Benefits, Resources & FICA

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Cleveland Clinic appreciates its Alumni and the service they have provided the organization as physicians. For that reason, Cleveland Clinic is dedicated to servicing its former trainees in any way that it can by providing Alumni with ample resources, offerings and online services.

Resources

Online Community»

Cleveland Clinic Alumni Association makes it easier than ever to connect with your former colleagues. By creating and maintaining your own personal profile, you are able to:

  • Manage your profile Update your contact and practice information so that it can be used for patient referrals
  • Register for events RSVP to medical receptions and reunions, and navigate to CME course registration
  • Post job openings Post open opportunities at your practice for your fellow alumni to apply; or apply for open opportunities that are of interest to you
  • Share updates Send the Alumni Office stories about your "Memorable Moment" at Cleveland Clinic or updates about you, your career, or your family for possible inclusion in upcoming newsletters
  • Receive news View the most up-to-date alumni news via Alumni Connection and email communications

To create your profile*, use the login box in the top right-hand corner of Cleveland Clinic's Alumni webpage. First-time users can register with their name and date of birth (a Constituent ID number is no longer needed).

*Note: Profile creation is limited to Cleveland Clinic-trained physicians only.

Career Development»

Education, patient care and innovation is of the utmost importance to Cleveland Clinic. Whether you have completed your training or not, it is important to reflect on the idea that education is a journey - there is always more to learn. To learn more about Career Development through training at Cleveland Clinic, visit the websites listed below.

Online Services

MyConsult®»

The MyConsult® online medical second opinion service connects patients to Cleveland Clinic's expertise for over 1,100 life-threatening and life-changing diagnoses. Following a thorough review of medical records and diagnostic tests, Cleveland Clinic physician experts render a medical second opinion that includes treatment options or alternatives, as well as recommendations regarding future therapeutic considerations. In addition to second opinions for medical conditions, MyConsult® also offers Nutrition Consultations and international Pre-Adoption Consultations.

MyPractice Community(SM)»

MyPractice Community(SM) is an electronic medical record system designed specifically to meet the needs of the busy private practice physician. It is the customized extension of the same system used in all Cleveland Clinic facilities, and is ONC-ATB certified. An Internet-based system, MyPractice Community(SM) allows physicians secure access to their entire medical practice anytime, anywhere.

DrConnect»

DrConnect is an Internet-based service specially developed to streamline the coordination of care for patients referred to Cleveland Clinic. This free service allows our physician colleagues and their staff access to their patients' electronic medical records and provides real-time updates regarding the treatment their patients receive.

Discounts

Alumni Library»

Alumni are welcome to visit Cleveland Clinic's Alumni Library in person and utilize computers to access all electronic resources. Library staff is on hand to complete literature searches, and provide copies of articles from print journals. The Alumni Office offers parking validation to Alumni who visit the library. For details, please email alumni@ccf.org.

Cleveland Clinic Fitness Center passes»

W.O. Walker Building passes are available to Alumni for a nominal charge, $360/year. Please call the Fitness Center for additional information at 216.444.8765.

Cleveland Clinic Journal of Medicine»

Cleveland Clinic Journal of Medicine is available at a discounted annual printed subscription rate of $60. CCJM is also available online free of charge. Alumni who are practicing internists, cardiologists, nephrologists, endocrinologists, or diabetologists and who are not located on Cleveland Clinic's campus are eligible for free subscriptions. For subscription requests, please call 216.444.2661 or email ccjm@ccf.org.

Current and archived editions of Cleveland Clinic Journal of Medicine are available at www.ccjm.org.

Critical Care Transport»

As an integral part of Cleveland Clinic's network, we would like to offer you 10% off Global CARE (Critical Care Air Rescue and Evacuation) - Cleveland Clinic's premier air medical evacuation membership.

When traveling on business or vacationing around the globe, one phone call can bring Cleveland Clinic care to you anytime, anywhere. And they can transport you to any medical facility of your choice. It's easy - and it's affordable.

With Global CARE, if you become hospitalized more than 150 miles from home and cannot travel commercially, Cleveland Clinic's Critical Care Transport team will:

  • Fly you to any medical facility of your choice, including Cleveland Clinic. Most travel insurance plans get you to the "nearest appropriate facility", giving you no control over the destination or more importantly, the quality of your care that you will receive.
  • Provide you the expertise of a Cleveland Clinic physician or acute care nurse practitioner to care for you in-flight, in addition to other critical care nurses and paramedics.
  • Provide transport anytime, day or night, 365 days a year*. Each year, we complete more than 4,500 medical transports from across the country and around the world.

