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Employer Groups See Mixed Bag in EEOC Wellness Plan Ruling
"Orion won on the voluntary standard issue, but there should be a concern about the court's application of the safe harbor provision in the Americans with Disabilities Act ... Employers have taken a position that the safe harbor applies and the court essentially ruled that out in this case, she said. The deference the court is giving to the safe harbor provision isn't what employers were hoping for[.] ... Some employer groups see this as a win for their side. The Orion decision is a 'very strong rebuttal' to the EEOC's final regulation that the limited incentives that employers can provide to participants in wellness plans can't go over 30 percent, Mark Wilson, chief economist at the HR Policy Association in Washington, told Bloomberg BNA[.]"
Bloomberg BNA
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Court Finds Employer, Not Group Life Insurer, Liable for $314,000 Death Benefit
"The court ultimately ruled in favor of the plaintiffs, finding that the employer had breached its fiduciary duty by administering the plan in a way that allowed the employee to believe incorrectly that a certain level of life insurance coverage was in place. As a result, the court ordered the employer, and not the insurer, to pay $314,000, the amount of the supplemental coverage." [Van Loo v. Cajun Operating Co. dba Church's Chicken, No. 14-10604 (E.D. Mich June 6, 2016)]
The Wagner Law Group
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More Cities Enact Paid Sick Leave Laws
"Over the last 10 years, more than 30 state and local laws have been enacted mandating that employers provide paid sick leave. In response to this trend, 14 states have enacted statewide bans on paid sick leave mandates. Varying requirements from jurisdiction to jurisdiction are making administration of leave programs increasingly complex for multistate employers."
Willis Towers Watson
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Medicare Advantage Premiums Remain Stable in 2017; Beneficiaries Have Saved Over $23.5 Billion on Prescription Drugs
"CMS estimates that the average Medicare Advantage monthly premium will decrease by $1.19 (about 4 percent) in 2017, from $32.59 on average in 2016 to $31.40. This would be 13 percent lower than the average Medicare Advantage premium prior to passage of the [ACA].... Since the enactment of the [ACA] ... more than 11 million seniors and people with disabilities have received savings and discounts in the coverage gap of over $23.5 billion on prescription drugs, an average of $2,127 per beneficiary[.]"
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
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[Advert.]
Is Your Wellness Program Ready for 2017?

September 29 webinar. We will attempt to reconcile differences in the regulations under the ADA, GINA and HIPAA, with the goal of identifying changes that should be implemented no later than plan years beginning on January 1, 2017.
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House v. Burwell and Qualified Health Plan Insurers for 2017
"If the House ultimately prevails in this litigation, funding for reimbursing insurers for reducing cost sharing for their eligible enrollees could be terminated. A House victory would not, however, terminate the obligation of QHP insurers to reduce cost sharing, which would leave the insurers with substantial obligations not covered by their premiums."
Timothy Jost, in Health Affairs
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[Opinion]
American Academy of Actuaries Letter to Congress on Adverse Consequences of Weakening the ACA's Individual Mandate (PDF)
"The individual mandate is an integral component of the law, especially given its provisions that prohibit insurers from denying coverage or charging higher premiums based on pre-existing health conditions. Weakening the mandate, by lowering financial penalties or exempting particular categories of individuals from its requirements, would likely have significant implications for health insurance coverage and costs both to consumers and the federal government."
American Academy of Actuaries
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Benefits in General
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Executive Compensation and Nonqualified Plans
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Preparing for the 2017 Proxy Season, Part 2
"[T]ips and reminders for 2017 proxy season[:] [1] Determine whether any special reporting rules or exceptions apply to the company.... [2] Address non-employee director compensation best practices.... [3] Determine whether the company needs to amend its LTIP/Stock or Cash Incentive Plans to satisfy the periodic shareholder approval requirements (generally, every five years) of Code Section 162(m) or to add shares to the authorized share pool.... [4] Review ISS/Glass Lewis report and [Shareholder Say on Pay (SSOP)] voting results from 2016; ... [5] Depending on SSOP frequency (every one, two, or three years), include SSOP proposal in 2017 ... Disclose in the CD&A the extent to which the Compensation Committee considered the results of previous SSOP votes." [Article includes 9 more.]
Winston & Strawn LLP
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David Rhett Baker, J.D., Editor and Publisher
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BenefitsLink Health & Welfare Plans Newsletter, ISSN no. 1536-9595. Copyright 2016 BenefitsLink.com, Inc. All materials
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