Employee or 1099 California Independent Contractor?

AB 5

Introduction 1099 Independent Contractor or W 2 Employee?

#Dynamex Operations West Inc. v. Superior Court

Three-point criteria.

  • In a California Supreme Court ruling, the presumption is that everyone is an employee.  The hiring entity can be exempt from treating the person as an employee if they met this three-point test:
    • 1) Is free from the control and direction of the hirer in connection with the performance of the work, both under the contract for the performance of the work and in fact; and
    • 2) performs work that is outside the usual course of the hiring entity’s business; and
    • 3) is customarily engaged in an independently established trade, occupation, or business of the same nature as that involved in the work performed.

#Common Law Rules

  • Facts that provide evidence of the degree of control and independence fall into three categories:
    • Behavioral: Does the company control or have the right to control what the worker does and how the worker does his or her job?
    • Financial: Are the business aspects of the worker’s job controlled by the payer? (these include things like how worker is paid, whether expenses are reimbursed, who provides tools/supplies, etc.)
    • Type of Relationship: Are there written contracts or employee type benefits (i.e. pension plan, insurance, vacation pay, etc.)? Will the relationship continue and is the work performed a key aspect of the business?
  • Businesses must weigh all these factors when determining whether a worker is an employee or independent contractor. Some factors may indicate that the worker is an employee, while other factors indicate that the worker is an independent contractor. There is no “magic” or set number of factors that “makes” the worker an employee or an independent contractor, and no one factor stands alone in making this determination. Also, factors which are relevant in one situation may not be relevant in another.
  • The keys are to look at the entire relationship, consider the degree or extent of the right to direct and control, and finally, to document each of the factors used in coming up with the determination.  IRS.gov *

Group Health Insurance Rules

Misc.

California Resources

Uber & Lyft

What’s this about #Uber /Lyft drivers getting 82% of the average Bronze premium from Uber/Lyft so that they can enroll in Covered CA?

  • Uber/Life will  qualified drivers a stipend of 82% of the average Bronze premium, drivers would need to work an average of 37.5 hours per week for a single company in order to receive the full stipend.
  • Covered CA Power Point Power Point on it. Pdf
  • Covered California plans are typically less generous than the policies employees usually get through work, she said. And bronze-level plans, which have the lowest monthly premiums, also have the highest out-of-pocket costs for medical services.
  • Consider the deductible, which is how much a person needs to pay out-of-pocket before insurance starts paying for care.
  • Depending on their incomes and other factors, drivers may also be eligible for tax credits and state and federal subsidies to help them afford plans on the individual market.
  • The subsidy will count as MAGI income if you want Covered CA subsidies, per Covered CA powerpoint cited above
  • CA Health Line
  • Sacramento Bee Explanation
  • Limited Information on Covered CA Website
  • InsureMeKevin.com explanation
  • LA Times Opinion Michael Hiltzik Uber took drivers for a ride with Proposition 22
  • Get instant Quote & Subsidy Calculation
  • FAQ Medicare Stipend?

What is a #bona fide employer – employee relationship?

 

What is that?  Why?

Legal Reasoning

I’ll grant, that I have trouble completely following the logic given to me by Covered CA, but I have to acknowledge that every Insurance Company agrees.

 Dear Steve,

  • only a small employer new definition of Small Employer   §10753  (q) (1)   may participate in the SHOP Small Employer Program Covered CA. 45 CFR 155.710:
  • “Small employer” and “employer” are defined with reference to Section 2791 [300gg-91] of the Public Health Service Act.
  • Employer has the meaning given to the term in section 2791 of the PHS Act, except that such term includes employers with one or more employees. All persons treated as a single employer under subsection (b), (c), (m), or (o) of section 414 of the Code are treated as one employer.  CFR § 155.20.
  • (a) (6) EMPLOYER .—The term ‘‘employer’’ has the meaning  given such term under section 3(5) of the  Employee Retirement Income Security Act of 1974, except that such term shall include only employers of two or more employeesPage 1533 Public Health Service Act
    • (d) other definitions
       
      (5) Employee The term “employee” has the meaning given such term under section 3(6) of the Employee Retirement Income Security Act of 1974 [29 U.S.C. 1002 (6)].
      (6) Employer The term “employer” has the meaning given such term under section 3(5) of the Employee Retirement Income Security Act of 1974 [29 U.S.C. 1002 (5)], except that such term shall include only employers of two or more employees.  300gg-91.
    • Under Section 2791, “employer” is defined by reference to ERISA Section 3(5).  [29 US Code §1002 Definitions]
    • (5) The term ‘‘employer’’ means any person acting directly as an employer, or indirectly in the interest of an employer, in relation to an employee benefit plan; and includes a group or association of employers acting for an employer in such capacity.
    • (6) The term ‘‘employee’’ means any individual employed by an employer.  Page 9 ERISA.
    • ERISA Section 3(5) requires that an employer employ at least one common law employee (i.e. someone other than the owner).
    • IRS  Common Law Employee
    • Ascende Human Capital Consulting
  • Under 29 C.F.R. 2510.3-3(c), a regulation adopted under ERISA, an employee does not include a sole proprietor or the sole proprietor’s spouse, or a partner in a partnership or the partner’s spouse. See also 77 Fed. Reg. 18399 (Mar. 27, 2012).    (legal reasoning courtesy of Covered CA Facebook inquiry)     SHOP Agent Guidelines

