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March 11, 2011 Retirement Plans Newsletter  |  Advertise  |  Unsubscribe  |  Past Issues

[Guidance Overview]
Tips and Guidelines for Revising the Health Benefit Internal Claims and Appeals Process
"If internal appeals are administered in-house, consider feasibility, delegation, and contingent processes when certain employees who administer the internal appeals are absent." (McKenna Long & Aldridge LLP)


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[Guidance Overview]
Establishing an External Health Benefits Claims and Appeals Process
"Plan sponsors of fully-insured plans should confirm that the insurer will meet the new requirements for external claims procedures by the deadline. If the policy year for your insurance is different than the plan year, you should determine what date the new requirements will apply and coordinate the compliance date with your insurer." (McKenna Long & Aldridge LLP)

[Guidance Overview]
Podcast: Recovering Premium Payments from Employees After They Fail to Return from FMLA Leave
"[W]e walk employers through how they can go about collecting these premiums and under what circumstances they may do so." (Franczek Radelet P.C.)

16th Annual Towers Watson/National Business Group on Health Employer Survey on Purchasing Value in Health Care
"To help us assess emerging trends in employer-sponsored health care programs, nearly 600 survey participants provided detailed information about their health care programs, their strategies and practices, and the results of their efforts to manage health benefit costs and improve employee health." (Towers Watson)

Mercer Predicts HSA and High-Deductible Plan Limits Will Go Up
"The predicted change for HSA contributions is 1.6 percent for both individuals ($3,100 in 2012 vs. $3,050 in 2011) and family coverage ($6,250 in 2012 vs. $6,150 in 2011). For high-deductible health plans, Mercer anticipates the out-of-pocket maximum will jump 1.7 percent for both individuals ($6,050 in 2012 vs. $5,950 in 2011) and family coverage ($12,100 in 2012 vs. $11,900 in 2011)." (Workplace Management: free registration required)


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Pay or Play? How Health Care Reform Changes the Game for Employers (PDF)
"Numerous business articles, editorials, and op-eds have made [the prediction that employers will terminate their health insurance coverage for employees]. [This analysis] however, shows that employers are more likely to increase employee premiums than terminate coverage entirely." (Benefits Compliance Advisory)

51% of All Multiemployer Funds and 80% of Public Employers Offer Wellness Initiatives, According to Survey
"A news release about the International Foundation of Employee Benefit Plans . . . poll said the most common offerings among those with a wellness program are screening and treatment initiatives such as health screenings (76%), flu shot programs (73%), smoking cessation programs (67%), and health risk assessments (62%)." (PLANSPONSOR.COM)

Employers Revamping Health Programs in Anticipation of Changes, According to Study
"According to the findings of the 16th Annual Towers Watson/National Business Group on Health Employer Survey on Purchasing Value in Health Care, many employers are taking bold actions, and implementing new health benefit program changes to drive employee and provider accountability." (PLANSPONSOR.COM)

House Subcommittee Hearing Witnesses Say Health Care Reform Driving Up Employer Costs
For links to the webcast, witness statements, and the chairman's opening statement, go to http://www.edworkforce.house.gov/Calendar/EventSingle.aspx?EventID=227131. (PLANSPONSOR.COM)

McGuireWoods Healthcare Reform Guide Updates
This edition covers: Postponed Deadline for Insured Group Health Plans to Comply with Nondiscrimination Rules; Virginia Seeks Direct Review of PPACA; Florida District Court Grants Justice Department Stay on Ruling Declaring PPACA Unconstitutional; and, Progress Made Toward Repeal of New 1099 Reporting Rules, But Future Still Uncertain. (McGuireWoods LLP)

Women Feel Guilty About Work-Home Intrusion, According to Study
"Women are more affected than men by the intrusion of work into their home-life through e-mails, phone calls and texts and report higher levels of psychological distress, according to new research." (Thomson Reuters via Employee Benefit News; free registration required)

Employees Value Wellness Programs at Work (PDF)
"About two-thirds (64%) of employees surveyed by OptumHealth say their company is placing the same amount of importance today on employees taking steps to be healthy as it has in the past." (Employee Benefit News; free registration required)

A Digital Insurance Health Care Reform Handbook for Employers
"This handbook highlights the areas of health care reform that most impact employers. The guide includes some basic questions and answers to help employers prepare for the upcoming changes, take advantage of new benefits and tax credits and plan for new requirements." (Digital Insurance)