Emergency medical air transport can cost up to $200,000 and often is not covered by traditional health insurance. But Global CARE coverage costs a fraction of that: $400 per year for individuals or $600 per year for families. And the cost is even less for you. All Cleveland Clinic alumni qualify for a 10 percent discount.

Get Global CARE and get peace of mind knowing that Cleveland Clinic can be on the way as soon as you call.

Enrolling is easy.

Get the 10 percent discount online by using the code "CCALUMNI" or reference the code when you call.

*Please note due to foreign regulations and approval, additional time may be required for an international transport.

Guardian Life Insurance»

Guardian Life Insurance Company is offering a 10 percent permanent discount on all fully-underwritten disability income insurance to Cleveland Clinic physicians.

Eligible for the discount:

  • Cleveland Clinic residents and fellows in training (discount continues after completion of training
  • Cleveland Clinic alumni residing in the U.S. or Canada
  • Cleveland Clinic staff physicians at all Cleveland Clinic U.S. and Canada locations
  • Medical students enrolled at Cleveland Clinic's Lerner College of Medicine (discount continues after completion of training)

To learn more about the plan, please contact:

Amy P. Dickenson
Office: 440.505.6007
Cell: 216.375.2437
Email: amy@dickensoninsurance.com

Rory Bixel Lough
Office: 440.974.4040
Cell: 440.567.8949
Email: rory@thebixelorganization.com

Hotel Discount Rates»

Discounts available to Alumni, Employees, Patients and Consultants staying in Cleveland, Florida and the Las Vegas areas. For discount and hotel information for Cleveland Clinic Campus areas, please call Cleveland Clinic's travel office at 216.636.7277. For discount hotel information for non-campus destinations, please contact our trusted travel source, American Express (AMEX), at 216.444.2564.

Update as of 2/27/2013

In the fall of 2010, Cleveland Clinic filed IRS refund claims for FICA taxes previously withheld on payments to medical residents. The claims were filed for the periods January 1997 – March 31, 2005 on behalf of five of our legal entities. The IRS reviewed each of the claims and finally approved all of our claims subject to certain reductions for suspended or disallowed amounts as explained below.

IRS Process For Review And Approval»

  • IRS conducts a complete and detailed review of each claim filed.
  • Once the IRS completes its review a Claim Allowance/Disallowance Report is issued indicating the total amount of the refund approved for payment as well as the amount of the claim that has been suspended or disallowed. This report also states that refund checks for the approved amounts should be received within 8-12 weeks from the date of this report. However, we have seen instances where receipt of the checks has taken longer than the 12 weeks.
  • Claim Allowance/Disallowance Report – as part of their review, the IRS identifies refund amounts that they either disallow or suspend. Disallowed amounts are a result of either specific programs the IRS has disqualified as eligible for the refund or the individual resident already received a refund of the FICA taxes on their own. Suspended amounts are instances where an individual resident has other pending items with the IRS or has already started receiving social security benefits. The IRS has indicated that they will address the suspended items with the individuals once they have completed processing of all the other claims.
  • The IRS then issues two notices per calendar quarter (CP210 Notices) confirming the refund amounts for the employer’s share of FICA taxes and the residents’ share of FICA taxes.
  • As with the CP210 Notices, the IRS issues two refund checks per calendar quarter – one for the employer’s share of the refund and one for the total residents’ share.
  • The refund distribution process to residents can begin after all quarterly checks have been received from the IRS. IRS procedures allow a reasonable period of time after the receipt of all the quarterly checks in which to begin the distribution process.

Current Status Of Cleveland Clinic Claims»

As mentioned above, Cleveland Clinic filed claims on behalf of five of its legal entities. The status of each of the claims is listed below.

