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Health & Welfare Plans Newsletter

June 25, 2021

6 New Job Opportunities


[Guidance Overview]

Summary of Patient Protections Provided by the ACA and CAA 'No Surprises Act'

"There are five main types of patient protections under the ACA and the new CAA 'No Surprises Act' structure: [1] Primary care provider, OB/GYN, and pediatrician designation (originally in the ACA); [2] Emergency services coverage (originally in the ACA); [3] Preventing surprise medical bills (added by the CAA); [4] Ending surprise air ambulance bills (added by the CAA); and [5] Continuity of care (added by the CAA)."  MORE >>

ABD Insurance & Financial Services

[Guidance Overview]

Nevada Expands Paid Leave Rights for Employees, Including for COVID-19 Vaccination

"Nevada has enacted new law requiring employers to provide additional paid leave to allow employees to receive a COVID-19 vaccination and clarifying that employees may use existing paid leave to care for themselves and their family members."  MORE >>

Jackson Lewis P.C.

[Guidance Overview]

Paid Leave for COVID-19 Vaccines and 'Kin Care' Come to Nevada

"SB209 requires private employers to provide employees with up to four hours of paid leave to receive the COVID-19 vaccine. It further amends Nevada's Paid Leave Law by adding a non-exhaustive list of reasons for which employees may take paid leave. AB190 allows employees to use a portion of their accrued employer-provided paid or unpaid sick leave to care for the employee's immediate family members. SB209 went into effect immediately upon the Governor's approval on June 9, 2021, and AB190 goes into effect on October 1, 2021."  MORE >>

Seyfarth Shaw LLP

District Court Finds Health Insurer's Cross-Plan Offsetting Practices Were Prohibited Transaction Under ERISA

"The court concluded that the insurer's cross-plan offsetting practices resulted in a transaction involving a party with interests adverse to those of the participants in Plan B, in violation of ERISA Section 406(b)(2).... In the court's view, the insurer's use of a pooled bank account also suggested an ERISA prohibited transaction because it made Plan A's interests adverse to those of Plan B. " [Lutz Surgical Partners PLLC v. Aetna, Inc., No. 15-2595 (D.N.J. Jun. 21, 2021)]  MORE >>

Thomson Reuters Practical Law

Employers Consider More Pet-Friendly Benefits in the Postpandemic Workplace

"A survey released in March ... found that 57% of surveyed pet owners said they would be most happy returning to their workplace if they could bring their pets with them. According to the same survey, one in two C-suite executives surveyed said they are planning to allow pets in the workplace once employees return to the office, and 59% would allow more flexibility for workers wanting to stay remote with their pets."  MORE >>

International Foundation of Employee Benefit Plans [IFEBP]


NCPA Supports NAIC Plan to Adopt Model PBM Oversight Legislation

"[T]he model bill would require PBMs to obtain a license from the state's insurance commissioner, permit the commissioner to adopt PBM regulations, and prohibit certain PBM abuses such as retaliating against a pharmacy for discussing PBM compliance issues with the insurance commissioner."  MORE >>

National Community Pharmacists Association [NCPA]


Exceptional Usefulness and Quality icon Public Comments Now Available on Proposed Modifications to the HIPAA Privacy Rule

As of Jun. 24, 2021, 1,436 public comments have been posted. The proposed changes include strengthening individuals' rights to access their own health information, including electronic information; improving information sharing for care coordination and case management for individuals; facilitating greater family and caregiver involvement in the care of individuals experiencing emergencies or health crises; enhancing flexibilities for disclosures in emergency or threatening circumstances, and reducing administrative burdens on HIPAA covered health care providers and health plans.  MORE >>

U.S. Department of Health and Human Services [HHS]

Employee Benefits Jobs

View job as Plan Document Reviewer
for Nova 401(k) Associates Plan Document Reviewer

Nova 401(k) Associates

Telecommute / Houston TX / Dallas TX / Scottsdale AZ

View job as General Attorney
for Pension Benefit Guaranty Corporation [PBGC] General Attorney

Pension Benefit Guaranty Corporation [PBGC]

Telecommute / Washington DC

View job as Defined Benefit Plan Consultant
for Planned Retirement Consultants & Administrators, LLC Defined Benefit Plan Consultant

Planned Retirement Consultants & Administrators, LLC

Telecommute / Ridgewood NJ

View job as 401k & Defined Contribution Plan Consultant
for Planned Retirement Administrators & Consultants, LLC 401k & Defined Contribution Plan Consultant

Planned Retirement Administrators & Consultants, LLC

Telecommute / Ridgewood NJ

View job as Special Projects Administrator
for Nova 401(k) Associates Special Projects Administrator

Nova 401(k) Associates

Telecommute / Houston TX / Dallas TX / Scottsdale AZ

View job as 401k Plan Administrator
for Northwest Retirement Plans 401k Plan Administrator

Northwest Retirement Plans

Medford OR

Press Releases

FuturePlan by Ascensus Appoints Aaron McIsaac as Divisional Vice President for Southern California


Pooled Employer Plans Available on the Benetic Marketplace


Webcasts and Conferences
(Health & Welfare Plans)

Employer Considerations for Returning to the Workplace and the COVID-19 Vaccination

July 15, 2021 WEBCAST

ABD Insurance & Financial Services

Last Issue's Most Popular Items

Are Employers Allowed to Use Health Plan Claims Records to Determine Whether Employees Have Received COVID-19 Vaccinations?

Thomson Reuters / EBIA

IRS PLR Addresses Fertility Treatments and Gestational Surrogacy Expenses Under Section 213 as Applied to Same-Sex Spouses

Epstein Becker Green

Fourth Circuit Revives ERISA Claims Alleging 'Buried' Service Fees Charged to Self-Funded Health Plans

Roberts Disability Law

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

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