EBIA's In Person seminars provide education on employee benefits topics to professionals, including TPAs, attorneys, benefits consultants, human resources managers, plan administrators, insurance professionals, and accountants. For information about CE credit, course materials, speakers, locations, and agenda details, and to register, please visit EBIA's In Person Seminars
Health Plan TPA Still a Fiduciary Despite Disclaimer
Excerpt: "A Pennsylvania benefit plan third-party administrator breached its fiduciary duties by overpaying three medical claims, a federal judge in New Jersey has ruled. U.S. District Judge William J. Martini of the U.S. District Court for the District of New Jersey made the ruling in a suit filed by a Jersey City, New Jersey, municipal securities brokerage firm against the TPA for its health plan. Martini rebuffed an argument by defendant Loomis Company of Wyomissing, Pennsylvania, that it was not a fiduciary . . . ."
Evidence-Based Dentistry Changing How Some Employers Offer Dental Benefits to Employees
Excerpt: "Dental coverage, traditionally a one-size-fits-all benefit, is becoming more complex. For interested employers, though, the more nuanced options may provide better prevention and related cost savings than does the cookie-cutter approach. The plan designs, which range from new covered services to better coverage of existing treatments, have emerged from an evolving body of research called evidence-based dentistry. As the field develops, one of its central tenets is risk stratification."
(Workforce Management; free registration required)
Obama's Health Care Proposal as Released by the White House, February 22, 2010
Excerpt: "The proposal President Barack Obama will bring to his Thursday health 'summit' with Congressional leaders contains many of the ideas from the bills already passed by the Democratic House and Senate, including a mandate that individuals buy insurance and a promise to 'end discrimination' from pre-existing conditions."
(Kaiser Family Foundation)
Senator Feinstein to Introduce Legislation to Curb Health Insurance Premium Hikes
Excerpt: "Feinstein to introduce legislation to curb premium hikes Sen. Dianne Feinstein (D-Calif.) announced her intentions to introduce legislation . . . to prevent insurance companies from raising their premiums unfairly. The bill would create a national Medical Insurance Rate Authority, which would regulate 'egregious premium rate increases,' according to a statement put out Friday by the senator's office."
(Capitol News Company LLC)
Obama to Urge Oversight of Health Insurers' Rate Increases
Excerpt: "President Obama will propose on Monday giving the federal government new power to block excessive rate increases by health insurance companies, as he rolls out comprehensive legislation to revamp the nation's health care system, White House officials said Sunday."
(The New York Times; free registration required)
Our Broken Health Insurance System: Insurance Companies Prosper, Families Suffer
Excerpt: "Our broken health insurance system has allowed these premium increases to occur. More than 94 percent of insurance markets in the United States are now highly concentrated./19/ Without competition, insurers have no reason to drive costs down, and without additional choices in the marketplace, consumers have no choice but to continue to pay, or lose coverage. As premiums go up in the current economic climate, more and more families are priced out of the market altogether, making a bad situation worse."
(U.S. Department of Health & Human Services)
Responsible Health Care Reform (PDF)
Pages 16-19 of 30 pages. Excerpt: "This article is the first in a four-part series about what actuaries see as ideal components of a health care reform package."
(Society of Actuaries)
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Executive Compensation; Benefits in General
Employee Benefits Update, February 2010 (PDF)
The nine-page newsletter presents select compliance deadlines and reminders; retirement plan developments; and, health and welfare plan developments, with comments from Reinhart.
(Reinhart Boerner Van Deuren s.c.)
Who is Entitled to Life Insurance Benefits and Top-Hat Benefits from an ERISA Plan Following Divorce or Marital Separation?
Excerpt: "ERISA plans generally need not follow state-court orders. On the other hand, ERISA plans must follow the designation terms of those DROs that are qualified domestic relations orders ('QDROs'). Questions have been raised about whether life insurance plans and top-hat plans (which are pension plans maintained primarily for the purpose of providing deferred compensation for a select group of management or highly compensated employees) must follow the designation terms of a DRO that 'satisfies the QDRO requirements,' but contradicts a designation made pursuant to the plan terms."
(Social Science Research Network)
Annual Statistical Supplement to the Social Security Bulletin, 2009
Excerpt: "The Supplement is a major resource for data on our nation's social insurance and welfare programs. The majority of the statistical tables present information about programs administered by the Social Security Administration -- the Old-Age, Survivors, and Disability Insurance program, known collectively as Social Security, and the Supplemental Security Income program. In addition, data are presented on the major health care programs -- Medicare and Medicaid -- and social insurance programs, including workers' compensation, unemployment insurance, temporary disability insurance, Black Lung benefits, and veterans' benefits."
(U.S. Social Security Administration)
Bipartisan Commission To Tackle Social Security and Medicare Reform Issues
Excerpt: "In the wake of the failure by Congress to agree to a binding commission to restore fiscal stability by recommending changes to Social Security, Medicare, and Medicaid, President Barack Obama has established by executive order the National Commission on Fiscal Responsibility and Reform."
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