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BenefitsLink Health & Welfare Plans Newsletter

July 6, 2011 Get Retirement News  |  Advertise  |  Unsubscribe  |  Past Issues  |  Search

Employee Benefits Jobs

401(k) & Vendor Relations Manager
for Sonepar USA in SC

Director of Marketing
for Diversified in ANY STATE

Client Management Consultant
for CAPTRUST Financial Advisors in NC

Relationship Manager
for Prudential in IA

Director, Client Services
for Prudential in IA

Director, Retirement Key Account Management
for Prudential in IL

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Webcasts and Conferences

401(k)Rekon Advisor Symposium-Portland
in Oregon on August 2, 2011 presented by 401k Rekon

ACOPA Actuarial Symposium
in Massachusetts on August 12, 2011 presented by ASPPA (American Society of Pension Professionals & Actuaries)

Dealing with Directed Investments, 404(c) Compliance and Participant Fee Disclosure Webcast
Nationwide on July 21, 2011 presented by ASPPA (American Society of Pension Professionals & Actuaries)


We also publish the BenefitsLink Retirement Plans Newsletter (free): Subscribe

[Guidance Overview]
CLASS Program Scheduled to Begin Operation in Fall of 2012
"Secretary Sebelius has also stated that HHS wants to make sure the Program is appealing to employers and their employees. Why? Because one of its key components is a mandate for HHS and the Department of Treasury to develop procedures under which you can automatically enroll your employees, allowing them to pay the required premium through payroll deduction." (Miller, Johnson, Snell & Cummiskey P.L.C.)

[Guidance Overview]
Employers Must Prepare to Report Health Coverage on W-2 Forms
"The mandate requires employers to report the 'total cost of all applicable employer sponsor coverage' provided to an employee, including the value of coverage provided to dependents." (Poyner Spruill LLP)

[Guidance Overview]
Medicare Part D Annual Enrollment Period Pushed Forward; Creditable Coverage Notices Will Need to Change
"[The Centers for Medicare & Medicaid Services] updated the Part D model Notices of Creditable and Non-Creditable Coverage to reflect the new Medicare annual enrollment period of October 15 through December 7 starting in 2011." (The Segal Group, Inc.)

[Guidance Overview]
Traps for the Unwary: COBRA and Retiree Medical
"Whether COBRA coverage must be offered to a terminating employee eligible for retiree medical depends on two factors: the terms of the plan under which retirees are covered and the steps an employee must take to be covered under retiree medical." (Verrill Dana, LLP)

[Guidance Overview]
TPA's Disclosure of FMLA File to Employer Was Not Subject to HIPAA Privacy Rule
"Although the TPA did not face liability under these circumstances, the case is a good reminder to exercise caution in responding to requests for employee health information, and to be mindful of which programs are and are not subject to HIPAA's privacy and security rules." (Thomson Reuters / EBIA)

[Guidance Overview]
PPACA Internal Claims Procedures for Group Health Plans Are Simplified
"In connection with the amendment, the Labor Department posted a Technical Release, which includes links to a Revised Model Notice of Adverse Benefit Determination, a Revised Model Notice of Final Internal Adverse Benefit Determination, and a Revised Model Notice of Final External Review Decision." (Deloitte via BenefitsLink.com)

HHS Gives More Guidance on Minimum Medical Loss Ratio Rule for Insured Health Plans
"FAQs on medical loss ratio (MLR) rules address how health insurers should identify claims and treat quality improvement activities and third party payments when calculating MLRs, potentially affecting rebates insurers may have to give employers." (Mercer LLC)

Sixth Circuit Upholds Health Care Reform's Individual Mandate
"With many challenges underway (including other trial court decisions, for and against constitutionality, still being appealed), we expect the constitutionality of the individual mandate to be ultimately addressed at the Supreme Court level. As the first Court of Appeals to reach the issues, this decision brings us one step closer to reaching judicial resolution." (Thomson Reuters / EBIA)

Employers Have Few Tools to Stem FMLA Abuse
"In the article, the authors advise employers on dealing with FMLA requests, intermittent leave requests in particular. While it can be difficult to both comply with the terms of the FMLA and prevent employee abuse, say the authors, there are tools available." (Vedder Price P.C.)

What Is a Mini-Med Plan?
"The federal government has identified the employers, unions, and insurers that have been granted waivers, but has not publicly released the details of the coverage people have under these plans. A little Googling, though, reveals what the coverage looks like for some of these mini-med plans that have been granted waivers." (Henry J. Kaiser Family Foundation)

National Prevention and Health Promotion Strategy Unveiled
"To increase Americans' health 'at every stage of life,' the federal government has unveiled the National Prevention and Health Promotion Strategy (NPHPS). Mandated by the health care reform law, the NPHPS shifts the focus of the US health care system from sick care to wellness and disease prevention efforts by businesses, health providers, educators, community organizations and government entities." (Mercer LLC)

Benefits in General; Executive Compensation

[Guidance Overview]
Clarifications Proposed to Mil.lion Dollar Compensation Deduction Limit
"Apparently in response to taxpayer confusion over the scope of the transition rule, the proposed regulations explicitly state that the special rule for compensation received after the end of the transition period only applies to stock options, stock appreciation rights and restricted stock (if granted during the transition period)." (McGuire Woods)

Press Releases



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