|
BenefitsLink Health & Welfare Plans Newsletter
|
|
|
|
|
[Guidance Overview]
Internal Claims and Appeals and External Review under Health Care Reform (PDF)
"The Amendments clarify that plans or insurers must provide benefits following a final external review decision without delay. A plan or insurer cannot refuse to provide benefits on the grounds that it intends to challenge the decision in court. However, a court decision contrary to the final external review decision would be a basis for not providing benefits."
(Groom Law Group)
|
|
[Guidance Overview]
Minnesota Conforms State Tax Law to Health Care Reform Changes while Wisconsin Does Not
"Employers with employees in Minnesota should review their payroll practices now that Minnesota has conformed its state law to federal tax law. More importantly, employers with employees in Wisconsin should verify that the amount being reported as taxable income for Wisconsin state income tax purposes accurately reflects Wisconsin state tax law."
(Dorsey & Whitney LLP)
|
[Guidance Overview]
Regulators Encourage Review of Small Business Health Care Tax Credit
"Small employers that pay at least half of the premiums for employee health insurance coverage under a qualifying arrangement may be eligible for the small business health care tax credit. The credit is specifically targeted to help small businesses and tax-exempt organizations that primarily employ 25 or fewer workers with average income of $50,000 or less."
(PLANSPONSOR.COM)
|
[Guidance Overview]
Proposed Regulations Implementing the Summary of Benefits and Coverage Requirement
"In the case of mid-year changes, the proposed rule requires the notice of material modifications to be provided 60 days in advance of the effective date of the change. This requirement can be satisfied either by a separate notice describing the material modification or by providing an updated SBC reflecting the modification."
(Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.)
|
[Guidance Overview]
Proposed Rule on Summary of Health Benefits and Uniform Glossary Requirements
"The proposed regulations provide that the plan administrator of a group health plan is responsible for providing an SBC to participants and beneficiaries, including enrolled employees, dependents, COBRA-qualified beneficiaries and children covered pursuant to qualified medical child support orders."
(McDermott Will & Emery)
|
|
|
ACA Reforms Could Reduce the Number of Underinsured U.S. Adults by 70 Percent
"Health reform has the potential to help by providing premium assistance and lowering out-of-pocket costs. In this study published in Health Affairs, Commonwealth Fund authors provide a baseline estimate of the number of underinsured and uninsured adults in 2010, and examine how health reform can help."
(The Commonwealth Fund)
|
U.S. Doctor Fees Major Factor in Health Costs, Study Says
"The study, being published Thursday in the journal Health Affairs, found that the incomes of primary care doctors and orthopedic surgeons were substantially higher in the United States than in other countries. Moreover, it said, the difference results mainly from higher fees, not from higher costs of the doctors' medical practice, a larger number or volume of services or higher medical school tuition."
(The New York Times; free registration required)
|
Grandfathering of Health Plans Explained
"For the provisions now in effect, the only one that grandfathered plans are exempt from that is likely to have a material effect on costs is the preventive services requirement. According to the economic impact analysis that accompanied the regulation implementing this requirement, it's projected to increase premiums in non-grandfathered employer plans by about 1 percent."
(The Henry J. Kaiser Family Foundation)
|
One Question Regarding Stress Can Help Tailor Wellness Programs
"According to a study published by the Mayo Clinic, one simple question asking employees to rate their current stress level may help identify individuals who could benefit from wellness programs to reduce stress and improve resiliency and overall health."
(PLANSPONSOR.COM)
|
|
|
Work Absences and Rheumatoid Arthritis
"Rheumatoid arthritis, estimated to affect 1.3 mil.lion adults in the United States, often results in disability and decreased work-related productivity."
(Milliman, Inc.)
|
|
|
[Opinion]
ERIC Comments on Costs to Employers to Fund Comparative Effectiveness Research (PDF)
"The comparative effectiveness research fee is assessed for seven years based on the average number of lives covered under a group health plan. In addition to paying the fee, ERIC's members will have to develop administrative systems that will enable them to determine the average number of covered lives for a variety of group health plans covering a large and dynamic work force."
(The ERISA Industry Committee)
|
|
Benefits in General; Executive Compensation
|
[Guidance Overview]
Benefits Discrimination against Same Se.x Couples Violates Equal Protection, Court Says
"The Ninth Circuit affirmed the grant of a preliminary injunction . . . against the State of Arizona, requiring it to continue to provide workers in same se.x intimate relationships the employee benefits provided to employees in opposite se.x intimate relationships. The decision, Diaz v. Brewer, blocks a state law that would have removed those benefits for same se.x couples."
(Workplace Prof Blog)
|
|
|
Build Voluntary Benefits into Workplace Strategies to Attract, Engage and Retain Generation Y
"Total rewards packages that incorporate voluntary benefits will play a key role in not only giving Gen Y workers the flexibility to balance work and life, but also the ability to build more financial security for them and their families. In addition, effective education and communication efforts will be critical components in helping Gen Y workers understand and appreciate the true value of voluntary benefits."
(Colonial Life & Accident Insurance Company)
|
The Equity Compensation Report
The NCEO has launched a newsletter focusing on equity compensation issues for companies with broad-based plans and closely held companies. The first three issues will be available at no charge to everyone through November.
(National Center for Employee Ownership)
|
|
|
|
Press Releases
|
|
BenefitsLink.com, Inc.
1298 Minnesota Avenue, Suite H
Winter Park, Florida 32789
Phone (407) 644-4146
Fax (407) 644-2151
Jeanette Hull, News Editor
David Rhett Baker, J.D., Editor and Publisher
Lois Baker, J.D., President
Holly Horton, Business Manager
Copyright © 2011 BenefitsLink.com, Inc. All rights reserved.
All materials contained in this newsletter are protected by United States copyright law and may not be reproduced, distributed, transmitted, displayed, published or broadcast without the prior written permission of BenefitsLink.com, Inc., or in the case of third party materials, the owner of that content. You may not alter or remove any trademark, copyright or other notice from copies of the content.
Links to Web sites other than those owned by BenefitsLink.com, Inc. are offered as a service to readers. The editorial staff of BenefitsLink.com, Inc. was not involved in their production and is not responsible for their content.
More useful links:
|
|