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[Official Guidance]
"The applicable dollar amount that must be used to calculate the fee imposed by Sections 4375 and 4376 for policy years and plan years that end on or after October 1, 2020, and before October 1, 2021, is $2.66. The increase from the prior amount is calculated by multiplying the adjusted applicable dollar amount for policy years and plan years ending in the previous Federal fiscal year, $2.54, by the percentage increase of the projected per capita amount of National Health Expenditures published by HHS on March 19, 2020." 
Internal Revenue Service [IRS]
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[Official Guidance]
Questions 25-30, updated Nov. 25, 2020. - What is included in 'qualified family leave wages'? Do 'qualified family leave wages' include taxes imposed or withheld from the wages?
- How much credit may an Eligible Employer receive for qualified family leave wages
- How does an Eligible Employer determine the amounts of the qualified family leave wages it is required to pay?
- What is the rate of pay for qualified family leave wages?
- Are amounts other than qualified family leave wages included in the tax credit for required paid family leave?
- Is a similar tax credit available to self-employed individuals?
Internal Revenue Service [IRS]
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[Official Guidance]
Questions 31-36, updated Nov. 25, 2020. - Does the amount of qualified health plan expenses include both the portion of the cost paid by the Eligible Employer and the portion of the cost paid by the employee?
- For an Eligible Employer that sponsors more than one plan for its employees (for example, both a group health plan and a health flexible spending arrangement (health FSA)), or more than one plan covering different employees, how are the qualified health plan expenses for each employee determined?
- For an Eligible Employer that sponsors a fully-insured group health plan, how are the qualified health plan expenses of that plan allocated to the qualified sick or family leave wages on a pro rata basis?
- For an Eligible Employer who sponsors a self-insured group health plan, how are the qualified health plan expenses of that plan
allocated to the qualified leave wages on a pro rata basis?
- For an Eligible Employer who sponsors a health savings account (HSA), or Archer Medical Saving Account (Archer MSA) and a high deductible health plan (HDHP), are contributions to the HSA or Archer MSA included in the qualified health plan expenses?
- For an Eligible Employer who sponsors a health reimbursement arrangement (HRA), a health flexible spending arrangement (health FSA), or a qualified small employer health reimbursement arrangement (QSEHRA), are contributions to the HRA, health FSA, or QSEHRA included in the qualified health plan expenses?
Internal Revenue Service [IRS]
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[Guidance Overview]
"This article [describes] what employers should keep in mind while updating their COBRA notices, including [1] recent revisions to the [DOL's] model COBRA notices in May 2020, [2] the mandatory extensions to certain COBRA-related deadlines due to the COVID-19 pandemic, and [3] the allegations in the many class-action lawsuits filed over the last few years alleging deficiencies in COBRA notices." 
Trucker Huss
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[Guidance Overview]
"[On] November 20, 2020, [CMS] and the [HHS] Office of the Inspector General ('OIG') published advance copies of a collection of four rules focusing on two themes: [1] reducing prescription drug prices and [2] advancing the transition to value-based care and modernizing the regulatory framework. This Client Alert provides a brief, high-level summary of each of the four rules[.]" 
Epstein Becker Green
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[Guidance Overview]
"[T]he HFWA applies to an employer with 16 or more employees within the United States. Thus, an employer with one employee in Colorado but 15 employees in other states is obligated to comply with the HFWA for the single Colorado employee." 
Lockton
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"At oral argument ... Chief Justice Roberts commented that it was not the fault of Arkansas or the pharmacies that 'PBMs have such byzantine procedures that affect drug prices' -- a comment which might suggest that the state law has a purpose worthy of being upheld. Several justices asked questions on the issue of costs and impact on benefits -- specifically, whether Act 900 increased drug costs for employee benefit plans and participants, and whether that triggered ERISA preemption." [Rutledge v. Pharmaceutical Care Mgmt. Assoc., Nos. 17-1609 and 17-1629 (8th Cir. Jun. 8, 2018; S. Ct. No. 18-540, oral arg. Oct. 6, 2020)] 
Trucker Huss
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"Because the plan required the company to notify the insurer regarding changes in eligibility, the court concluded that the employer could have been acting as a functional fiduciary with respect to the eligibility decision. But finding a genuine dispute as to whether the insurer or the employer was ultimately responsible for the erroneous decision to deny coverage, the court allowed the case to proceed." [Schmidt v. Overland Xpress, LLC, No. 12-0397 (S.D. Ohio Sep. 28, 2020)] 
Thomson Reuters / EBIA
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[Opinion]
"What is the right amount of innovation for society? ... Lowering drug development costs could maintain ROI with lower prices ... Lowering drug prices but increasing drug companies' share of revenue could maintain ROI ... [Some aspects of drug pricing] in the U.S. and other developed countries ... To lower U.S. drug prices, don't export U.S. problems to other countries ... Need to develop better measures of value ... Alternatives to sustaining the unsustainable." 
The Brookings Institution
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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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