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[Guidance Overview]
"[The Act] provides a 30-day period for insurers and providers to negotiate the payment of out-of-network charges. If no resolution is reached, these claims may be submitted to an independent dispute resolution process where an arbitrator makes the final decision."
Hall Benefits Law
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[Guidance Overview]
"Last month, the county passed an urgency ordinance requiring all private employers in unincorporated parts of Los Angeles County to provide up to 80 hours of supplemental paid sick leave for certain COVID-19-related reasons, provided that the employee did not previously exhaust available leave under the FFCRA or the original supplemental paid sick leave ordinance.... [T]he new ordinance applies to all employers regardless of the number of employees."
Constangy, Brooks, Smith & Prophete LLP
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[Guidance Overview]
46 pages. "This report provides an overview of the various components of the health insurance exchanges.... Sections on the individual and SHOP exchanges discuss eligibility and enrollment, plan costs and financial assistance available to eligible consumers and small businesses, insurer participation, and other topics. The final sections address types of enrollment assistance available to exchange consumers and federal funding for the exchanges" [Report R44065, updated Feb. 16, 2021]
Congressional Research Service [CRS]
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[Guidance Overview]
"With the pandemic still ongoing, the end of COBRA extensions is uncertain and has created myriad issues for beneficiaries, employers, health insurance plans, and third party COBRA administrators.... With the February 28 date looming, several scenarios could play out. "
DataPath; free registration required
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"The House Education and Labor Committee has proposed temporary COBRA subsidies and other modifications as part of the current COVID-19 stimulus package that is working its way through Congress. If included in the final bill, these changes could take effect as early as April 1, 2021."
Ballard Spahr LLP
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"The Court held that the City's detailed PTO policy may be definite enough to create a unilateral contract, the employee accepted the contract by performing work, and concluded ... that the disclaimer language within the Handbook was ambiguous with respect to the PTO policy, " [Hall v. City of Plainview, No. A19-0606 (Minn. Feb. 3, 2021)
Jackson Lewis P.C.
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Benefits in General
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"This 2020 year-end update ... [1] highlights four notable opinions from the United States Supreme Court ... [2] provides a summary of hot topics in ERISA class-action litigation ... [3] addresses evolving procedural issues ... [and] [4] offers an overview of key issues in health plan litigation[.]"
Gibson, Dunn & Crutcher
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"[1] Make it voluntary.... [2] Think of it as an adjunct to your retirement plan, not an obstacle.... [3] Consider a matching contribution.... [4] Ensure ease of access to savings.... [5] Supplement with other financial wellness tools."
E is for ERISA
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BenefitsLink Health & Welfare Plans Newsletter, ISSN no. 1536-9595. Copyright 2021 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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