Healthcare Provider Update: Healthcare Provider for Merck Merck & Co., Inc., commonly known as Merck, is a global leader in the healthcare sector, renowned for its innovative pharmaceuticals, vaccines, and biologic therapies. As a prominent healthcare provider, Merck delivers a wide array of health solutions targeting various health conditions, particularly in areas such as immunology, oncology, and infectious diseases. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are projected to rise significantly, primarily driven by the anticipated expiration of enhanced federal premium subsidies associated with the Affordable Care Act (ACA) and growing medical expenses. Faced with an average premium increase of 18%, healthcare consumers may experience out-of-pocket costs climbing by over 75%. This situation is exacerbated by surging medical care prices, as hospitals and providers seek to balance inflationary pressures while maintaining profitability. As a result, many individuals may find themselves priced out of adequate health coverage, prompting essential discussions on the need for policy interventions. Click here to learn more
What Is an Offshore Trust?
Many of our Merck clients have been curious to know more about offshore trusts. An offshore trust (sometimes called a foreign trust) is a trust that is established in a country other than the United States. Most people set up an offshore trust to try to protect their assets against present or future creditors. Typically, the trust will be set up in a country that does not recognize judgments from U.S. courts. Many people also look for countries that have a more protective (for the debtor) statute of fraudulent conveyances.
Now, some of our Merck clients may be wondering — What is a fraudulent conveyance? A fraudulent conveyance is the transfer of an asset with the intent to hinder, delay, or defraud creditors. Each state in the United States has a statute of limitations within which a creditor or bankruptcy trustee can void the transfer. Most of the foreign countries in which these offshore trusts are set up have either a very short statute of limitations for fraudulent transfers or no statute of limitations at all. Some of the more popular countries that financial and estate planners use are the Bahamas, the Cayman Islands, Bermuda, Belize, Jersey, Liechtenstein, and the Cook Islands.
Therefore, it may be very difficult for either a creditor or a bankruptcy trustee to make a claim against the assets in one of these offshore trusts. To attack the assets in an offshore trust, the creditor or bankruptcy trustee usually must bring a separate action within the country where the trust is established. Litigating in a foreign country can be extremely costly and time-consuming. There can be substantial discovery costs, large travel and communication expenses, expensive local attorneys, and other costs not associated with trying a case in the United States.
Many of these foreign countries also allow the formation of self-settled trusts with spendthrift provisions. This means that the grantor of the trust (the individual who creates the trust) can protect the assets against creditors and still retain a beneficial interest in the trust. If at some point in the future you need either trust principal or income, the trustee can be authorized in the trust document to make these distributions to you. Of course, there are significant costs and tradeoffs to setting up an offshore trust.
The cost of setting up these trusts can be significantly higher than for trusts in the United States. Local attorneys in the country where the trust is located usually have to be hired to draft the trusts. A foreign custodian may be needed to physically hold the assets, an investment manager may be needed to invest the assets, a U.S. attorney will have to be hired, and you may need a U.S. agent for tax reasons. You may also have to travel to the country to sign all the necessary documents. Furthermore, there may be substantial annual fees to maintain the trust in a foreign country.
Another tradeoff to setting up an offshore trust is that you will usually have to name an independent foreign person or entity (a trust company, for example) as the trustee of the trust. In almost all cases, the foreign trustee will then be given exclusive control over the assets in the trust. Giving up control over the trust makes many people uneasy, especially when the trust, trustee, and assets are all domiciled in a foreign country far from the United States.
In addition to a trustee, some people will appoint a protector--essentially a committee of one or more persons who will have the power to direct the distribution of assets from the trust or to change the trustee. If you, as the creator of the trust, retain some control over the assets in the trust, you run the risk that a court or bankruptcy trustee in the United States could order you to exercise your right under the trust document and transfer assets back to the United States to satisfy a judgment or creditor. This result would negate the purpose of setting up a foreign trust.
In addition to the cost and difficulty in setting up an offshore trust, it's also important that these Merck clients are aware that there can also be significant tax complications. For U.S. income tax purposes, almost all these offshore trusts are considered grantor trusts. This designation means that you, as the creator of the trust, must report all income that the trust generates on your income tax return, whether or not it is distributed to you. Furthermore, under Internal Revenue Service (IRS) rules, if you are a U.S. citizen, you must report all income that you earn anywhere in the world, including income from one of these offshore trusts.