  • The Cleveland Clinic Foundation – the Claim Allowance/Disallowance Report has just recently been received and we are currently waiting on the CP210 Notices and the quarterly refund checks. Once all checks have been received we will begin the process of distributing the refunds. Update: Most refund checks were mailed September 3, 2013. The remaining checks will be mailed shortly.
  • Fairview Hospital – the Claim Allowance/Disallowance Report has been received as well as all CP210 Notices and quarterly refund checks. We will begin to issue refunds to individual residents shortly. Update: Refund checks were mailed March 6, 2013.
  • Cleveland Clinic Health System East Region (Huron and South Pointe Hospitals) – the Claim Allowance/Disallowance Report has been received as well as all CP210 Notices and quarterly refund checks. We will begin to issue refunds to individual residents shortly. Update: Refund checks were mailed March 6, 2013.
  • Cleveland Clinic Florida Hospital – the Claim Allowance/Disallowance Report has been received as well as all CP210 Notices and quarterly refund checks. We will begin to issue refunds to individual residents shortly. Update: Refund checks were mailed March 6, 2013.
  • Cleveland Clinic Florida – the Claim Allowance/Disallowance Report has been received as well as the CP210 Notices and the quarterly refund checks for all quarters with the exception of the quarter ending March 31, 2005. Update: Refunds for all quarters, except the quarter ending March 31, 2005, were mailed April 29, 2013. Refunds for the quarter ending March 31, 2005 were mailed December 17, 2013.

We will continue to update this site as information and timelines become available. In the interim, if you have any questions please email ficarefund@ccf.org.

General Refund Information FAQs»

As an intern, resident or fellow, for what periods am I potentially entitled to a FICA tax refund?

Potential eligibility is limited to the intern, residency or fellowship program you participated in sometime during the years 1997 through March 31, 2005. In this regard, Cleveland Clinic has perfected its claims for refunds of FICA tax paid on behalf of medical residents for these time periods. The statute of limitations bars any refund claim attributable to wages paid to you before 1997.

Can I still consent to be included in the FICA tax refund claim?

No. Unfortunately, the deadline for us to receive your consent form and include you in the claim has passed. Cleveland Clinic's FICA tax refund claims were finalized and submitted to the IRS in early November 2010.

When will I receive my refund payment?

The IRS has not indicated how long it will take to process the FICA tax refund claims. Information about the progress of the claims and the disbursement process will be posted on the website as soon as this information becomes available.

Who should I contact with any questions?

If you have any questions, you may email FICARefund@ccf.org. Include your name, telephone number, Cleveland Clinic employee ID number (if available), and years of residency or fellowship in your email message. Your inquiry will be answered by email as soon as possible. We will also update the website and these frequently asked questions with any additional information as the claim filing process progresses.

What will be the amount of my refund?

We will not know the precise amount of your refund until the IRS has processed the refund claims and calculated the interest due on the claims. As a very rough estimate, if you were a resident for 3 years starting January 1, 2002 - December 31, 2004, and you were paid $35,000 per year, we would estimate your FICA tax refund to be approximately $8,033, plus interest.

What should I do if I move while the claims are still ongoing?

If your mailing address changes, please provide any new mailing address via Email to FICARefund@ccf.org.

What is the cost to me for filing for a refund?

If you consent to have Cleveland Clinic file a refund claim on your behalf, there is no cost to you.

If I do receive a FICA tax refund, do I need to pay taxes on it?

Should you receive a FICA tax refund, the FICA tax amount of the refund is not subject to federal income taxes. However, the interest portion may be taxable for federal income tax purposes. You should contact your tax professional for more information on this subject and to discuss your specific tax situation.

I was a resident at one of the Cleveland Clinic hospitals for a number of years. I spent my last year of residency at a different institution (non-Cleveland Clinic). Will this consent also collect the FICA refund for withholdings to my wages during the time spent at the non-Cleveland Clinic institution?

We suggest that you contact the other institution in order to learn about its process for the medical resident FICA refund claim.

Refund Check FAQs»

Why am I receiving a check?

In the fall of 2010, we contacted you requesting your consent to join the medical resident FICA refund claim for the Cleveland Clinic entity in which you did your residency or fellowship. You returned the consent form granting us permission to include you in the claim and obtain the refund on your behalf. The IRS has finally approved our refund claims including your share of the FICA taxes paid during your residency or fellowship.

How was the amount of the check calculated?

As noted in your cover letter, the amount of your check is the refund of the FICA taxes withheld against your resident wages for certain IRS allowable periods (January 1, 1997 through March 31, 2005), plus the applicable interest. The interest amount is calculated by the IRS per their regulatory formula and provided to us. We are passing along the interest amount to you as provided by the IRS.

Is any of this taxable income to me?

