Health & Welfare Plans Newsletter

August 25, 2020

BenefitsLink.com logo
EmployeeBenefitsJobs.com logo
Get Retirement News   ·   Get Message Boards Digest   ·   Past Issues   ·   Search

Job Openings

View job as Retirement Plan Coordinator for Hefren-Tillotson Retirement Plan Coordinator

Hefren-Tillotson
Pittsburgh PA

View job as Client Relations Manager for Alliance Benefit Group of Houston, Inc. Client Relations Manager

Alliance Benefit Group of Houston, Inc.
Houston TX

►View More Jobs

►Post a Job

Get Job Alerts

Newly Posted
Webcasts, Conferences


Discussions

New Topics on the BenefitsLink Message Boards

New Comments and Topics

All Topics, Grouped by Forum


This Newsletter:
Subscribe Now

BenefitsLink Retirement Plans Newsletter:
Subscribe Now

Message Boards Digest:
Subscribe Now


Exceptional Usefulness and Quality and Usefulness iconAvoiding Headaches: COVID-19 Guidance and Switching Vendors

"If employers are changing COBRA vendors as part of their renewal, the new vendor MUST receive the historical election, enrollment and payment data all the way back to at least the beginning of [2020] There may be potential COBRA beneficiaries who are still able to elect and pay for COBRA due to the [COVID-19 outbreak period (OP)], so new vendors need to know about them.... Employers who are changing medical carriers as part of their renewals need to make sure the old carriers are equipped to accept retroactive enrollments related to the OP while coverage with that carrier was in force. Likewise, they'll need to make sure new medical carriers are equipped to accept delayed enrollments related to the OP." Icon to read more

HUB International

Prepare for an Unprecedented Open Enrollment

"Virtual enrollment has been trending for several years, and the COVID-19 pandemic is helping to solidify its prominence. A virtual enrollment process typically includes an online enrollment platform for selecting benefits, remote meetings between employees and HR, and downloadable benefits resources.... Preparation will be the key factor for a successful open enrollment this year.... Employers should review [listed] strategies and consider how similar initiatives might improve their own open enrollment efforts." Icon to read more

Chelko Center for Benefits Management

How Employers Can Build More Efficient Health Plans

"The decline in elective procedures has paid off for ... organizations that self-insure ... Post-pandemic, many employers ... are going to follow the example of their self-insured brethren -- and opt out of the traditional insurance market, too.... Employers that self-insure can identify the care that delivers the most value for their employees because they have control of their medical claims data. That data can offer insights into what's driving health costs." Icon to read more

Keith Lemer, in International Business Times

ERISA Plan Participants Cannot Proceed as a Class in Challenging EpiPen Prices

"Four ERISA plan participants, who participated in four different ERISA plans, commenced an ERISA class action against four of the nation's largest pharmacy benefit managers (PBMs), alleging that the PBMs breached their fiduciary duties by failing to ensure that the plaintiffs and other plan participants received the benefit of discounts that the PBMs had negotiated with ... a company that markets and sells EpiPens.... [A] federal judge in Minnesota recently denied their motion for class certification of four nationwide classes -- one class for each PBM.... The court determined that it would need to examine the terms of each plan to determine [1] whether each PBM was a fiduciary, [2] if a PBM was a fiduciary, whether the PBM breached its fiduciary duty, and [3] how to measure any losses." [In re: EpiPen ERISA Litig., No. 17-1884 (D. Minn. Aug. 5, 2020).] Icon to read more

Proskauer

Supreme Court Adds Extra Time for Arguments in ACA Challenge

"The court allocated 40 minutes to each side, up from the usual 30 minutes per side. The justices also granted requests from the House and the Trump administration to participate in the argument. On the side defending the health law, a group of blue states -- led by California -- will have 30 minutes of argument time, and the House will have 10 minutes. On the side challenging the law, a group of red states -- led by Texas -- will have 20 minutes, and the U.S. solicitor general will have an additional 20 minutes." [California v. Texas, No. 19-840; Texas v. California, No. 19-1019 (cert. pet. granted Mar. 2, 2020)]  Icon to read more

SCOTUSblog

[Sponsored]

An Easy HIPAA Solution for Employer-Sponsored Health Plans

Benefit Comply's HIPAA Shield is an online compliance tool that allows employers to create HIPAA policies, conduct a risk analysis, train employees and more. Learn more or request a demo here. Learn more

Sponsored by Benefit Comply


Benefits in General

[Official Guidance]

IRS Provides Tax Relief for Victims of Iowa Derecho; Extends Oct. 15, Other Upcoming Deadlines to Dec. 15

"The IRS is offering this relief to any area designated by [FEMA] as qualifying for individual assistance. Currently this includes Linn County in Iowa, but taxpayers in localities added later to the disaster area will automatically receive the same filing and payment relief.... The tax relief postpones various tax filing and payment deadlines that occurred starting on Aug. 10, 2020.... [A]ffected individuals and businesses will have until Dec. 15, 2020, to file returns and pay any taxes that were originally due during this period." Icon to read more

Internal Revenue Service [IRS]

[Official Guidance]

IRS Provides Tax Relief for Victims of California Wildfires; Oct. 15 Deadline, Other Dates Extended to Dec. 15

"The IRS is offering this relief to any area designated by [FEMA] as qualifying for individual assistance. Currently this includes Lake, Monterey, Napa, San Mateo, Santa Cruz, Solano, Sonoma and Yolo counties in California, but taxpayers in localities added later to the disaster area will automatically receive the same filing and payment relief.... The tax relief postpones various tax filing and payment deadlines that occurred starting on Aug.14, 2020.... [A]ffected individuals and businesses will have until Dec. 15, 2020, to file returns and pay any taxes that were originally due during this period." Icon to read more

Internal Revenue Service [IRS]

Ninth Circuit: No ERISA Attorney Fees for Administrative Proceedings Involving Fiduciary Breach Claims

"Having succeeded on his administrative claim, the participant sued the claims administrator under ERISA Section 502(a)(3) alleging that it breached ERISA's fiduciary duties of prudence and loyalty ... [T]he participant sought an order surcharging the claims administrator for ... the ERISA attorney's fees he incurred to internally appeal the administrator's decision.... [T]he Ninth Circuit held that ERISA Section 502(a)(3) does not authorize attorney's fees incurred by a participant in an administrative appeal of the ERISA claims process." [Castillo v. Metropolitan Life Ins. Co., No. 19-56093 (9th Cir. Aug. 17, 2020)] Icon to read more

Thomson Reuters Practical Law

Press Releases

401(k) Day Campaign Takes on Beneficiary Designations
PSCA [Plan Sponsor Council of America]

Most Popular Items in the Previous Issue

Trump Administration Adds Health Plans to June 2020 Plasma Donation Guidance
U.S. Department of Health and Human Services [HHS]

View COVID-19 News and Resources

BenefitsLink.com, Inc.
1298 Minnesota Avenue, Suite H
Winter Park, Florida 32789
(407) 644-4146

Lois Baker, J.D., President  loisbaker@benefitslink.com
David Rhett Baker, J.D., Editor and Publisher  davebaker@benefitslink.com
Holly Horton, Business Manager  hollyhorton@benefitslink.com

Article submission: Online form, or email to news.editor@benefitslink.com

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.

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.

Unsubscribe  |   Change Email Address  |   Privacy Policy