Health & Welfare Plans Newsletter

September 16, 2020

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Tales from the Crypt: Managing Benefit Plan CyberSecurity Risks Lurking in a "Remote Work" Era
October 8, 2020 WEBCAST
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2020 Political Overview
October 14, 2020 WEBCAST
ISCEBS - Pacific NW Chapter

HR Roundtable: Best Practices for Virtual Open Enrollment and Employee Engagement
October 15, 2020 WEBCAST
Worldwide Employee Benefits Network [WEB] - Greater Cincinnati Chapter

2020 Migraine: The Costs & Solutions for Employers
October 19, 2020 WEBCAST
New England Employee Benefits Council [NEEBC]

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[Guidance Overview]

San Francisco Required Contribution for Healthcare Goes Up in 2021

"San Francisco recently released its updated contribution requirement for 2021.... The ordinance applies to any employer that has one or more employees working regularly at least 8 hours per week (104 hours per calendar quarter) within the City/County Limit of San Francisco. This is so, even if all of the employer's other workers are located outside of San Francisco " Icon to read more

HUB International

[Guidance Overview]

Upcoming Deadline iconNew York Employers: Get Ready for the State's New Paid Sick Leave Law

"While the new statewide mandate does not preempt existing local laws -- including New York City's Earned Safe and Sick Time Act and Westchester County's Earned Sick Leave and Safe Time Leave Law -- some of its provisions offer more generous PSL benefits and employee protections. In addition, the new sick leave law allows cities with a population of at least one million to enact a local sick leave ordinance that meets or exceeds statewide requirements for minimum hours and use." Icon to read more

Buck

[Guidance Overview]

DOL Redefines 'Health Care Provider' for FFCRA Exception

"[E]mployers with fewer than 500 employees that provide health care services now must evaluate each employee, on a case-by-case basis, to determine if the employee falls under the definition of 'health care provider.' If the employee does not, the employee now has FFCRA leave rights." Icon to read more

Nixon Peabody LLP

[Guidance Overview]

Allocation of Medical Loss Ratio Rebates and Premium Refunds

"Generally, rebates attributable to premium payments made by participants or out of trust assets will be considered plan assets, and rebates attributable to employer-paid premiums will not be considered plan assets.... [DOL] Technical Release 2011-04 recognizes three approaches to dealing with the allocation of the 'plan asset' portion of the rebate. The fiduciary can: [1] pay a direct cash refund to participants; [2] provide participants with a premium discount or premium holiday; or [3] use the assets to enhance plan benefits (e.g., add a disease management or wellness program)." Icon to read more

Verrill Dana LLP

Attacking Out-of-Network Spending

"[United HealthCare is] partnering with its sister company, Naviguard ... to provide the member advocacy around negotiating the balance bill levels should the provider deem the reimbursement too low. This clever tactic has been deployed by reference-based pricing companies ... to eliminate provider networks in general. UHC is now introducing it to support Medicare-based reimbursements for out-of-network services." Icon to read more

EPIC

Administration Again Takes Aim at Drug Prices

"The September Order now directs the Secretary of Health and Human Services (HHS) to implement two payment models, presumably via the Center for Medicare & Medicaid Innovation (CMMI), to address reimbursement for certain prescription drugs under both the Medicare Part B and Part D programs. However, the September Order does not provide much detail as to how the demonstrations will be operationalized." Icon to read more

Arent Fox

Press Releases

Most Popular Items in the Previous Issue

Revised FFCRA Regs Take Effect on Wednesday September 16
Constangy, Brooks, Smith & Prophete LLP

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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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