DOL Requests Comments on 'Information Collections' Required for Non-Grandfathered Group Health Plans
"The request, published on March 1, notes that these information collections are part of the 'reasonable procedures that an employee benefit plan must establish regarding the handling of a benefit claim.' They include, for example, the notice and disclosure requirements that plans must meet by providing information to participants and beneficiaries." (Faegre & Benson LLP)

Benefits in General; Executive Compensation

[Guidance Overview]
How Can SERP and Non-Qualified Plan Participants Protect Themselves Against the Loss of Benefits?
"The most straightforward strategy is to ensure or encourage the company/plan sponsor to place the plan funds in an irrevocable rabbi trust, apart from the company's general assets." (Executive Compensation Blog)

Desperate Techniques Used to Preserve the Myth of the Overcompensated Public Employee
"Efforts to roll back public sector wages and benefits and collective bargaining are under way in many states, with proponents claiming that overpaid public sector workers are a drag on state budgets. Our widely disseminated research refuting that claim has been targeted by critics. But as this paper shows, the criticisms leveled against our analyses of public employee compensation are themselves unsound. This paper responds to the criticisms that suggest our results are biased . . . ." (Economic Policy Institute)

Companies Might Rethink Benefits for Same-S.ex Spouses
"Technically, [the administration stance] means the Internal Revenue Service will still not permit the tax benefits enjoyed by opposite-se.x spouses to be available to same-s.ex spouses. And employers will still have a basis for denying access to most benefits to same-s.ex spouses." (cfo)

Job Tenure and the Effects on Benefits
"There's nothing wrong with jumping around to find a better fit, a bigger salary, a more prestigious title. But doing it too often can put your retirement -- and other benefits -- at risk. If you're one of the people who changes companies every few years . . . here are the benefits that may be affected, and what you can do to minimize the damage . . . ." (Richmond Times-Dispatch)

No Texas Lawmaker Immunity as Some Public Employee Benefits Are Cut
"[Texas state legislators] already trimmed their regular pay, in a roundabout way. Their health benefits work just like those for other state employees, which means lawmakers shoulder the same added costs and/or lowered coverages they impose on state workers. Their retirement benefits -- arguably the most lucrative benefit available to a state legislator in Texas -- probably won't change." (The New York Times; free registration required)

Congress Might Consider Worker Classification Legislation
"The Fair Playing Field Act . . . would direct the Department of the Treasury to issue regulations or other guidance to clarify the proper employment status of workers for employment tax purposes." (Towers Watson)

Press Releases

US Labor Department Obtains Judgment Requiring Repayment of $1.25 Million to Defunct Florida Home Health Care Company’s 401(k) Plan
(U.S. Department of Labor, Employee Benefits Security Administration (EBSA))

National Retirement Planning Week Kicks Off April 11
(National Retirement Planning Coalition (NRPC))

Value-Based Health Care a Work in Progress
(International Foundation of Employee Benefit Plans)

New Bill Would End FSA “Use It or Lose It” Rule
(Save Flexible Spending Plans)

Digital Insurance Health Care Reform Handbook for Employers Now Available
(Digital Insurance)


Employee Benefits Jobs

Principal Program Manager in VA for National Rural Electric Cooperative Association (NRECA)

Manager Actuarial Benefits in PA for United States Steel Corporation

Benefits Specialist in TX for Landmark Aviation

Post Your Job on EmployeeBenefitsJobs.com

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Webcasts and Conferences

"401(k) Plan Current Issues Workshop" - Houston
in Texas on April 8, 2011 presented by SunGard Relius

"401(k) Plan Current Issues Workshop" - Indianapolis
in Indiana on April 6, 2011 presented by SunGard Relius

"401(k) Plan Current Issues Workshop" - New Orleans
in Louisiana on April 7, 2011 presented by SunGard Relius

"Form 5500/EFAST 2 Workshop" - Houston
in Texas on April 7, 2011 presented by SunGard Relius

"Form 5500/EFAST 2 Workshop" - Indianapolis
in Indiana on April 5, 2011 presented by SunGard Relius

"Form 5500/EFAST 2 Workshop" - New Orleans
in Louisiana on April 6, 2011 presented by SunGard Relius

Tales from the Trenches: Benefit Administration Technology & Outsourcing
in Illinois on March 23, 2011 presented by WEB - Chicago Downtown


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