Yes, the amount of interest you receive as part of this refund is taxable income to you in 2013. Also, please see “What tax forms will I receive?” below. The portion attributable to FICA taxes previously withheld is not taxable income to you.

Do I have to amend previously filed personal tax returns as a result of receiving this refund?

No, you do not have to amend any previously filed tax returns. Also, please see “What tax forms will I receive?” below.

What tax forms will I receive?

By January 31, 2014, you will receive a Form W-2c for each previous calendar year in which you received a refund of FICA taxes. The Form W-2c documents the change to your Social Security wage history that the Social Security Administration has on file for you as a result of your FICA refund. The Form W-2c is provided for your records. As noted earlier, you do not have to amend your personal income tax returns for any of the years for which you receive a Form W-2c as the FICA tax refund is not taxable to you.

The amount of interest you receive is taxable to you. Additionally, if the amount of interest you receive is $600 or more we are required to issue to you (and provide to the IRS) a Form 1099-INT. We will provide the 1099-INT by January 31, 2014.

What if I don’t believe the amount of the refund is correct?

We will discuss your refund with you. Before contacting us however, please keep in mind the following:

  • As mentioned above, the FICA taxes refunded to you are based on your resident wages. The IRS determined that certain programs and wage types did not fall within the definition of resident wages. The IRS made the final determination of the amount of FICA tax to refund to each individual medical resident and we are paying out the amount specified by the IRS to you.
  • The interest amount paid to you is based on the IRS’s statutory overpayment rate for individuals. The interest amount is calculated by the IRS and awarded to you by the IRS; we are passing along their calculated interest to you.
What if I still have more questions?

If you still have further questions, please email ficarefund@ccf.org.

History of the Refund»

FICA Refund for Medical Residents and Fellows – January 1997 through March 31, 2005

On March 2, 2010, the Internal Revenue Services (“IRS”) announced that it had made an administrative decision to accept the position that medical residents are exempt from FICA taxes under the “student FICA exception,” applicable for tax periods prior to April 1, 2005 when new IRS regulations took effect (IRS News Release IR-2010-25). Cleveland Clinic recently perfected the FICA refund claims we had protected for the periods of January 1997 through March 31, 2005.

Consent forms were mailed to all residents and fellows starting at the end of July. In order to have been included in the refund claim, residents were required to consent to have Cleveland Clinic pursue the FICA tax refund on their behalf. The time period for consenting to be included in the claim has now ended. If you were a resident and believe you missed your opportunity to participate in the refund claim, please see the FAQ’s link below for further information.

The IRS has still not indicated how much time it will need to process the FICA tax refund claims. We continue to monitor the status of the claims on a regular basis and will provide updates as we hear them. Once the refund is received, Cleveland Clinic will begin refunding the residents' shares, including applicable interest.

For additional information on the FICA tax refund claim process or any questions you may have, please refer to the FAQ’s and other links below. Cleveland Clinic will periodically update this website as more detailed information relating to the refund process becomes available.

FICA paid by Medical Residents and Fellows after March 31, 2005

On January 11, 2011, the U.S. Supreme Court held that medical residents are employees for purposes of the FICA tax. The 8-0 decision upheld treasury regulations issued by the Treasury Department that wages earned by medical residents working 40 hours or more per week are subject to FICA taxes. This decision applies only to quarters beginning after March 31, 2005; it does not affect a former resident's potential right to a refund for quarters prior to April 1, 2005 as discussed above.

Many inquiries have been received from current and former house staff on how one can receive a refund of FICA tax previously paid while a resident or clinical fellow at Cleveland Clinic. This interest stems from a court case decided in favor of the University of Minnesota in 1998 that ruled its house staff were “students” and, therefore, were exempt from the payment of FICA taxes.

On March 2, 2010, after nearly 15 years of litigation, the Internal Revenue Service (“IRS”) announced that it would concede that medical residents qualify for the student FICA exception for taxable quarters ending before April 1, 2005. This memorandum provides some general information, as well as information regarding Cleveland Clinic’s activities with respect to this matter.

Background

FICA taxes are imposed on wages received by individuals with respect to employment. Section 3121(b) of the Internal Revenue Code (“IRC”) defines “employment” as any “service” performed by an “employee” for the person employing him or her, with enumerated exceptions.

Section 3121(b)(10) of the IRC provides an exception from FICA tax on account of payments made for services to a “student who is enrolled and regularly attending classes” at the school, college or university where he or she is employed (the “student FICA exception”).

