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BenefitsLink Health & Welfare Plans Newsletter
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6th Annual Obesity and Wellness Congress [Advert.]

Convening providers, payers, employers and public purchasers, the 6th Annual Obesity and Wellness Congress will discuss preventative and collaborative solutions to reverse the nationwide epidemic of obesity.
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[Guidance Overview]
Health System Settles Potential HIPAA Violations Involving Celebrities' Electronic PHI
"Although this settlement involved a health care provider, plan sponsors and business associates should recognize that PHI within their control is also potentially at risk. For example, a plan sponsor's employees with access to group health plan PHI should not be permitted to 'snoop around' in their co-workers' PHI . . . and the entity's workforce training and sanction policies should be designed to elicit compliance."
(Thomson Reuters/EBIA)
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[Guidance Overview]
NC Hospital Settles Health Benefits Suit
"N.C. Baptist Hospital will pay nearly $5.4 mil.lion to settle a federal lawsuit that accused MedCost, its group health plan, of requiring employees to pay more in fees for health benefits than other corporate clients paid."
(PLANSPONSOR.COM)
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[Guidance Overview]
Court Examines Whether COBRA's Gross Misconduct Exception Applies to Termination for Se.x Offense Conviction
"As the court points out, gross misconduct is not defined by COBRA, and the courts have not agreed on a common standard to apply in gross misconduct cases. Consequently, we continue to suggest that except for the most flagrant conduct that clearly constitutes a substantial and willful disregard of the employer's interests, denying COBRA coverage on account of gross misconduct should be avoided."
(Thomson Reuters/EBIA)
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[Guidance Overview]
No Stop-Loss Coverage for Employee Who Was Not Offered COBRA After FMLA Leave
"This case illustrates the special COBRA compliance difficulties presented by leaves of absence. As the court pointed out, the employer could have avoided its loss if it had offered the employee COBRA at the end of the FMLA leave; indeed, under the FMLA's special COBRA rules, the end of an FMLA leave is treated as the COBRA qualifying event for an employee who does not return from leave."
(Thomson Reuters/EBIA)
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Medical Plan Benefits for Physical Therapy, Kidney Dialysis, and Other Benefits in 2009
"New data on medical benefits show the similarities and differences between traditional fee-for-service health care plans and health maintenance organizations (HMOs) for a variety of benefits: physical therapy, durable medical equipment, prosthetics, organ and tissue transplantation, kidney dialysis, and diabetes care management."
(U.S. Bureau of Labor Statistics)
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Seven Steps to Making the Health Care Benefits Business Case
"The goal of any business case is to get approval in one meeting without needing to do additional research, due diligence or financials. If you make sure that you have all of these areas addressed, you'll not only look like an expert in your field but in business matters as well."
(Employee Benefit News; free registration required)
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Proposed Regulations on Consumer Operated and Oriented Plan (CO-OP) Program Issued
"HHS must award the loans and begin distributions by July 1, 2013—the preamble to the proposed regulations notes the importance of making startup funding available to CO-OPs as soon as possible and indicates that HHS intends to begin awarding loans in late 2011 or early 2012 to provide sufficient time for CO-OPs to become operational and accept enrollment during the first Exchange open enrollment period in order to compete for membership and gain the level of enrollment needed to be viable."
(Thomson Reuters/EBIA)
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[Opinion]
Are We Headed for a Government Takeover of Health Care?
"[L]ast week the Office of the Actuary in the Centers for Medicare and Medicaid Services published the latest projections of health spending in the journal Health Affairs. . . . [Numbers in the report] show the percentage of our national health care bill paid for by government growing from 45% in 2010 to a projected 49% in 2020."
(Henry J. Kaiser Family Foundation)
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Benefits in General; Executive Compensation
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Press Releases
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Holly Horton, Business Manager
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