Employee Benefits Jobs
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Webcasts and Conferences
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[Guidance Overview]
Prepare Now or Be Sorry Later: The 2016 ACA Reporting Requirements
"The information needed to complete these forms includes whether the employee and dependents were offered coverage, the cost of coverage, and identifying information not only for the employee, but also for his or her dependents (Social Security number, or date of birth if the dependents' Social Security number cannot be obtained). The information must be captured and reported for each month of the calendar year."
(BakerHostetler)
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[Advert.]
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[Guidance Overview]
Student Employees and the ACA, Part 3 of 4: Can We Subsidize Student Health Insurance?
"[W]hat if a graduate student's financial aid package includes loans, scholarships, a paid graduate assistantship, and a subsidy to help pay the student health insurance premiums? In this case, the student is both an employee (by virtue of the paid graduate assistantship) and a student. Can the university take the position that the health care subsidy is being provided to the student in his capacity as a student, and is therefore not prohibited by the IRS and DOL? We would welcome additional guidance from the IRS and DOL on this issue.... [A]n award of taxable, unrestricted cash is clearly permitted and a safe solution."
(Mintz Levin)
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[Guidance Overview]
DOL Releases New FMLA Forms
"[T]he DOL declined to incorporate the GINA safe harbor language. Instead, the DOL adopted a watered-down version ... that may not provide much direction to healthcare providers.... [E]mployers should consider modifying the DOL's forms to include it in order to minimize GINA liability."
(Ballard Spahr LLP)
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State Decisions on Allowing Mid-Sized Employers to Delay a Move to the Small-Group Insurance Market
"To date, 34 states have issued guidance allowing mid-sized employers to remain in the large-group market for up to two years. Of these, Delaware, Rhode Island, and Washington, D.C., do not permit the renewal of noncompliant plans in the individual and small-group markets but are now allowing mid-sized companies to do so. Not all states will permit transitional relief for mid-sized employers. Nine states -- California, Colorado, Connecticut, Maryland, Minnesota, Nevada, New York, Vermont, and Washington -- continue to prohibit noncompliant policies across all markets, while eight states have not yet provided publicly available guidance to insurers."
(The Commonwealth Fund)
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Staples Settles After FMLA Fail
"[The DOL] announced a settlement ... with Staples Inc., with the company agreeing to pay [a] fired employee ... $275,000 in wages, benefits and damages after failing to inform him of job protections to care for his ailing wife.... [T]he company will also promote an enterprise-wide policy for compliance with the FMLA by providing training for human resources and other managerial personnel with respect to FMLA notice and eligibility requirements; post FMLA enforcement posters in the workplace; and investigate and respond to complaints of potential FMLA violations concerning an employee's notice of FMLA rights, including correcting violations when discovered."
(HRE Daily)
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How Do Health Insurer Market Concentration and Bargaining Power with Hospitals Affect Health Insurance Premiums?
"The researchers empirically examine the relationship between employer-sponsored fully-insured health insurance premiums and the level of concentration in local insurer and hospital markets ... Their study results show that that premiums are indeed higher for plans sold in markets with higher levels of concentration relevant to insurer transactions with employers, lower for plans in markets with higher levels of insurer concentration relevant to insurer bargaining with hospitals, and higher for plans in markets with higher levels of hospital market concentration."
(Robert Wood Johnson Foundation)
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The Inevitability of Health Insurance Consolidation
"Horizontal consolidation can bring administrative and efficiency benefits in the near-term, although ... some 50-60 percent of such deals end up without the 'synergies' initially envisioned.... [V]ertical deals include the more radical insurer-provider integration, as in Highmark taking over the West Penn hospital system ... and UnitedHealth Group's investment in a giant retail clinic network. Many insurers, though, are wary of becoming direct care providers ... Insurers are definitely more cautious about making that leap than health systems who are launching their own health plans."
(Healthcare Payer News)
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Medical Tourism -- Not Just Cheap Dental Care in Costa Rica
"While savings is the main driver for setting up medical tourism programs, safety and service must be the primary consideration for engaging these services. Choosing appropriate procedures to cover, using accredited and acceptable facilities, and ensuring follow-up care are just some of the things to consider. The top medical tourism facilitators work with Joint Commission International -accredited providers to ensure quality of care, and coordinate with the patient's insurance and US-based providers for a seamless transition."
(Marsh Consulting Group)
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Health Plans: A Guide to Leveraging Trends in the Post-Reform Consumer Marketplace (PDF)
16 pages. "Over the last 15 years many health plans have done B-to-B and B-to-C marketing ever since consumers started purchasing insurance online. But healthcare reform has catapulted these end-users to the forefront, and health plans are now talking directly to them, even when a broker or employer is part of the equation. That means they're putting more energy into health literacy initiatives ... and exploring new ways to attract and educate the large number of uninsured people seeking coverage[.]"
(Healthcare Trends Institute)
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Employer Costs for Employee Compensation, March 2015
"The average cost for health insurance benefits was $2.43 per hour worked in private industry (7.7 percent of total compensation) in March 2015. Among occupational groups, employer costs for health insurance benefits ranged from 89 cents per hour worked and 6.1 percent of total compensation for service workers, to $3.71 and 6.6 percent of total compensation for management, professional, and related occupations.... Employer costs for health insurance benefits were significantly higher for union workers, averaging $5.65 per hour worked (12.1 percent of total compensation), than for nonunion workers, averaging $2.11 (7.0 percent)."
(U.S. Bureau of Labor Statistics [BLS])
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Benefits in General; Executive Compensation
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SEC Proposes Pay Versus Performance Disclosures (PDF)
"Currently companies are not required to disclose the value of options or stock appreciation rights (SARs) as of the vesting date, but they do have to disclose the value of stock awards (including restricted stock) as of the vesting date in the proxy statement's ... While stock award values will not require additional calculations, companies will now be required to compute the value of vested but unexercised options on a fair value basis for this disclosure."
(Buck Consultants at Xerox)
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FASB Proposes to Simplify Accounting for Share-Based Payments
"The proposed amendments are aimed at reducing the cost and complexity of accounting for share-based payments. However, they may result in significant changes to net income and earnings per share, including the effect of the exclusion of windfall tax benefits from the hypothetical proceeds used to repurchase shares under the treasury stock method. Additionally, there may be administrative and other challenges (such as systems, processes, and controls) to implement the proposed standard for companies with significant share-based payment activities."
(PricewaterhouseCoopers)
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Press Releases
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