The trust cannot be used to shelter income from U.S. taxes. Most of these offshore trusts are also set up to avoid gift taxes when transfers are made to the trust. As a result, when you die, the full value of the assets in the trust will have to be included in your gross estate for estate tax purposes. For these reasons, an offshore trust does not offer income or estate tax benefits to the grantor.
Caution: Furthermore, we'd like our clients from Merck to know that in recent years, the IRS has enacted complex rules to discourage U.S. citizens from setting up these offshore trusts. In certain cases, you may have to report a taxable gain when you transfer appreciated property to the offshore trust. You must also report to the IRS the creation of an offshore trust, the transfer of any assets to an offshore trust, and the death of the grantor of an offshore trust. There are stiff penalties if you fail to report any of these occurrences. After you die, any distributions to beneficiaries of the trust will be considered foreign capital gain, which is taxed as ordinary income. In conclusion, there are no income or estate tax benefits to setting up an offshore trust. In fact, there may be added income and estate tax liabilities and other significant costs to establishing one of these trusts.
How Are Offshore Trusts Governed?
Offshore Trust Must Be Set Up In Accordance With the Laws of the Country i n Which the Trust Is Established
To set up an offshore trust, you must comply with the laws of the country in which the trust is established. In almost all cases, these Merck clients will need to hire an attorney in that country who has experience in drafting an offshore trust document. The attorney will not only draft all the necessary documents, but should also render an opinion that the trust is a valid one, is protected from your creditors, and is not subject to local taxation. The local attorney will also usually verify that all local legal requirements have been met.
Example(s): After consultation with your financial planner and estate planning attorney in the United States, you decide that you would like to set up a trust in a foreign country. Your attorney recommends setting one up in Belize. You will need to hire an attorney in that country who has experience in drafting this type of trust document. You will most likely have to go to Belize to sign all the necessary documents.
Foreign Trustee Must Be Selected
These Merck employees must select a trustee in the country in which the trust is established. Typically, the trustee will be a bank or trust company that has experience handling these types of trusts. In some cases, an individual (usually the attorney who drafted the trust) may be named as trustee. Some people may be very uneasy about giving exclusive power over the trust assets to a foreign trustee. To allay this concern, most countries allow the appointment of a protector (or protectorate). A protector is a committee of one or more persons who are given the power to distribute the assets in the trust, change the trustee, or even move the trust to another country.
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Caution: It's important that these Merck employees keep in mind that U.S. citizens should not be named as protectors. Otherwise, a U.S. court or bankruptcy trustee may order the protector to transfer assets back to the United States. For the same reason, the grantor should not be named as a protector.
Foreign Custodian Must Be Selected
In addition to having a trustee in the foreign country, these Merck clients may also have to select a custodian who will actually hold the assets in the trust. With many offshore trusts, the assets may actually be held by a custodian in a different country than the domicile of the trust. Typically, the assets will be held in one of the traditional banking centers such as London, Geneva, or Zurich. A bank, trust company, or independent custodian may actually hold the assets. If the assets are to be actively managed, then you may also have to hire a foreign money manager to invest the assets for you.
Example(s): After establishing your offshore trust in Belize, you decide that a custodian located in Geneva, Switzerland, will actually hold the assets that you have transferred to the trust. You have selected one of the large, established banks in Switzerland to be the custodian. The bank, in turn, retains a professional money manager located in Geneva to invest the assets in the trust.
U.S. Advisors May Have to Be Hired
These Merck clients may also have to hire attorneys, accountants, and agents in the United States to help them with an offshore trust. An estate planning attorney may be needed in the United States to coordinate the offshore trust with your entire estate plan and help you transfer assets overseas. A tax attorney or tax accountant may be needed to file tax returns and handle other tax matters for the trust. Finally, an agent in the United States may have to be appointed for certain income tax purposes.
Grantor Must Represent That a Transfer Into a Trust Is Not a Fraudulent Transfer
Nearly all the foreign countries that allow the formation of these trusts require that the creator of the trust represent that the transfer of an asset to the trust is not a fraudulent transfer. In other words, the countries want some assurance that the purpose of the trust is not to defraud your existing creditors.
