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FAQs: Health Insurance Marketplace and the ACA
"Find answers to over 300 frequently asked questions about buying coverage on the health insurance marketplaces. Over 180 of [these] FAQs are now available in Spanish."
Henry J. Kaiser Family Foundation
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Window Shopping and Updates on Healthcare.gov
"[CMS] announced that consumers could preview new plans and prices at HealthCare.gov and CuidadodeSalud.gov. This 'window shopping' allows consumers to consider their plan options without logging in, creating an account, or completing an official application. CMS also summarized operational and other changes to HealthCare.gov for the 2020 open enrollment period."
Katie Keith, in Health Affairs
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Keeping Score: Specialty Drug Per Employee Cost Trend
"While the average increase of 11% is right in line with benchmarks, the year-to-year price movement for each company is all over the board. Only 15% of the groups in [the] database had a trend rate between 10% and 15%."
Chelko Center for Benefits Management
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Employers Are Scaling Back Their Dependence on High-Deductible Health Plans
"As open enrollment gets underway for next year's job-based health insurance coverage, some employees are seeing traditional plans offered alongside or instead of the plans with sky-high deductibles that may have been their only choice in the past. Some employers say that, in a tight labor market, offering a more generous plan with a deductible that's less than four figures can be an attractive recruitment tool. Plus, a more traditional plan may appeal to workers who want more predictable out-of-pocket costs, even if the premium is a bit higher."
Kaiser Health News
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An Overview of Health Savings Accounts for Employers
"[M]ost employees you're onboarding will know what an HSA is; they might even already have one from another employer. But no matter what their level of experience with an HSA, your most important job is to make them understand the value. You're going to get the most out of it by empowering your employees to make the most out of it."
Ameriflex
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Walgreens to Shutter Many In-Store Clinics, Add Jenny Craig Sites
"Walgreens will shutter nearly 40% of the clinics in its stores ... The company ... will close 150 Walgreens-run clinics by the end of the year, but it will keep open more than 200 that are run in partnership with health care providers.... [T]he chains have struggled to make money off the clinics, which face growing competition from telemedicine services[.]"
StarTribune
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New California Law Aims to Expand Telehealth Coverage and Payment
"On October 13, 2019, California Governor Gavin Newsom signed into law Assembly Bill 744, marking the latest of many state legislative efforts to modernize health care by ensuring that telehealth services are paid and covered, similar to their face-to-face counterparts. Effective January 1, 2021, the statutory language added by AB 744 requires newly created, amended, or renewed commercial payer contracts to reimburse telehealth services at the same levels as when those services are delivered in-person."
ReedSmith
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Jones Day Moves to Dismiss Claims by Supreme Court Clerks, Arguing that Parental Leave Policy Did Not Discriminate
"Jones Day and the plaintiffs fundamentally disagree as to whether, as Jones Day contends, the policy is based on a 'presumption' -- birth mothers are disabled for 8 weeks without having to prove it -- or, as the plaintiffs contend, it is a 'substantive rule' under which birth mothers get 8 weeks of additional leave, and fathers do not." [Savignac v. Jones Day, No. 19-2443 (D.D.C., complaint filed Aug. 13, 2019; reply in support of motion to dismiss, Oct. 17, 2019)]
Zuckerman Spaeder LLP
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Selected Discussions on the BenefitsLink Message Boards
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Bereavement Leave Under a VEBA?
"A 'Supplemental Unemployment Benefit Plan' is organized under 501(c)(9) to provide life, sickness, accident and similar benefits. It's in the construction trades and vast majority of claims paid are due to periods of temporary unemployment. It also pays benefits in cases of death, disability, etc. Can this 501(c)(9) VEBA pay a stipend in connection with bereavement leave?"
BenefitsLink Message Boards
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BenefitsLink.com, Inc.
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Lois Baker, J.D., President
David Rhett Baker, J.D., Editor and Publisher
Holly Horton, Business Manager
BenefitsLink Health & Welfare Plans Newsletter, ISSN no. 1536-9595. Copyright 2019 BenefitsLink.com, 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 BenefitsLink.com, 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.
Links to web sites other than BenefitsLink.com and EmployeeBenefitsJobs.com are offered as a service to our readers; we were not involved in their production and are not responsible for their content.
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