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[Guidance Overview]
"Consistent with the legislation, the new regulations require group health plans to provide coverage of a coronavirus immunization within 15 business days after the vaccine is added to the list of preventive services recommended by the United States Preventive Services Task Force (USPSTF) or the Advisory Committee on Immunization Practices (ACIP) of the [CDC]. A vaccine is embraced by the mandate even it is not listed for routine use on the immunization schedules of the CDC."
Lockton
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[Guidance Overview]
"While there are several changes, the most substantive apply to ALEs offering ICHRAs. ALEs must familiarize themselves with the new fields to ensure they have the required information to report appropriately and timely."
OneDigital Health and Benefits
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[Guidance Overview]
"Because the deadline for a qualified beneficiary to make a COBRA election typically occurs close in time to the date his or her coverage terminates, some employers have incorrectly assumed that COBRA continuation coverage must be offered only if the qualified beneficiary was entitled to Medicare before the qualified beneficiary's loss of coverage or qualifying event.... Because, under the Joint Notice, a qualified beneficiary's COBRA election could take place months after his or her qualifying event or loss of coverage date, employers must be sure to provide COBRA election notices to, and credit the COBRA elections of, qualified beneficiaries who enroll in Medicare after their qualifying event or loss of coverage date."
Verrill Dana LLP
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[Guidance Overview]
"The [IRS] has issued final regulations for Achieving a Better Life Experience (ABLE) accounts. These accounts can help eligible individuals (known as designated beneficiaries) save for qualified disability expenses without ruining their eligibility for governmental aid.... Corporations and employers can make ABLE account contributions (including payroll deductions) to employees or employees' family members. But any employer contributions are subject to the rules governing federal taxation of compensation"
Ascensus
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"[T]he Department of Justice (DOJ), along with the [FBI], [HHS] Office of Inspector General, and the Drug Enforcement Administration (DEA) announced enforcement actions involving 345 individuals across 51 districts in what the U.S. government described as the 'largest healthcare fraud takedown in the agency's history.' Collectively, the cases announced in this nationwide enforcement operation alleged more than $6 billion in false and fraudulent claims to private insurers and federal healthcare programs."
Goodwin Procter
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[Sponsored]
The most important thing you can do today
Let each citizen remember at the moment he is offering his vote that he is not making a present or a compliment to please an individual -- or at least that he ought not so to do; but that he is executing one of the most solemn trusts in human society for which he is accountable to God and his country. (Samuel Adams in the Boston Gazette, April 16, 1781)
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"Like Arkansas, a majority of states have enacted laws to address not only 'below-cost' reimbursements, but other PBM practices such as erecting artificial barriers to the PBMs' networks, improper termination of pharmacies and other providers from their networks, and unlawful auditing of prescription drug claims. PBMs routinely rely on the doctrine of ERISA preemption to avoid state regulation of their conduct. Consequently, the Eighth Circuit's broad ruling on ERISA preemption which invalidated Act 900 interferes with the states' ability to regulate PBM conduct and, in turn, directly interferes with patient-provider relationships." [Rutledge v. Pharmaceutical Care Mgmt. Assoc., Nos. 17-1609
and 17-1629 (8th Cir. Jun. 8, 2018; oral arg. Oct. 6, 2020)]
Drug Topics
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Benefits in General
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"[1] Offer a financial wellness program with specialized retirement planning solutions that can help caregivers and people with special needs find a balance between living for today and planning for tomorrow. [2] Incorporate access to ... paid family care leave, disability/long term care insurance, [and] HSA/FSA ... [3] Initiate Employee Resource Groups (ERGs) for people with special needs, disabilities and caregivers to harness the power of peer-to-peer support ... [4] Provide access to an Employee Assistance Programs (EAP) with services specific to caregivers and people with special needs ... [5] Offer child care and caregiving support for parents and health care workers who are impacted by COVID-19."
Voya
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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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