Example(s): You have been sued by one of your business partners, who has obtained a judgment against you for $3 million. You immediately try to set up an offshore trust to which you plan to transfer all of your assets to protect them from your judgment creditor. However, the foreign country where the trust is located requires you to sign a representation that the transfer of assets to an asset protection trust is not a fraudulent transfer. In this case, you could not truthfully sign such a representation. However, if you had set up and transferred assets to the offshore trust many years earlier, then the assets would most likely be protected from the judgment creditor.
Why Use an Offshore Trust?
Offshore Trust May Protect Assets from Creditors
Some of our Merck clients may be wondering why people use offshore trusts. The only reason most people set up a trust in another country is to protect their assets from a judgment creditor or in case of personal bankruptcy. In many instances, a trust set up in a foreign country can provide a substantial barrier against the collection of debt by a creditor in the United States.
As noted, these types of trusts are established in countries that do not recognize judgments from U.S. courts. To make a claim against the assets, your creditor would have to file a legal action against you in the country where the trust is located. There may be substantial barriers and costs to bringing a lawsuit in a distant country. Even a bankruptcy trustee in the United States may be powerless to collect assets in the trust.
Many Foreign Countries Have Debtor-Friendly Fraudulent Conveyance Laws
In the United States, most states have fraudulent conveyance laws where a transfer can be set aside and the asset claimed by a creditor. Most states usually have a fairly long statute of limitations within which a creditor may make a claim that a fraudulent transfer has taken place. However, most of the foreign countries have either a very short statute of limitations or no statute of limitations at all. Therefore, if you are concerned that you may be subject to a lawsuit in the future, you may want to transfer assets to one of these offshore trusts.
Many Foreign Countries Have Strict Secrecy and Confidentiality Laws
Many of the foreign countries where offshore trusts are established have strict secrecy and confidentiality laws. If one of your creditors tried to obtain information about the trust, local laws would almost certainly forbid the trustee from disclosing any information about the trust. In contrast, in the United States, once a lawsuit has been filed, an individual may have a much easier time obtaining information about the trust or the assets in the trust.
Disgruntled Heirs May Have a More Difficult Time Challenging Offshore Trusts
If one of your disgruntled heirs tries to challenge the soundness of your mind when you created the offshore trust, he or she may have a more difficult time succeeding than if the trust were set up in the United States. To prove that you were not of sound mind, a disgruntled heir would have to bring an action in that foreign country. They would have to hire an attorney in that country, transport witnesses to that country, and incur other substantial expenses. In some countries, you even have to post a bond to cover court costs before an action can be commenced.
Furthermore, many offshore trusts can be drafted so that the trust and the trust assets can be moved to another country on short notice. If it appeared that one of your expectant heirs might be successful in his or her attack, you could simply switch the trust to another country and force your expectant heir to chase you there. In contrast, a disgruntled heir may have an easier time in the United States challenging your mental state at the time you created a trust. If successful, your heir could force a trust established in the United States to be dissolved.
How does Merck's new retirement benefits program support long-term financial security for employees, particularly regarding the changes to the pension and savings plans introduced in 2013? Can you elaborate on how Merck's commitment to these plans is designed to help employees plan for retirement effectively?
Merck's New Retirement Benefits Program: Starting in 2013, Merck introduced a comprehensive retirement benefits program aimed at providing all eligible employees, irrespective of their legacy company, uniform benefits. This initiative supports Merck's commitment to financial security by integrating pension plans, savings plans, and retiree medical coverage. This approach not only aims to help employees plan effectively for retirement but also aligns with Merck’s post-merger goal of standardizing benefits across the board.
What are the key differences between the legacy pension benefits offered by Merck before 2013 and the new cash balance formula implemented in the current retirement program? In what ways do these changes reflect Merck's broader goal of harmonizing benefits across various employee groups?
Differences in Pension Formulas: Before 2013, Merck calculated pensions using a final average pay formula which typically favored longer-term, older employees. The new scheme introduced a cash balance formula, reflecting a shift towards a more uniform accumulation of retirement benefits throughout an employee's career. This change was part of Merck's broader strategy to harmonize benefits across various employee groups, making it easier for employees to understand and track their pension growth.
