Health & Welfare Plans Newsletter

November 4, 2020

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View job as Administrator for Summit Benefit & Actuarial Services, Inc.
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Summit Benefit & Actuarial Services, Inc.
Telecommute

View job as Retirement Communication & Education Specialist for Heartland Financial Retirement Communication & Education Specialist

Heartland Financial
Telecommute / Dubuque IA / AZ / CO / TX / WI

View job as 401(k) Senior Plan Administrator for Stanley Benefit Services 401(k) Senior Plan Administrator

Stanley Benefit Services
Greensboro NC

View job as Manager of Daily Record-Keeping and Compliance for New England Pension Plan Systems, LLC Manager of Daily Record-Keeping and Compliance

New England Pension Plan Systems, LLC
Providence RI

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[Guidance Overview]

On Health Plan Price Transparency -- Power Is in the Details!

"[P]lans have a relatively short amount of time to build complex systems to support information requests.... The rule allows employers with fully-insured group coverage to transfer full liability to their health insurance issuer as part of their coverage contract. However, because the underlying law doesn't allow it, there is no such liability shield for self-funded or level-funded plans.... [T]he measure does not require the disclosure of any provider quality information because of regulatory process limitation." Icon to read more

MZQ Consulting, LLC

[Sponsored]

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Defined Benefit Proposal helps you design and illustrate the best plan options using a few clicks. The compare features, customization options, ability to run complex calculations and create 1-5 separate proposals simultaneously all save you time! Learn moreLearn more

Sponsored by Wolters Kluwer


[Guidance Overview]

Open Enrollment Begins, New Basic Health Plan Methodology

"[T]he 2021 open enrollment period began in most states on November 1, 2020 and extends through December 15, 2020. This post discusses additional data and resources from the [CMS] in light of the open enrollment period and a new proposed methodology for the Basic Health Program (BHP) for 2022." Icon to read more

Katie Keith, in Health Affairs Blog

[Guidance Overview]

States, Cities Tackle COVID-19 Paid Leave

38 pages; rev. Nov. 2, 2020. "To alleviate some of the economic strain on employees unable to work due to COVID-19, some state and local authorities have implemented new paid leave requirements. Other jurisdictions modified existing leave laws or benefit programs to accommodate employees' needs during the pandemic. This GRIST provides brief summaries of the new state and local paid leave benefits, as well as guidance addressing how current paid leave benefits apply during the COVID-19 pandemic." Icon to read more

Mercer

[Guidance Overview]

New York Imposes Extensive Behavioral Health Parity Compliance Rules

"On September 30, 2020, the New York State Department of Financial Services (DFS) and Department of Health (DOH) promulgated regulations requiring health insurers operating in the state to develop and implement a mental health and substance use disorder (MH/SUD) parity compliance program. Health plans are required to have these parity compliance programs in place by December 29, 2020, and must annually attest to the DFS or DOH that such programs are in place." Icon to read more

Manatt, Phelps & Phillips, LLP

[Guidance Overview]

New York Releases Guidance on Paid Sick Leave; Key Questions Remain Unanswered

"[T]he guidance does not clearly address key questions left open by the [New York Sick Leave Law (NYSLL)], including: [1] If an employer provides a lump sum of paid sick leave at the beginning of each year (also known as front-loading), whether the employer must still allow employees to carry over accrued, unused leave at the end of the year. [2] In determining the amount of sick leave the employer is required to provide, whether to count only employees within New York or employees nationwide.... [3] Whether employers can require reasonable documentation to support an employee's request to use New York Sick Leave." Icon to read more

Pepper Hamilton LLP

Reasons to Use New Model FMLA Forms

"(DOL) recently issued new forms you can use to meet the notice and certification requirements of the Family and Medical Leave Act (FMLA). Here are six good reasons to use the new forms.... [1] Easier for employees to understand ... [2] Employee confidence in FMLA processes bolstered ... [3] Safer to use than forms you create yourself ... [4] Faster than creating your own ... [5] 'Touchless' way of meeting FMLA requirements in COVID-19 era ... [6] Motivating healthcare providers to be more accurate, complete." Icon to read more

HR Daily Advisor

Expansion of California Paid Family Leave Effective January 1, 2021

"SB 1123 expanded the Paid Family Leave program to include time off for employees to attend to a 'qualifying exigency' related to an individual's spouse, registered domestic partner, parent, or child who is an active duty member of the United States Armed Forces. Although SB 1123 was passed in 2018, the changes do not go into effect until January 2021." Icon to read more

Jackson Lewis

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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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