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Health & Welfare Plans Newsletter

July 9, 2021

8 New Job Opportunities

 

[Guidance Overview]

State of the States: Paid Family Leave Overview (PDF)

13 pages. "Paid Family Leave (PFL) legislation has grown in popularity, and states continue to propose, fund, and launch their own programs.... Every jurisdiction has adopted plans that vary in terms of length of leave, amount of payment, and funding mechanism. Additionally, some states have chosen to combine their state-mandated short-term disability with a PFL program to create a Paid Family and Medical Leave (PFML) program."  MORE >>

Voya Financial

[Guidance Overview]

No More Surprises? New Rule on Surprise Medical Bills

"The rule requires plans to treat certain services from out-of-network providers and facilities as in-network in applying cost-sharing, such as deductibles and co-insurance.... Similarly, the rule forbids out-of-network providers from billing participants for amounts in excess of the participant's in-network cost-sharing responsibility, subject to the participant's ability to waive this protection in some situations."  MORE >>

Bradley

[Guidance Overview]

Surprise Billing Rules and Requirements

"Most of the responsibility for these changes will fall on the carrier or third-party administrator/administrative services only provider (TPA). However, employers should confirm with their carriers and TPAs that they plan to implement these rules."  MORE >>

HUB International

[Guidance Overview]

The CAA Mental Health Parity Comparative Analysis Requirement

"[T]he DOL expects to focus on the following four NQTLs in its near-term enforcement efforts: [1] Prior authorization requirements for in-network and out-of-network inpatient services; [2] Concurrent review for in-network and out-of-network inpatient and outpatient services; [3] Standards for provider admission to participate in a network, including reimbursement rates; and [4] Out-of-network reimbursement rates (plan methods for determining usual, customary, and reasonable charges)."  MORE >>

ABD Insurance & Financial Services

Telehealth Use Drops for Third Straight Month as Patients Return to In-Person Appointments

"Telehealth claim lines dropped 12.5% nationally as a percentage of medical claim lines, decreasing from 5.6% of claim lines in March 2021 to 4.9% in April ... This was a greater decrease than the drop of 5.1% in March but not as steep as the decrease of almost 16% in February."  MORE >>

FierceHealthcare

[Opinion]

NCPA Urges West Virginia to Include Fair Reimbursement, Full Enforcement in PBM Reform Rules

"NCPA is urging the state to specify that pharmacy reimbursement should be inclusive of all fees, clawbacks, etc. that a PBM charges a pharmacy and that net reimbursement cannot be lower than the acquisition cost and required dispensing fee."  MORE >>

National Community Pharmacists Association [NCPA]

Employee Benefits Jobs

View job as DB/DC Administrator
for Primark Benefits DB/DC Administrator

Primark Benefits

Telecommute / Burlingame CA

View job as DB/DC Administrator
for Primark Benefits

View job as Retirement Plan Administrator
for The Retirement Group, LLC Retirement Plan Administrator

The Retirement Group, LLC

Telecommute / Verona NJ / NY

View job as Retirement Plan Administrator
for The Retirement Group, LLC

View job as Attorney - ERISA Health & Welfare (Multiemployer)
for Trucker Huss, APC Attorney - ERISA Health & Welfare (Multiemployer)

Trucker Huss, APC

San Francisco CA / Los Angeles CA

View job as Attorney - ERISA Health & Welfare (Multiemployer)
for Trucker Huss, APC

View job as Attorney - ERISA Health & Welfare
for Trucker Huss, APC Attorney - ERISA Health & Welfare

Trucker Huss, APC

San Francisco CA / Los Angeles CA

View job as Attorney - ERISA Health & Welfare
for Trucker Huss, APC

View job as Team Lead - Defined Contribution & Defined Benefit Plans
for Qualified Plan Administrators, Inc. Team Lead - Defined Contribution & Defined Benefit Plans

Qualified Plan Administrators, Inc.

Telecommute / Greensboro NC

View job as Installation Coordinator
for July Business Services Installation Coordinator

July Business Services

Telecommute / Waco TX

View job as Product Support Specialist
for ftwilliam.com / Wolters Kluwer Product Support Specialist

ftwilliam.com / Wolters Kluwer

Telecommute

View job as Actuarial Service Specialist
for July Business Services Actuarial Service Specialist

July Business Services

Telecommute / Waco TX

Press Releases

Franklin Templeton Partners with vWise to Deliver Personalized Investment Solutions to Defined Contribution Participants

Franklin Templeton

National Institute of Pension Administrators Announces 2021-2022 Officers and Directors

NIPA [National Institute of Pension Administrators]

Webcasts and Conferences
(Health & Welfare Plans)

COVID-19 and Insured Mortality

July 14, 2021 WEBCAST

Society of Actuaries

Transforming the Employee Experience: With Business Models Shifting, It's Time to Recalibrate Your Approach to Workplace Culture, Employee Wellbeing and Benefits

July 15, 2021 in GA

Worldwide Employee Benefits Network [WEB] - Atlanta Chapter

Rethinking Employee Benefits in a Post-Pandemic World

July 21, 2021 WEBCAST

TriNet Group

Employment and Employee Benefits Issues in M&A Transactions

July 22, 2021 WEBCAST

Hunton Andrews Kurth

Biologics, Biosimilars and Specialty Drug Overview

July 28, 2021 WEBCAST

Worldwide Employee Benefits Network [WEB] - Dallas Chapter

Last Issue's Most Popular Items

Harmonizing 'Tax Home' Concepts with Evolving Remote Work Arrangements (PDF)

Groom Law Group, via Tax Notes State

Which Federal and State Leave Laws Apply to Your Remote Employee?

FMLA Insights

Surprise Medical Billing Guidance (Part 1) and Model Notice Released; Expectations for Future Guidance Addressed

Thomson Reuters / EBIA

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

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