Health & Welfare Plans Newsletter

November 10, 2020

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[Guidance Overview]

Health Plan Transparency Final Regs: Employers Are Ultimately Responsible for Compliance

"While the regulations permit employers to contract with their insurers or [TPAs] to provide that information to enrollees, the employers remain ultimately liable in the event the required information is not provided. There is one exception: for insured plans, if the insurer agrees to provide the disclosures via a written agreement, the employer will not be responsible if the disclosures are not made. However, there is no similar opportunity for self-funded employers to shift ultimate responsibility.... Insured and self-funded employers will want to shift ultimate responsibility through contractual language, including indemnity provisions." Icon to read more

Lockton

[Sponsored]

NEW from DATAIR - TEXT ALERT Option in Cafeteria/FlexPlus!

DATAIR's Text Alert option gives you a new way to communicate with participants in Cafeteria Plans. Notifying participants of enrollment and claims approved/denied/paid. Contact DATAIR today to learn more: 888-328-2474 or sales@datair.com Learn more

Sponsored by DATAIR Employee Benefit Systems, Inc.


[Guidance Overview]

Massachusetts Paid Family and Medical Leave Benefits Start January 1, 2021: What Employers Should Do to Prepare

"[T]he commonwealth's new Paid Family Medical Leave (PFML) law ... provides paid leave for individuals facing a health crisis, bonding with a child, or caring for a sick relative. Massachusetts employers should be taking steps now to ensure that they can meet their PFML obligations come the new year. This post provides a brief overview of PFML and action items for employers." Icon to read more

Foley & Lardner LLP

[Guidance Overview]

New York City Publishes Updated Earned Safe and Sick Time FAQs

"While non-binding, the updated FAQs provide employers with certain insights into their compliance obligations following the City's amendments to ESSTA that went into effect on September 30, 2020. Unfortunately, despite the updated guidance, certain open ESSTA questions remain." Icon to read more

Seyfarth Shaw LLP

Growing Demand for Workplace Fertility Benefits

"New York-based Progyny, a company that manages fertility benefits for employees at large firms, brought in profits of $5.4 million during the quarter, reflecting an improvement of $13.6 million from the $8.2 million net loss reported during the same quarter a year ago. The company reported earnings per diluted share of 5 cents compared to a loss of $1.10 per basic and diluted share a year ago." Icon to read more

FierceHealthcare

Penalty or Tax? ACA Fate Rests on Supreme Court’s Distinction

"A group of Republican state attorneys general contends that the penalty -- which was a tax -- makes the law unconstitutional. Without the penalty, the rest of the law must fall, they claim.... Although the court isn't expected to hand down a decision until early 2021, here are some possible outcomes[.]" [California v. Texas, No. 19-840; Texas v. California, No. 19-1019 (cert. pet. granted Mar. 2, 2020)] Icon to read more

InsuranceNewsNet.com

Press Releases

Most Popular Items in the Previous Issue

Text of CMS Announcement: 2021 Medicare Parts A & B Premiums and Deductibles
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

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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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