In terms of eligibility, how have Merck's pension and savings plans adjusted for years of service and age of retirement since the introduction of the new program? Can you explain how these adjustments might affect employees nearing retirement age compared to newer employees at Merck?
Adjustments in Eligibility: The new retirement program revised eligibility criteria for pension and savings plans to accommodate a wider range of employees. Notably, the pension benefits under the new program are designed to be at least equal to the prior benefits for services rendered until the end of 2019, provided employees contribute a minimum of 6% to the savings plan. This adjustment aids both long-term employees and those newer to the company by offering equitable benefits.
Can you describe the transition provisions that apply to legacy Merck employees hired before January 1, 2013? How does Merck plan to ensure that these provisions protect employees from potential reductions in retirement benefits during the transition period?
Transition Provisions for Legacy Employees: For employees who were part of legacy Merck plans before January 1, 2013, Merck established transition provisions that allow them to earn retirement income benefits at least equal to their current pension and savings plan benefits through December 31, 2019. This ensures that these employees do not suffer a reduction in benefits during the transition period, offering a sense of security as they adapt to the new program.
How does employee contribution to the retirement savings plan affect the overall retirement benefits that Merck provides? Can you discuss the implications of Merck's matching contributions for employees who maximize their savings under the new retirement benefits structure?
Impact of Employee Contribution to Retirement Savings: In the new program, Merck encourages personal contributions to the retirement savings plan by matching up to 6% of employee contributions. This mutual contribution strategy enhances the overall retirement benefits, incentivizing employees to maximize their savings for a more robust financial future post-retirement.
What role does Merck's Financial Planning Benefit, offered through Ernst & Young, play in assisting employees with their retirement planning? Can you highlight how engaging with this benefit changes the financial landscapes for employees approaching retirement?
Role of Merck’s Financial Planning Benefit: Offered through Ernst & Young, this benefit plays a critical role in assisting Merck employees with retirement planning. It provides personalized financial planning services, helping employees understand and optimize their benefits under the new retirement framework. Engaging with this service can significantly alter an employee’s financial landscape by providing expert guidance tailored to individual retirement goals.
How should employees evaluate their options for retiree medical coverage under the new program compared to previous offerings? What considerations should be taken into account regarding the potential costs and benefits of the retiree medical plan provided by Merck?
Options for Retiree Medical Coverage: With the new program, employees must evaluate both subsidized and unsubsidized retiree medical coverage options based on their age, service length, and retirement needs. The program offers different levels of company support depending on these factors, making it crucial for employees to understand the potential costs and benefits to choose the best option for their circumstances.
In what ways does the introduction of voluntary, unsubsidized dental coverage through MetLife modify the previous dental benefits structure for Merck retirees? Can you detail how these changes promote cost efficiency while still providing valuable options for employees?
Introduction of Voluntary Dental Coverage: Starting January 2013, Merck shifted from sponsored to voluntary, unsubsidized dental coverage through MetLife for retirees. This change aligns with Merck’s strategy to promote cost efficiency while still providing valuable dental care options, allowing retirees to choose plans that best meet their needs without company subsidy.
How can employees actively engage with Merck's resources to maximize their retirement benefits? What specific tools or platforms are recommended for employees to track their savings and retirement progress effectively within the new benefits framework?
Engaging with Merck’s Retirement Resources: Merck provides various tools and platforms for employees to effectively manage and track their retirement savings and benefits. Employees are encouraged to utilize resources like the Merck Financial Planning Benefit and online benefit portals to make informed decisions and maximize their retirement outcomes.
For employees seeking additional information about the retirement benefits program, what are the best ways to contact Merck? Can you provide details on whom to reach out to, including any relevant phone numbers or online resources offered by Merck for inquiries related to the retirement plans?
Contacting Merck for Retirement Plan Information: Employees seeking more information about their retirement benefits can contact Merck through dedicated phone lines provided in the benefits documentation or by accessing detailed plan information online through Merck's official benefits portal. This ensures employees have ready access to assistance and comprehensive details regarding their retirement planning options.