with Disabilities Act's own retaliation provision. Note the effect of putting it there: retaliation does not merely violate a separate rule, it destroys the voluntariness the permission depends on.
The same regulation adds a related bar in a different form. A covered entity shall not require an employee to agree to the sale, exchange, sharing, transfer, or other disclosure of medical information — except as the part permits to carry out specific activities related to the wellness program — or to waive any confidentiality protections in the part, as a condition for participating in a wellness program or for earning any incentive offered in connection with one.
The genetic information regulation carries a version aimed at a spouse's silence. A covered entity may not deny access to health insurance or any package of health insurance benefits to an employee, or to the employee's spouse or other covered dependent, or retaliate against an employee, due to a spouse's refusal to provide information about his or her manifestation of disease or disorder to an employer-sponsored wellness program.
It also bars conditioning participation, or providing any inducement to an employee or a spouse or other covered dependent, in exchange for an agreement permitting the sale, exchange, sharing, transfer or other disclosure of genetic information, or otherwise waiving the confidentiality protections of that part.
And in the monitoring context the same regulation states the rule plainly: a covered entity may not retaliate or otherwise discriminate against an individual due to his or her refusal to participate in genetic monitoring that is not required by federal or state law.
Reading the four together
The four provisions are not alternatives to each other. They sit in different statutes, protect different things, and are enforced through different routes.
The interference provision is about plan rights and covers a defined list of employment actions taken either because a right was exercised or in order to stop one from attaching. Its reach is any person, and its enforcement runs through the statute's own civil enforcement section.
The coercive interference section is about a narrow set of means — fraud, force, violence or threats of force or violence — and carries a criminal penalty for a wilful violation.
The disability rule's clause is structural: it makes the absence of adverse action, retaliation, interference, coercion, intimidation and threats a condition of the voluntariness on which the permission to ask medical questions rests.
The genetic information rule's clauses are specific to two situations that come up in wellness arrangements — a spouse who declines to answer, and an inducement conditioned on agreeing to disclosure or waiving confidentiality.
The common shape across all four is worth naming, because it is the useful takeaway: each of them treats the pressure to obtain something as a separate wrong from the thing obtained. A rule about what an employer may ask is a different rule from what an employer may do to someone who declines to answer, and these are the second kind.
None of this tells any reader that something that happened to them was unlawful, or that a claim exists, or how one would come out. Those are determinations on a specific record, and none is asserted or predicted here.
Sources
- 29 U.S.C. 1140 — Interference with protected rightsThe enumerated prohibited actions and the two limbs of the prohibition — action for exercising a right under a plan or the subchapter, and action for the purpose of interfering with the attainment of a right the participant may become entitled to; the coverage of any person as the potential wrongdoer and participants and beneficiaries as the protected class; the separate sentence protecting anyone who has given information or has testified or is about to testify in an inquiry or proceeding; the multiemployer sentence protecting a contributing employer against the plan sponsor or any other person; and the cross-reference making the statute's civil enforcement section applicable to enforcement of the section.
- 29 U.S.C. 1141 — Coercive interferenceThe prohibition on using fraud, force, violence, or threat of the use of force or violence to restrain, coerce, intimidate, or attempt to restrain, coerce or intimidate any participant or beneficiary for the purpose of interfering with or preventing the exercise of a right; the criminal consequence for a wilful violation, the fine figure the section prints and the maximum term of imprisonment; and the credit line recording the 2006 amendment.
- 29 CFR 1630.14(d)(2)(iii) and (d)(4)(iv) — Voluntariness and confidentiality conditions on an employee health programThat a program including disability-related inquiries or medical examinations is voluntary only as long as the covered entity does not take any adverse employment action or retaliate against, interfere with, coerce, intimidate or threaten employees within the meaning of the Act's retaliation provision; and that a covered entity shall not require an employee to agree to the sale, exchange, sharing, transfer or other disclosure of medical information, or to waive confidentiality protections, as a condition for participating in a wellness program or earning any incentive offered in connection with one.
- 29 CFR 1635.8(b)(2)(iv), (b)(2)(v) and (b)(5) — Inducements, spouse refusal, and genetic monitoringThat a covered entity may not condition participation in an employer-sponsored wellness program or provide any inducement to an employee or the employee's spouse or other covered dependent in exchange for an agreement permitting the sale, exchange, sharing, transfer or other disclosure of genetic information or otherwise waiving the part's confidentiality protections; that a covered entity may not deny access to health insurance or any package of health insurance benefits to an employee or the employee's spouse or other covered dependent, or retaliate against an employee, due to a spouse's refusal to provide information about his or her manifestation of disease or disorder to an employer-sponsored wellness program; and that a covered entity may not retaliate or otherwise discriminate against an individual due to a refusal to participate in genetic monitoring that is not required by federal or state law.
Frequently asked questions
What does the interference provision actually forbid?
It makes it unlawful for any person to discharge, fine, suspend, expel, discipline, or discriminate against a participant or beneficiary for exercising any right under an employee benefit plan or the statute — or for the purpose of interfering with the attainment of any right the participant may become entitled to. The second limb does not require that a right have been exercised.
Does it apply only to employers?
The provision is written as any person. Its multiemployer sentence makes the plan sponsor or any other person the potential wrongdoer and a contributing employer the protected party, which shows the drafting is not confined to an employment relationship.
Is there protection for someone who gives information?
The same section makes it unlawful for any person to discharge, fine, suspend, expel, or discriminate against any person because he has given information or has testified or is about to testify in any inquiry or proceeding relating to the chapter or the predecessor statute.
What is the difference between the two statutory sections?
The interference provision covers a list of employment actions taken because of, or to prevent, the attainment of plan rights. The coercive interference section covers restraining, coercing or intimidating a participant or beneficiary through fraud, force, violence, or the threat of force or violence, and carries a criminal penalty for a wilful violation.
How do the disability rules handle retaliation in a wellness program?
They fold it into the definition of voluntary. A program including disability-related inquiries or medical examinations is voluntary only as long as the covered entity, among other conditions, does not take any adverse employment action or retaliate against, interfere with, coerce, intimidate or threaten employees within the meaning of the Act's retaliation provision.
What happens if a spouse declines to answer a wellness questionnaire?
The genetic information regulation says a covered entity may not deny access to health insurance or any package of health insurance benefits to an employee, or the employee's spouse or other covered dependent, or retaliate against an employee, because a spouse refused to provide information about their own manifestation of disease or disorder to an employer-sponsored wellness program.