Health & Welfare Plans Newsletter

July 3, 2017 logo logo
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Employee Benefits Jobs

Webcasts and Conferences

FMLA Certifications: How To Get The Medical Information You Need To Designate Leave And Decrease Abuse
July 19, 2017 WEBCAST

Employer Benefit Plan Design Evolution: The Alliance Annual Benefits Roundtable
July 25, 2017 WEBCAST
The Alliance

Is an ESOP Right for You?
July 25, 2017 WEBCAST
National Center for Employee Ownership [NCEO]

Segregating Accounts
August 24, 2017 WEBCAST
ESOP Association

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[Guidance Overview]

New York Employers Can Begin Payroll Deductions for Paid Family Leave as of July 1
"[B]eginning July 1, 2017, employers may begin making deductions from employee payroll to fund PFL benefits and related insurance premiums. Because PFL benefits will be funded exclusively through employee contributions, the goal is to ensure that there will be a sufficient pool of funds collected to begin to provide PFL benefits by the effective date of January 1, 2018."
Chiesa Shahinian & Giantomasi PC


Using Mobile, On-Site and Remote Medical Providers to Reduce Health Care Costs

Sponsored by Lorman and BenefitsLink

July 18 webinar. On-site medical clinics are one of the fastest growing trends in health care. Learn how to reduce legal risk and ensure compliance while giving employees the health care services they want. Discount for BenefitsLink readers.

[Guidance Overview]

Nevada Mandates Employer Provided Leave and Accommodations for Victims of Domestic Violence
"The Act amends Chapter 608 of the Nevada Revised Statutes to require Nevada employers to provide leave to employees who are victims of domestic violence, or whose family or household members are victims of domestic violence. The Act also imposes certain record keeping requirements on Nevada employers regarding domestic violence leave."

CMS Releases 2016 ACA Marketplace Reinsurance and Risk Adjustment Data
"Insurers in the lowest quartile of claims costs were assessed on average a risk adjustment charge of 18 percent of total collected premiums, while insurers in the highest quartile of claims received risk adjust payments of 27 percent of total premiums. Risk adjustment transfers averaged 11 percent of premiums in the individual market, up from 10 percent in 2015, while small group transfers remained steady at 6 percent of premiums."
Timothy Jost, in Health Affairs

Stabilizing Risk Pools to Drive Individual Market Stability and Promote Affordable Coverage (PDF)
"A recent study estimated that insurers would have t o increase premiums by 34% in 2018 to compensate both for the lack of CSR payments and enforcement of the mandate.... [R]einsurance programs are a proven method to protect consumers and promote stability in the market.... In the short term, the most effective option would be to leverage best practices from proven programs, utilizing existing administrative processes and procedures and avoiding unnecessary complexity in administration and financing."
America's Health Insurance Plans [AHIP]


American Academy of Actuaries Letter to Senate Leaders on the Better Care Reconciliation Act of 2017 (PDF)
12 pages. "To improve the stability and sustainability of the market, several actions are needed in the short term. These include: [1] Continued funding of the cost-sharing reduction (CSR) reimbursements; [2] Enforcement of the individual responsibility penalty (individual mandate); [3] Increased external funding through increased premium subsidies or to offset costs for high-cost enrollees; and [4] Avoiding legislative or regulatory actions that could increase uncertainty or threaten stability. [These comments] assess the provisions in the BCRA against these criteria."
American Academy of Actuaries


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Executive Compensation
and Nonqualified Plans

SEC Commissioner Addresses Prospects for CEO Pay Ratio
"In terms of delaying effectiveness of the rule, [Commissioner Piwowar] stated that public commentary would determine whether that alternative is feasible in light of the associated costs and benefits of implementing the rule. Though the latest comment period on the rule has ended, he urged interested parties to continue to submit comment letters describing specific reasons why the rule is burdensome, as well as proposed fixes. During the latest comment period, the SEC received approximately 180 unique comments, with 150 of those comments in favor of the rule."

Discussions on
the BenefitsLink Message Boards

Is a Union Grievance Considered a Claim for Purposes of Responding to a 5500 Auditor?
"We have been asked to respond to an auditor's inquiry. We are not aware of any litigation regarding this company. However, there is a union grievance related to changes they made to the retirement plan. Has anyone considered the issue of whether a union grievance constitutes a 'claim'?"
BenefitsLink Message Boards

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David Rhett Baker, J.D., Editor and Publisher
Holly Horton, Business Manager

BenefitsLink Health & Welfare Plans Newsletter, ISSN no. 1536-9595. Copyright 2017, Inc. 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, Inc., or in the case of third party materials, the owner of those materials. You may not alter or remove any trademark, copyright or other notices from copies of the content.

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