Health & Welfare Plans Newsletter

July 30, 2020

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Flexible Compensation Specialist (FCS) Certification Clinic
August 4, 2020 WEBCAST
ECFC [Employers Council on Flexible Compensation]

4 Prescriptions for Health Plan Illness
August 5, 2020 WEBCAST
EPIC

ECFC Virtual Symposium
August 5, 2020 WEBCAST
ECFC [Employers Council on Flexible Compensation]

Assessing the Impact of COVID-19 On Your Benefit Account Administration Business
August 13, 2020 WEBCAST
EBRI [Employee Benefit Research Institute]

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View COVID-19 News and Resources

[Guidance Overview]

DOL Issues New Model FMLA Forms

"The revised Notice of Eligibility & Rights and Responsibilities form contains additional information on the substitution of paid leave and concurrent leave usage during a qualifying FMLA absence. The revised certification forms similarly include additional information on the circumstances in which employers may obtain follow-up information from health care providers and are reorganized to make it easier to determine whether a serious health condition exists. As the WHD made clear, an employee who already provided the required FMLA information using the old certification form cannot be required to provide that same information using the revised form."

Buck

Addressing Surprise Medical Billing

"[This report] describes the phenomenon of a 'surprise billing,' particularly in the commercial insurance market, the underlying federal and state regulatory frameworks, and recent state actions to address the problem. It also describes federal actions to encourage price transparency for medical services. It summarizes pending federal legislation and describes what congress and the Department have done to address surprise billing during the COVID-19 Public Health Emergency. The report explains why federal legislation is needed to address surprise billing and asserts that the time is right for such action."

Assistant Secretary for Planning and Evaluation [ASPE], U.S. Department of Health and Human Services [HHS]

Editor's PickAvoiding Surprises in Your Medical Bills: A Guide for Consumers (PDF)

15 pages. "This guide will help you understand the questions you should ask to avoid receiving an unexpected medical bill. Many of the suggestions in the guide are designed for situations when you can schedule care in advance. The guide will also help you understand what you can do to lessen the chances of an unexpected balance bill in an emergency."

Healthcare Financial Management Association [HFMA]

HHS Secretary's Report Calls for Congressional Action to Combat Surprise Billing and Promote Price Transparency

"Surprise medical billing is a widespread and costly problem in the United States ... Research shows that 41 percent of insured adults nationwide were surprised by a medical bill in the past two years alone, and that two thirds of adults worry about their ability to afford an unexpected medical bill.... [P]ractices such as surprise billing leave many patients vulnerable to the financial burdens presented by a nationwide pandemic."

U.S. Department of Health and Human Services [HHS]

Supreme Court Ruling Limits Insurer and Employer Contraceptive Obligations

"Previously, only churches and religious orders were excepted from the contraceptive coverage requirement while nonprofit religious organizations and private for-profit entities that objected to contraception for religious reasons could opt out of the requirement. Now, all are excepted from the federal requirement based on religious or moral objections and insurers are relieved of their obligation, under the accommodation process, to provide contraceptive coverage to employees through an alternative health care plan." [Little Sisters of the Poor Saints Peter and Paul Home v. Pennsylvania, No. 19-431 (S. Ct. Jul. 8, 2020)]

Squire Patton Boggs

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BenefitsLink Health & Welfare Plans Newsletter, ISSN no. 1536-9595. Copyright 2020 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.

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