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Health & Welfare Plans Newsletter

April 30, 2021

6 New Job Opportunities

 

[Official Guidance]

Text of CMS Final Rule: Notice of Benefit and Payment Parameters for 2022, Part 2, with Revised Pharmacy Benefit Manager Standards

473 pages. "This final rule sets forth payment parameters and provisions related to the risk adjustment program and cost-sharing parameters. It includes changes related to special enrollment periods; direct enrollment entities; the administrative appeals processes with respect to health insurance issuers and non-federal governmental group health plans; the medical loss ratio program; income verification by Exchanges; and other related topics. It also revises the regulation requiring the reporting of certain prescription drug information by qualified health plans or their pharmacy benefit managers."  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

[Guidance Overview]

CMS Fact Sheet: Notice of Benefit and Payment Parameters for 2022, Part 2

"The Notice of Benefit and Payment Parameters for 2022 final rule part two finalizes some of the standards included in the proposed rule for states, exchanges, non-federal governmental plans, issuers in the individual and small-group markets ... These changes ... [include] lowering maximum consumer out-of-pocket costs by $400, improving competition and stability, elevating the consumer experience, expanding transparency, ensuring state flexibility, and promoting program integrity. The [CMS] anticipates additional rulemaking for the 2022 payment notice later this year."  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

[Guidance Overview]

The New ARPA COBRA Subsidy: Special Notice Required by May 31

"It may be difficult or impossible to determine the length of former participants' maximum COBRA coverage periods given that the COBRA deadline extensions applied to the deadlines by which individuals must notify a plan of a disqualifying event or disability determination.... Plan sponsors should pay close attention to the numerous administrative challenges presented by the COBRA subsidy and deadline extensions, as plaintiffs' lawyers may be waiting to take advantage of any missteps."  MORE >>

Cohen & Buckmann, P.C.

Federally-Funded Paid Leave Benefits Might Be On the Way

"In his address to the Joint Session of Congress on Wednesday evening, President Joe Biden formally announced (among other things) the paid leave provisions of his American Families Plan.... The specifics of the paid leave proposal could be more ... specific. But here is the information we have right now."  MORE >>

Constangy, Brooks, Smith & Prophete LLP

Mental Health Services Wane as Insurers Appear to Skirt Parity Rules During Pandemic

"[A new report] from the Government Accountability Office ... paints a picture of an already strained behavioral health system struggling after the pandemic struck to meet the treatment needs of millions of Americans with conditions like alcohol use disorder and post-traumatic stress disorder."  MORE >>

Kaiser Health News

Employee Benefits Jobs

View job as Retirement Plan Relationship Manager
for ERISA Services, Inc. Retirement Plan Relationship Manager

ERISA Services, Inc.

Telecommute

View job as Retirement Plan Relationship Manager
for ERISA Services, Inc.

View job as Retirement Plan Administrator
for Premier Plan Consultants Retirement Plan Administrator

Premier Plan Consultants

Telecommute / San Diego CA

View job as Retirement Plan Administrator
for Premier Plan Consultants

View job as Group Benefits Account Executive
for CPS Inc Group Benefits Account Executive

CPS Inc

Zionsville IN

View job as Client Service Representative
for Nexus Administrators, Inc. Client Service Representative

Nexus Administrators, Inc.

Telecommute / Fresno CA

View job as Benefits Specialist
for Air Line Pilots Association Benefits Specialist

Air Line Pilots Association

Mc Lean VA / Rockville Centre NY

View job as Project Specialist
for Wespath Benefits and Investments Project Specialist

Wespath Benefits and Investments

Glenview IL

Webcasts and Conferences
(Health & Welfare Plans)

COBRA Connections, Part II: ARPA Subsidies - What's New?

April 30, 2021 WEBCAST

Gallagher

Last Issue's Most Popular Items

Ready or Not, Mental Health Parity Reporting Has Been Effective Since February 10

Snell & Wilmer

Will Federal Rules on Mental Health Parity Work This Time?

The Wagner Law Group

Easier Access to Exchange-Based Premium Tax Credit Subsidies Means Employers Need to Consider Risk of ACA Penalties

MZQ Consulting, LLC

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BenefitsLink Retirement Plans Newsletter, ISSN no. 1536-9587.

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