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Generative AI and 401(k) Plan Fiduciary Implications
Foley & Lardner LLP Link to more items from this source
Apr. 18, 2024

"While AI excels at analyzing historical data and identifying patterns, it may struggle to adapt to sudden changes or “black swan” events, leaving fiduciaries vulnerable to unexpected losses. ... When data is limited, outdated, or biased, or where AI systems inadvertently perpetuate or amplify existing biases present in the data used for training, AI systems may produce unreliable or biased outcomes, skewed investment recommendations, and unequal treatment of plan participants, leading to suboptimal investment decisions. Fiduciaries must exercise caution when relying on AI-generated recommendations and ensure that algorithms are trained on comprehensive and accurate data."

Tags: AI  •  Fiduciary Duties  •  Retirement Plan Investments

IRS Provides Guidance for 2024 Beneficiary RMDs
Thomson Reuters Practical Law Link to more items from this source
[Guidance Overview]
Apr. 18, 2024

"[B]eneficiaries subject to the ten-year rule have another year of further relief for owners who died in 2020, 2021, 2022 or 2023 or after the owner's RBD.... Notice 2024-35 extends prior relief in Notices 2023-54 and Notice 2022-53 for another year."

Tags: Required Minimum Distributions (RMDs)  •  SECURE 2.0

Why Won't Health Insurance Companies Pay for New Drugs?
RAND Corporation Link to more items from this source
[Opinion]
Apr. 18, 2024

"The FDA is prioritizing listening to patients by approving treatments quickly -- and in spite of the insurer backlash against accelerated approvals.... The major issue for insurers is cost. Insurers resent that drug companies can charge full price for a treatment that may or may not work.... Instead of refusing to cover a new drug, CMS and other insurers could condition the price they pay for a certain drug on its ability to achieve specific outcomes, including outcomes that are important to patients."

Tags: Health Plan Design  •  Medicare  •  Prescription Drug Costs

EHB Changes in CMS Final 2025 NBPP Could Affect Large Group Health Plan Prescription Coverage
Willis Towers Watson Link to more items from this source
[Guidance Overview]
Apr. 18, 2024

"[T]he departments ... intend to propose rulemaking that would align the standards that apply to large and self-insured group health plans with those that apply to individual and small group market plans ... If all prescription drugs covered by a plan are eventually considered EHBs, then a large or self-insured group health plan could not impose annual or lifetime dollar limits on those drugs. This could be an issue for certain high-cost drugs ... [and] if there would no longer be a way to define a covered drug as a 'non-EHB,' then some copay accumulator or maximizer programs may no longer be available for employers to use."

Tags: Health Plan Costs  •  Health Plan Design  •  Prescription Drug Costs

Fifth Circuit Revives ERISA Imprudence Lawsuit Over Investments and Recordkeeping Fees
Roberts Disability Law Link to more items from this source
Apr. 18, 2024

"Though the Committee offered one plausible explanation for United's decision to include retail shares, the court found that another plausible explanation is that the Committee included retail shares in the Plan due to mismanagement. The court concluded that Defendants failed to refute Plaintiffs' allegations about the more expensive retail shares and that Plaintiffs sufficiently allege a plausible breach of the duty of prudence." [Perkins v. United Surgical Partners International, Inc., No. 23-10375 (5th Cir. Apr. 11, 2024; unpub.)]

Tags: Retirement Plan Investment Costs

DOL Asks for Budget Increase to Implement SECURE 2.0
PLANSPONSOR; free registration may be required Link to more items from this source
Apr. 18, 2024

"The DOL requested a $13.9 billion total budget for 2025, an increase from $13.6 billion in 2024. [EBSA] would receive $205.7 million under the proposed budget for the fiscal year that begins on October 1, an increase from $191.1 million, with $4.7 million set aside for implementing provisions from the SECURE 2.0 Act of 2022. The [PBGC] would receive $514.1 million in general administrative funding, up from $512.9 million."

Tags: Fiduciary Duties  •  Retirement Plan Policy

Agencies Revise Notice for Fixed Indemnity Insurance
The Wagner Law Group Link to more items from this source
[Guidance Overview]
Apr. 18, 2024

"The final rules revise the consumer notice that is currently required for fixed indemnity excepted benefits coverage in the individual market and establish a new requirement to provide a consumer notice in the group market. Plans and issuers must prominently display the notice in marketing, application, enrollment, and reenrollment materials."

Tags: Health Plan Administration

DOL Finalizes Changes to the QPAM Exemption: What Investment Managers Need to Know
Faegre Drinker Link to more items from this source
[Guidance Overview]
Apr. 18, 2024

"The final amendment continues to restrict the planning, negotiation and initiation of transactions by parties-in-interest, which may create practical questions and challenges in certain contexts.... There is a new requirement to maintain certain records, and to disclose information upon an investor's request.... There is a new requirement to provide email notifications to the DOL where the QPAM will be relied upon by firms."