In 1998, the U.S. Court of Appeals for the Eighth Circuit, in State of Minnesota v. Apfel, held that stipends paid to University of Minnesota medical residents in 1995-96 were not subject to FICA tax as a result of the student FICA exception.

Since the decision of the Eighth Circuit in 1998, other U.S. Courts of Appeals have rendered decisions regarding medical residents’ eligibility for the student FICA exception and all have held that medical residents are or could be eligible for the student FICA exception.

In light of the ongoing developments, on March 2, 2010, the IRS made an administrative determination to accept the position that medical residents were not subject to FICA taxes based on the student exception for tax periods ending before April 1, 2005, when new IRS regulations went into effect.

The IRS indicated on March 2, 2010 that it will contact organizations that filed FICA refund claims through March 31, 2005 within 90 days. Once this occurs, the various claims filed by Cleveland Clinic will be further analyzed and an update will be posted.

Cleveland Clinic’s Response

Based on the decisions of the above-referenced appellate courts, Cleveland Clinic filed, by the appropriate IRS deadlines, “protective” refund claims for the FICA taxes paid with respect to medical residents and clinical fellow of Cleveland Clinic for the taxable periods from January 1, 1997 through March 31, 2005.

The applicable refund procedures allow Cleveland Clinic, with your consent, to file for a refund on your behalf for your share of the refundable FICA taxes. Such refund claims included language covering both the employer and employee share of FICA tax.

Cleveland Clinic is in the process of “perfecting” these refund claims. In this regard, Cleveland Clinic identified qualifying house staff, their January 1, 1997 through March 31, 2005 earnings, and the amount of FICA tax paid on such earnings.

To properly complete the FICA tax refund claims under the applicable refund procedures, Cleveland Clinic was required to make a good faith effort to contact the individual residents and fellows included in its claim and request their consent to allow Cleveland Clinic to coordinate and also seek to obtain the house staff member’s portion of the FICA contributions in question on his/her behalf.

Cleveland Clinic obtained up-to-date contact information for all house staff potentially eligible for FICA tax refunds (i.e. who were residents between January 1, 1997 through March 31, 2005) in order to obtain such individual’s consent to join Cleveland Clinic’s refund claim.

You are under no obligation to apply for a refund with Cleveland Clinic. However, if you do not give your consent, it may not be possible for you to seek a refund on your own behalf because of the expiration of the statute of limitations regarding the submission of refund claims (e.g. FICA tax refund claims for the taxable period ended March 31, 2005 must have been timely filed by April 15, 2009). You should consult your tax professional if you have further questions regarding this issue.

For this reason, it is critical that Cleveland Clinic’s house staff program graduates inform Cleveland Clinic of their current address and every time they move. Please take the time to confirm now that Cleveland Clinic has your correct current address.

You may send your current address information via email to FICARefund@ccf.org.

If a refund is granted, it is anticipated that Cleveland Clinic will issue you a Form W-2c, Corrected Wage and Tax Statement, for each year in which you are entitled to a refund. None of the amounts reflected on the Form W-2c will result in additional taxes to you. However, the Form W-2c will reflect a reduction in your earnings for Social Security benefits purposes.

Whether Social Security benefits that you are receiving currently or in the future are impacted by a reduction of wage credits as a result of the refund depends on your particular facts and circumstances. These questions can be addressed by the Social Security Administration (“SSA”) at your local SSA office.

You may also be entitled to interest on the refund amount. If you are entitled to interest on the refund amount, you will receive a Form 1099 INT reflecting the amount of interest you will receive on the refund amount. These interest amounts may be includible in gross income in the year in which they are received. Again, you should consult your tax professional if you have further questions regarding this issue.

Some house officers have asked whether it would be effective to file their own FICA refund claims with the IRS. While house staff members are free to handle their personal tax filings as they see fit, if you do not give your consent it may not be possible for you to seek a refund on your own behalf. You should consult your tax adviser in this regard. For these reasons, we recommend that house staff consent to joining Cleveland Clinic’s existing claims.

If you have any questions about the foregoing information, you may email FICARefund@ccf.org. Include your name, telephone number, Cleveland Clinic ID number (if available), and years of residency or fellowship in your email message. Your inquiry will be answered by email as soon as possible.

For information or additional questions on the FICA refund, please contact ficarefund@ccf.org.

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