Health & Welfare Plans Newsletter

October 2, 2020

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View job as Senior Attorney - Asset Management / Investment Product Development for The Standard Senior Attorney - Asset Management / Investment Product Development

The Standard
Telecommute / Portland OR

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Atlanta GA / Savannah GA

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Telecommute / Jacksonville FL

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The Standard
Portland OR / Cincinnati OH

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[Guidance Overview]

California Expands Family and Medical Leave Requirements

"[T]he required leave remains unpaid, [however] employers must continue paying insurance premiums while the employee is on leave and an employee who takes leave must be reinstated to the same or comparable position held by the employee when he went out on leave." Icon to read more

Hunton Andrews Kurth LLP

[Guidance Overview]

Philadelphia Amends Paid Sick Leave Law in Response to COVID-19

"On September 17, 2020, amendments to the Philadelphia Promoting Healthy Families and Workplaces ordinance went into effect. These amendments ... provide covered individuals with paid leave for public health emergencies (PHE). Covered PHE absences generally align with the absences covered under the federal [FFCRA]. PHE paid leave will sunset on December 31, 2020." Icon to read more

Seyfarth Shaw LLP

[Guidance Overview]

New York City's Earned Safe and Sick Time Act Amended

"[T]he amount of safe/sick time accrued and used during a pay period and an employee's total balance of accrued safe/sick time must be noted on the employee's pay stub or in some other written form provided to the employee each pay period. The NYS Law does not require such a notice be provided to employees each pay period, but it does require employers to provide a summary of the amounts of sick leave accrued and used by the employee in the current calendar year and/or any previous calendar year within three business days of an employee's request for such information." Icon to read more

FordHarrison

Supreme Court to Hear Arkansas Appeal on Pharmacy Benefit Managers on October 6

"Arkansas Solicitor General Nicholas Bronni will defend before the U.S. Supreme Court the constitutionality of a state law regulating pharmacy benefit managers ... Pharmacists say the PBMs' reimbursement rates are too low -- in fact, too often below the pharmacists' cost of procurement. The law requires PBMs to increase reimbursements for generic drugs if they are below wholesale costs, and it created an appeals process for pharmacies to challenge the reimbursements." [Rutledge v. Pharmaceutical Care Mgmt. Assoc., Nos. 17-1609 and 17-1629 (8th Cir. June 8, 2018; cert. pet. granted Jan. 13, 2020)] Icon to read more

KUAR

Multiemployer Health Plans: Assessing When Bigger May Be Better (PDF)

"Seeking strength in raw numbers, multiemployer plan trustees might consider a health plan merger with a counterpart as a way to leverage economies of scale and perhaps secure better prices for plan participants.... Mergers can result in the loss of autonomy for some plans, depending on the structure of the merger. Plans can agree to a partial merger, but this can lead to a contentious atmosphere among trustees if they don't establish trust and clear lines of communication." Icon to read more

benefits magazine, a publication of the International Foundation of Employee Benefit Plans [IFEBP]

Hacker's Use of Vendor's Credentials Reveals Systemic Failures, Leading to $1.5 Million HIPAA Settlement

"This resolution agreement highlights vulnerabilities that can be introduced from outside a covered entity's or business associate's own operating environment. Notably, OCR repeatedly refers to the third party in this settlement as a vendor rather than a business associate, implying that although the third party did not have direct access to PHI, its credentials could be used to gain access." Icon to read more

Thomson Reuters / EBIA

Press Releases

PenChecks Trust®, ASPPA Open Applications for Prestigious QKA Scholarship Program
American Society of Pension Professionals & Actuaries [ASPPA]

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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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