Tags: Fiduciary Duties  •  Retirement Plan Investments

IRS Announces Relief for Certain 2024 Beneficiary Distributions
Convergent Retirement Plan Solutions, LLC Link to more items from this source
[Guidance Overview]
Apr. 18, 2024

"[Notice 2024-35 provides] exemption from the excess accumulation penalty for [1] beneficiaries who are subject to the 10-Year Rule in scenarios where an IRA owner and plan participant dies on/after their required beginning date in 2020, 2021, 2022 and 2023, and [2] successor beneficiaries who are required to take annual distributions in addition to depleting the account with 10 years following the death of the Eligible Designated Beneficiary. The relief is applicable to beneficiary RMDs for calendar years 2021, 2022, 2023 and 2024."

Tags: Required Minimum Distributions (RMDs)  •  SECURE 2.0

IRS FAQs Address Tax Treatment of Work-Life Referral Services
Thomson Reuters / EBIA Link to more items from this source
[Guidance Overview]
Apr. 18, 2024

"The IRS appears to take the position that work-life referral service benefits are treated as de minimis fringe benefits because they are used infrequently by employees and only when an employee faces one of the challenges the programs are designed to address.... [T]he IRS will not rely on [these FAQs] to resolve a case, and also warns that if an FAQ provides an inaccurate statement of the law, the law will control."

Tags: Misc. Benefits

Changes to Oregon Family Leave Act Effective July 1
Sequoia Link to more items from this source
[Guidance Overview]
Apr. 18, 2024

"[Paid Leave Oregon (PLO)] and [Oregon Family Leave Act (OLFA)] no longer run concurrently ... Employees must be permitted to use accrued leave ... New OFLA definition of 'one-year period."

Tags: FMLA and Other Leave  •  Local Regulation

Massachusetts District Court Grants Motion to Dismiss 401(k) Fiduciary Breach and Prohibited Transaction Claims
Proskauer Link to more items from this source
Apr. 18, 2024

"[T]he court concluded that the allegations either failed to compare the funds' performance and fees to 'meaningful benchmarks,' failed to otherwise support an inference of fiduciary breach, or were conclusory.... Lastly, the court rejected plaintiff's imprudence claims based on the plan's recordkeeping fees as lacking allegations that the fees were excessive relative to the services provided to the plan." [Lalonde v. Massachusetts Mutual Ins. Co., No. 22-30147 (D. Mass. Mar. 29, 2024)]

Tags: 401(k) Plans  •  Fiduciary Duties  •  Retirement Plan Investments

Financial Fragility, Financial Resilience, and Pension Distributions (PDF)
TIAA Link to more items from this source
Apr. 18, 2024

"The average household's financial resilience remained quite stable during the pandemic. More financially resilient households were less likely to be financially fragile. Resilient households were more likely to take their pension account payouts as retirement annuities, instead of lump sums. Greater financial literacy was associated with better information about one's pension plan and pension plan payout choices."

Tags: Retirement Plan Administration  •  Retirement Plan Design

Maine Paid Leave Insurance Fund Contributions to Begin in 2025, Rulemaking Process Imminent
Ogletree Deakins Link to more items from this source
[Guidance Overview]
Apr. 18, 2024

"Employer contributions to Maine's Paid Family and Medical Leave Insurance Fund are set to begin on January 1, 2025. The Maine [DOL] is expected to begin the rulemaking process in spring 2024. The state has given itself a deadline of January 1, 2025, to adopt final rules implementing the program."

Tags: FMLA and Other Leave  •  Local Regulation

Cook County Paid Leave Ordinance Updates
Franczek P.C. Link to more items from this source
[Guidance Overview]
Apr. 18, 2024

"The new amendment, effective immediately, postpones the implementation of the Ordinance for public school districts and park districts until January 1, 2025. The new rules clarify certain employee rights and employer responsibilities under the Ordinance. The County is also contemplating issuance of additional procedural rules governing park districts and school districts."

