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Health & Welfare Plans Newsletter

July 7, 2021

4 New Job Opportunities


[Guidance Overview]

HHS Issues Interim Final Rule Implementing Certain Provisions of the No Surprises Act

"This [rule] includes the following provisions: [1] Bans surprise billing for emergency services.... [2] Bans high out-of-network cost-sharing for emergency and non-emergency services.... [3] Bans out-of-network charges for ancillary care (like an anesthesiologist or assistant surgeon) at an in-network facility in all circumstances. [4] Bans other out-of-network charges without advance notice."  MORE >>

Holland & Knight

[Guidance Overview]

IRS Extends Relief for Leave-Based Donation Programs

"In general, the employee's donated time does not need to be treated as wages for income or payroll tax purposes if ... [1] the payment is made to a section 170(c) organization for the relief of victims of the COVID-19 pandemic in the affected geographic areas; and [2] the payment is paid to the section 170(c) organization after Dec. 31, 2020 and before Jan. 1, 2022."  MORE >>


A Closer Look at the New Surprise Billing Regs: The Impact on Balance Billing

"Even in various situations where balance billing will remain permissible, hospitals will have to implement additional procedures involving notice and consent unless they are in a state where such regulations already exist."  MORE >>

Healthcare Financial Management Association [HFMA]; free registration required

Federal Plan to End Surprise Medical Bills Draws Mixed Reactions

"[S]urprise billing ... occurs most often in cases of emergency care and in specialties such as radiology and anesthesiology. These medical specialties tended to favor an approach that relied on arbitration, whereas insurers, large employers, and consumer groups preferred approaches that peg payments to prevailing established rates. Among the issues not addressed in the first rule is the format for creating an option for independent dispute resolution in cases in which other approaches to resolve billing disputes fall short."  MORE >>

Medscape; free registration required

Tracking Your Employees' HSA Progress

"Make sure your team can observe and benchmark account balances. When contributions exceed distributions, employees can build long-term health savings.... It's critical to make sure your people build that initial HSA safety net. Without that foundation, your people risk potentially dipping into retirement accounts (and paying an early distribution penalty) to cover medical bills.... Verify that your people are regularly logging into their HSA and optimizing their account."  MORE >>


HISIM2: The Health Insurance Simulation Model Used in Preparing CBO’s July 2021 Baseline Budget Projections

42 presentation slides. "HISIM2 is an updated version of the model CBO uses to generate estimates of health insurance coverage and premiums for people under age 65. The model is used along with other models to develop CBO's baseline budget projections ... It is also used to estimate the effects of proposed changes in policies that affect health insurance coverage."  MORE >>

Congressional Budget Office [CBO]

Evaluating Post-Pandemic Employer Health Plan Costs

"Employers should explore methods for offsetting costs while remaining competitive as the country prepares to move past the pandemic. One way to accomplish this is through advanced underwriting strategies to evaluate and forecast the risk of health claims. This entails appropriately assigning fully insured premiums or self-funded premium equivalent components to the anticipated risk. While far from simple, this could help employers anticipate future spend as well as positively influence their negotiations with health plan carriers, administrators, and reinsurers."  MORE >>


Employee Benefits Jobs

View job as West Region Manager
for Segal West Region Manager


San Francisco CA

View job as 401k Documents Consultant
for Newport 401k Documents Consultant


Telecommute / Dallas TX / Charlotte NC / Mobile AL / Lake Mary FL / Saint Petersburg FL / Chicago IL / AZ / CA / IA / MN

View job as Compliance Analyst
for Newport Compliance Analyst


Telecommute / Lake Mary FL / Fresno CA / Folsom CA / Greensboro NC / Saint Petersburg FL / Charlotte NC / Chicago IL / Moline IL / Urbandale IA / Scottsdale AZ / MI / SC

View job as Compliance Consultant
for Newport Compliance Consultant


Telecommute / Folsom CA / Fresno CA / Saint Petersburg FL / Moline IL / Chicago IL / Charlotte NC / AZ / IA / MN

Press Releases

Bolton Announces Acquisition of RSC Advisory Group


Michelle Roberts Is Named by Northern California Super Lawyers as a 2021 Top 100 Super Lawyer

Roberts Disability Law

Alight Successfully Closes Business Combination with Foley Trasimene Acquisition Corp.


Preferred Pension Planning Corporation Acquires Tri-State Pension Consultants, LLC

Preferred Pension Planning Corporation

Pinnacle Acquires Block Consulting Actuaries

Pinnacle Plan Design

Webcasts and Conferences
(Health & Welfare Plans)

Preparing for This Year's Open Enrollment and Critical Benefits Communications

July 12, 2021 WEBCAST

Tango Health

How COVID-19 Has Changed the Workplace: Are You Ready for Reopening?

July 22, 2021 WEBCAST

Worldwide Employee Benefits Network [WEB] - New York Chapter

Post-Pandemic Benefits Issues

August 19, 2021 WEBCAST

American Bar Association Joint Committee on Employee Benefits [JCEB]

Virtual Compliance & Legislative Summit

October 4, 2021 WEBCAST


Last Issue's Most Popular Items

Banning Surprise Bills: Agencies Release First Set of Regs for the 'No Surprises Act'

Katie Keith, Jack Hoadley, and Kevin Lucia, in Health Affairs Blog

Employers, Insurers Get Upper Hand in Surprise Billing Rule

Bloomberg Law

Surprise Billing Rule Also Strikes Down Insurer Emergency Department Policies


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

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