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Health & Welfare Plans Newsletter

July 30, 2021

3 New Job Opportunities


[Guidance Overview]

Greater Price Transparency, Advanced Explanation of Benefits Requirements Coming Soon

"The CAA requires that health plan participants receive an advance explanation of benefits (EOB) whenever they schedule a health care service at least three business days in advance. Participants are also able to request an advance EOB for a health care service whether or not the service has been scheduled."  MORE >>

Hall Benefits Law

[Guidance Overview]

CMS Toolkit on COVID-19 Vaccine: Health Insurance Issuers and Medicare Advantage Plans (PDF)

17 pages; Jul. 30, 2021. "CMS issued this toolkit to help health insurance issuers and Medicare Advantage plans identify the issues that need to be considered and addressed in order to provide coverage and reimbursement for vaccine administration. Because COVID-19 vaccines will be federally purchased, this toolkit primarily focuses on vaccine administration.... This toolkit:

  • Provides a list of operational considerations for issuers and Medicare Advantage plans as they design their approach to promoting COVID-19 vaccinations, and information on how issuers and Medicare Advantage plans can communicate with providers and enrollees on vaccinations and coverage;
  • Outlines legislative and regulatory provisions applicable to issuers that ensure that enrollees can receive a COVID-19 vaccine in a convenient setting, with no out-of-pocket costs;
  • Encourages issuers and Medicare Advantage plans to implement streamlined processes to quickly administer COVID-19 vaccine coverage; and
  • Describes how issuers and Medicare Advantage plans can maximize the number of their enrollees who get vaccinated once a COVID-19 vaccine becomes available."


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

[Guidance Overview]

Oregon Issues Temporary Rule Expanding the Scope of Its Paid Sick Leave Law During a Public Health Emergency

"[E]ffective immediately and through January 17, 2022, eligible employees may take covered leave for absences connected to: [1] an emergency evacuation order of level 2 (SET) or level 3 (GO) issued by a public official with the authority to do so, if the affected area subject to the order includes either the location of the employer's place of business or the employee's home address; and [2] a determination by a public official with the authority to do so that the air quality index or heat index is at a level where continued exposure to such levels would jeopardize the employee's health."  MORE >>


HHS and DOJ Issue Guidance on 'Long COVID' as a Disability

"Although the guidance acknowledges that long COVID is not always a disability, it indicates that an individualized assessment is necessary to determine whether a person's condition or symptoms substantially limit a major life activity. The guidance also provides examples of when long COVID could meet that definition under applicable law."  MORE >>

Jackson Lewis P.C.

Insurers Push Back on CMS' Proposals to Extend ACA Open Enrollment, Bring Back Standardized Plans

"Several insurers and advocacy groups commented on the proposals outlined in the Centers for Medicare & Medicaid Services' Notice of Benefit and Payment Parameters, which outlines ACA marketplace exchange regulations for the 2022 coverage year. Insurers worried that extending the open enrollment period could lead to adverse selection and raise premiums for consumers."  MORE >>


CMS: Part D Premiums Projected to Increase Nearly 5% in 2022

"The average Part D premium is projected to increase by nearly 5% from $31.47 to $33 in 2022.... The announcement comes amid several potential major changes to Medicare being debated in Congress."  MORE >>


Benefits in General

How a Contemporary Benefits Administration Solution Can Elevate Your Employee Experience

"Nearly 70% of HR professionals surveyed felt a contemporary ben admin system can help employees better understand their benefit options.... 66% of HR professionals surveyed reported that a contemporary ben admin system improved the relationship between HR and the rest of the organization.... 63% of HR professionals feel a contemporary ben admin system can help employees feel better connected to their healthcare experience."  MORE >>


Employee Benefits Jobs

View job as Defined Benefit Pension Administrator
for Actuaries Unlimited, Inc. Defined Benefit Pension Administrator

Actuaries Unlimited, Inc.


View job as Defined Benefit Pension Administrator
for Actuaries Unlimited, Inc.

View job as Senior Implementation Manager
for Ubiquity Retirement + Savings Senior Implementation Manager

Ubiquity Retirement + Savings

Remote / San Francisco CA / AZ / CO / FL / IL / KY / LA / MA / MS / NC / NJ / NV / NY / OH / OR / RI / SC / TN / TX / WA

View job as Senior Implementation Manager
for Ubiquity Retirement + Savings

View job as Economist
for Pension Benefit Guaranty Corporation [PBGC] Economist

Pension Benefit Guaranty Corporation [PBGC]

Remote / Washington DC

Selected New Discussions

After a Job Change, What's the Former Employee's Deadline for FSA Claims?

"Employee elected maximum allowed into employer's Health FSA plan. Employee is terminating and has 2 questions:

  1. Is employee required to submit FSA claims prior to last day of employment (i.e., mid-month), or last day of coverage (i.e., last day of month), taking COBRA out of the picture?
  2. Can employee then elect any FSA amount with new employer, regardless of how much was either put into the account of first employer or reimbursed/used at first employer?"

BenefitsLink Message Boards

Press Releases

HUB International Announces New Employee Benefits Data Analytics Tool

HUB International

OneDigital and Ascensus Create OneDigital Complete Retirement Solution


Aflac Selected as Administrator for Connecticut Paid Leave Program


Last Issue's Most Popular Items

IRS Releases New COBRA Subsidy Guidance, with Less Than a Week Until Forms 941 Are Due

Groom Law Group

IRS Information Release 2021-160: Paid Leave Credit Available for Providing Leave to Employees Caring for Individuals Obtaining or Recovering from a COVID-19 Immunization (PDF)

Internal Revenue Service [IRS]

Cybersecurity Best Practices for Employer-Sponsored Benefits


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

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