Tags: FMLA and Other Leave  •  Local Regulation

A Close Look at ERISA 403(b) Plans, 2020 (PDF)
BrightScope and Investment Company Institute [ICI] Link to more items from this source
Apr. 18, 2024

68 pages. "In 2020, more than four-fifths of large ERISA 403(b) plans covering more than three-quarters of large ERISA 403(b) plan participants had employer contributions.... Among large ERISA 403(b) plans with employer contributions in 2020, 35 percent had automatic employer contributions, 58 percent had simple matches, and 14 percent had both of these features.... 64 percent of large ERISA 403(b) plans had participant loans outstanding, ... Mutual funds were the most common investment vehicle ... with 66 percent of large ERISA 403(b) plan assets in 2020. Fixed annuities held 16 percent of assets, and variable annuities held 18 percent"

Tags: 403(b) Plans and Annuities  •  Retirement Plan Design

Financial Literacy and Retirement Fluency (PDF)
TIAA Link to more items from this source
Apr. 18, 2024

35 pages. "U.S. adults correctly answered only 48% of the 28 index questions in 2024, on average. This figure has hovered around the 50% mark since the inaugural 2017 survey.... Twenty-six percent of those who correctly answered 4 or 5 questions are very confident they will have enough money to live comfortably throughout retirement; 7% are not at all confident. These figures are essentially flipped among those who did not correctly answer any of the questions -- 10% are very confident and 29% are not at all confident."

Tags: Retirement Plan Administration

Analysis of the Impact on Health Insurance Premiums of Provider Markups on Specialty Drugs (PDF)
America's Health Insurance Plans [AHIP] Link to more items from this source
Apr. 18, 2024

12 pages. "Consumers and employers will pay on average $50 more for single coverage and $175 more for family coverage in premiums in 2024 due to the markups charged by providers to supply specialty drugs that could have been supplied by a specialty pharmacy. The total value of health insurance premiums and premium equivalents that could have been saved if providers charged the same price for specialty drugs as those available from specialty pharmacies would be as much as $13.1 billion in 2024."

Tags: Prescription Drug Costs

The Impact of Telemedicine on Utilization, Spending, and Quality, 2019–22
Health Affairs Forefront Link to more items from this source
Apr. 18, 2024

"A major impediment to long-term coverage of telemedicine has been concerns that it will increase spending or hurt quality.... [The authors] compared changes between 2019 and 2021-22 in utilization, spending, and quality for patients receiving care from health systems that used telemedicine at higher or lower rates."

Tags: Health Plan Costs  •  Health Plan Design

Vermont, Colorado to Partner on VT Saves
American Retirement Association [ARA] Link to more items from this source
Apr. 18, 2024

"Vermont officials say they expect that the partnership with Colorado will result in greater total assets under management, which in tun would lead to economies of scale and reduced costs -- and therefore higher returns."

Tags: Local Regulation  •  Retirement Plan Design

ICHRA/QSEHRA Considerations for Health Plans in 2025 (PDF)
Wakely Consulting Group Link to more items from this source
Apr. 18, 2024

"While still evolving, ICHRAs and QSEHRAs hold significant potential to impact the individual and small group market, warranting consideration by health plan actuaries involved in product development and pricing strategies."

Tags: HRAs  •  Health Plan Costs  •  Health Plan Design

What Can Employers Do to Address Health Inequities?
Brown & Brown, Inc. Link to more items from this source
Apr. 18, 2024

"Collect data to understand needs within the population... Evaluate and enhance benefit design to prevent inequities... Communicate, educate and lead with a health equity lens."

Tags: Health Plan Administration  •  Health Plan Design

IRS Waives 2024 RMDs for IRA Beneficiaries Subject to the 10-Year Rule
Slott Report Link to more items from this source
[Guidance Overview]
Apr. 17, 2024

"[Notice 2024-35] adds another year of relief by waiving 2024 annual RMDs for beneficiaries of IRA owners who died in 2020, 2021 or 2022 after the RBD. It also excuses 2024 RMDs within the 10-year period for beneficiaries of owners who died in 2023 after the RBD."

Tags: Required Minimum Distributions (RMDs)  •  SECURE 2.0

Ninth Circuit Clarifies Pleading Standard for MHPAEA Violations
Kantor & Kantor Link to more items from this source
Apr. 17, 2024

"The court began by clarifying that Ryan did not need to allege a categorical denial practice, or the 'uniform denial of his benefits,' which the district court appeared to require. Simply handling MH/SUD claims more stringently constitutes a Parity Act violation, regardless of whether it leads to uniform denial decisions. The Ninth Circuit further held that Parity Act claimants need not 'identify an analogous category of claims with precision.' " [Ryan S. v. UnitedHealth Group, Inc., No. 22-55761 (9th Cir. Apr. 11, 2024)]

Tags: Health Plan Administration  •  MHPAEA

DOL Asks Plan Administrators to Provide Participant Data for Lost and Found
planadviser Link to more items from this source
[Guidance Overview]
Apr. 17, 2024

"The [DOL] is asking plans to provide the following for vested separated participants: names and Social Security numbers, contact information, mailing address, and whether they have received an involuntary distribution already. The DOL also asked plans to indicate if a participant has been unresponsive to contact and to provide information on their designated beneficiaries, as well as the nature and amount of the benefit to which they are entitled. Administrators would provide this information to the DOL as an attachment to their Form 5500 filings."

Tags: Retirement Plan Administration  •  SECURE 2.0

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