Health & Welfare Plans Newsletter

October 12, 2020

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[Guidance Overview]

How COVID-19 Rules Changes Affect Benefits Compliance Strategy

"[1] CARES Act: coverage of COVID-19 testing and COVID-19 antibody testing and preventative care (mandated) ... [2] CARES Act: telehealth and high deductible health plans (optional) ... [3] CARES Act and reimbursements for over-the-counter drugs and women's products (optional) ... [4] COBRA changes may have significant impact on employers (mandated) ... [5] HIPAA Special enrollment rights -- Expanded timeframes (mandated change) ... [6] ERISA claims procedures and COVID-19 (mandated change) ... [7] Mid-year election year changes expanded (optional)." Icon to read more

HUB International

[Guidance Overview]

ACA Numbers and Limits 2014-2021 (PDF)

Detailed chart covers [1] Applicable Large Employer (ALE) Shared Responsibility Penalty (IRC § 4980H, Forms 1094-C and 1095-C); [2] Individual Shared Responsibility Penalty (IRC § 5000A, Form 8965); [3] Premium Tax Credits (IRC § 36B, Form 8962); [4] Group Health Insurance Reforms (IRC § 9815 and § 4980D, Form 8928); [5] Qualified Small Employer Health Reimbursement Account (QSEHRA) Contribution Limits (IRC § 9831(d)); [6] Health Savings Accounts (IRC § 223, Form 8889) Icon to read more

Kaufman & Canoles, P.C.

[Guidance Overview]

Upcoming Deadline iconNew Sick Leave Laws in New York Come with New Employer Responsibilities

"NYC employers must provide each employee with notice of the changes under the law at the commencement of their employment or by October 30, 2020 for employees who are already employed.... NYC employers must also report the amount of sick time accrued and used during a pay period and the total balance on a pay statement or other form of written documentation each pay period beginning September 30, 2020.... NYC employers must extend sick leave benefits to domestic workers." Icon to read more

Herrick, Feinstein LLP

[Guidance Overview]

Upcoming Deadline iconNew York City Paid Safe and Sick Leave Act Amendments

"Last April, New York State enacted a Paid Sick Leave Law which took effect on September 30, 2020 ... [T]he mayor of New York City signed a Bill on September 28, 2020, amending the New York City Paid Safe and Sick Leave Act to remove discrepancies with the [state law] ... But the NYC Safe/Sick Leave Law amendments go further than just aligning with the New York Paid Sick Leave Law, imposing additional requirements on New York City employers[.]" Icon to read more

Paul Hastings LLP

Upcoming Deadline iconNo Extension of Time to Provide Medicare Part D Notices

"Even during the global pandemic, employers must still distribute Medicare Part D notices to applicable plan participants prior to October 15th in order to satisfy this requirement.... The CMS website has customizable model Notices for both creditable and non-creditable coverage." Icon to read more

Graydon

Unsubsidized Enrollment on the Individual Market Dropped 45 Percent from 2016 to 2019

"Unsubsidized enrollment declined by over 300,000 enrollees in 2019 -- the third consecutive year of declining enrollment.... [T]he rate of decline dropped to 9 percent in 2019 -- down from a 20 percent drop in 2017, and a 24 percent drop in 2018. This lower rate of decline occurred at the same time premium rates leveled off after increasing by double-digits in 2017 and 2018." Icon to read more

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

Benefits in General

Who You Gonna Call? Implementing a Cybersecurity Breach Communication Plan

"What's the difference between an incident response plan and a communication plan? ... Invest in your help desk, the first line of defense ... Let people know that you're on top of it ... Know when and how to escalate your response ... Letting the world know what's happened ... You can't resolve your cybersecurity breach without communication." Icon to read more

Segal

How Do Business Leaders Respond Both Managerially and Financially to Abrupt Change? (PDF)

"The intention of this article is to provide some ideas related to the questions: How does one respond to abrupt change? How does a company survive through abrupt change? How does a business continue to support its internal team, external referral sources, and clients during extreme change and uncertainty?" Icon to read more

Pinnacle Plan Design, LLC, via Journal of Pension Benefits

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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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