 How many common law employees must be enrolled for coverage to be considered group coverage?

  • A. For a group health plan to be considered a “group health plan” under the Employee Retirement Income Security Act (ERISA), there must be at least one common law employee enrolled.
  • Pursuant to 29 C.F.R. 2510.2-3(b), an “employee benefit plan” does not exist if no “employees” are covered by the plan. Pursuant to 29 C.F.R. 2510.3-1 and 29 C.F.R. 2590.732(d) an “employee” does not include the sole owner of a business or a spouse of the business owner. New York.gov

See our other pages on Employer – Employee Definition

****

  • Healthcare.gov  
  • If you’re self-employed with no employees, you’re not considered an employer. You can use Covered CA  or Direct with Insurance Company to find coverage that fits your needs.
  • sole proprietors and owners of S Corp   – (Does not pay Federal Income Tax) can be small groups as long as the one employee is not the sole proprietor or their spouse blueshieldca.com
    • 3. Additional attestation for establishing minimum group size:
      a. If my eligibility is required to meet the minimum group size to qualify for small group business coverage, I additionally attest that:
       
      I do not wholly own the above-named company with my spouse or on my own  BC eligibility statement
  • C Corp  separate legal entity owned by shareholders
  • S Corp   – Does not pay Federal Income Tax
  • Blue Shield Flyer Small businesses and the ACA Rev 3.2013 Michael Lujan was very explicit in 2 presentations to CAHU and LAAHU, an EE is someone who is listed on a DE 9C.  Sole Proprietors and partners are normally not on a DE9C.  The sole prop and partner can be included in a group plan IF they have at least one W2 EE listed on the DE9C.

Resources & Links

 

  • §31.3401(c)-1   Employee.
    • (b) Generally the relationship of employer and employee exists when the person for whom services are performed has the right to control and direct the individual who performs the services, not only as to the result to be accomplished by the work but also as to the details and means by which that result is accomplished.
    • That is, an employee is subject to the will and control of the employer not only as to what shall be done but how it shall be done. In this connection, it is not necessary that the employer actually direct or control the manner in which the services are performed; it is sufficient if he has the right to do so.
    • The right to discharge is also an important factor indicating that the person possessing that right is an employer.
    • Other factors characteristic of an employer, but not necessarily present in every case, are the furnishing of tools and the furnishing of a place to work to the individual who performs the services.
    • In general, if an individual is subject to the control or direction of another merely as to the result to be accomplished by the work and not as to the means and methods for accomplishing the result, he is not an employee.
  • See our webpage on Employee vs 1099 Contractor  

 

All our Health plans are Guaranteed Issue with No Pre X Clause
Instant Quote & Subsidy #Calculation
There is No charge for our complementary services, we are paid by the Insurance Company.

instant individual and family quotes quotit

 

Covered California Certified Insurance Agent

Government Brochures

​EDD California 2025 Employers Guide #DE44  

EDD 2025 California Employers Guide

 

 

************************************************************

 

New Federal Reporting Requirement for Beneficial Ownership Information (BOI)

  • Beneficial Ownership Information Reporting Suspended  Smart Tax Fin LLC.com
  • Effective January 1, 2024, many companies in the United States must report information about their beneficial owners—the individuals who ultimately own or control the company—to the Financial Crimes Enforcement Network (FinCEN), a bureau of the U.S. Department of the Treasury.
  • In 2021, Congress enacted the bipartisan Corporate Transparency Act to curb illicit finance. This law requires many companies doing business in the United States to report information about who ultimately owns or controls them.
  • Your company may need to report information about its beneficial owners if it is:
    • 1. a corporation, a limited liability company (LLC), or was otherwise created in the United States by filing a document with a secretary of state or any similar office under the law of a state or Indian tribe; or
    • 2. a foreign company and was registered to do business in any U.S. state or Indian tribe by such a filing.
  • FinCEN’s Small Entity Compliance Guide includes checklists for each of the 23 exemptions that may help determine whether your company qualifies for an exemption.

 

One comment on “1099 Independent Contractor vs Employee & Other Defintions

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.