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Health & Welfare Plans Newsletter

August 4, 2021

6 New Job Opportunities


[Official Guidance]

HHS-Developed Risk Adjustment Model Algorithm 'Do It Yourself' Software Instructions for the 2021 Benefit Year (PDF)

25 pages; Aug. 3, 2021. "The methodology that HHS will use when operating a risk adjustment program on behalf of a State for the 2021 benefit year will calculate a plan average risk score for each covered plan based upon the relative risk of the plan's enrollees, and apply a state payment transfer formula in order to determine risk adjustment payments and charges for plans within a State market risk pool." [Also available: Technical Details (XLSX), and 2020 Benefit Year Risk Adjustment: SAS Version of HHS-Developed Risk Adjustment Model Algorithm Software (ZIP)]  MORE >>

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

[Guidance Overview]

Maryland Public Health Emergency Paid Sick Leave

"Maryland's law provides paid leave to employees working in Maryland who are unable to work due to a public health emergency related to a communicable disease. The new law became effective on June 1, 2021, but the paid leave provisions are on hold until the state government provides funding.... The Act only applies to what it defines as essential employers and essential workers."  MORE >>


Nationwide Out-of-Pocket Spending Jumped 10% in 2021

"Consumer out-of-pocket spending on healthcare is set to hit an estimated $491.6 billion, or about $1,650 per person, in the U.S.... The number is a roughly 10% increase over last year's total and is expected to maintain a continual annual growth rate of 9.9% for the next five years[.]"  MORE >>


The Role of Employers (and Employees) in the Health Spending Conversation

"The state of both public and private policy in this area, suggests two immediate areas for employers and other system leaders to focus on in terms of understanding and reducing health costs. The first is consumerism.... A second area of focus is better understanding, and then communicating, value."  MORE >>


The Impact of the COVID-19 Pandemic and Recent Federal Policies on Small Business Health Insurance

"Despite being some of the hardest hit employers, small employers did all they could to maintain their health plans. Small employers ... view health coverage as a necessary recruitment and staff retention tool and so were hesitant to cut benefits. However, the small group market as a whole rests on a shaky foundation as employers look to cut costs and pursue non-ACA compliant coverage options."  MORE >>

Urban Institute

Benefits in General

What Multiemployer Plan Trustees Need to Know About Form 5500

"[Form 5500] reports a wide array of qualitative and quantitative information about the plan for a given plan year.... For each of the main schedules, [this article summarizes] the following: [1] A high-level description of the form and what it discloses. [2] What the information contained within the schedules can tell you. [3] How the information may impact your approach to decision-making for your plan."  MORE >>

Withum Smith+Brown, PC

Road Contractor to Pay $20.7 Million for Stealing Prevailing Wage Fringe Benefit Contributions

"Beyond the prevailing wage violations, withholding but failing to timely deposit pension, health or other fringe benefit contributions also can trigger substantial criminal and civil liability for an employing business and its owners and management under [ERISA].... Risks of these and other workforce liabilities are rising as the current Administration makes investigation and enforcement of wage and other employment, labor and benefit laws a priority."  MORE >>

Solutions Law Press

Employee Benefits Jobs

View job as Account Manager for CDH and COBRA
for ProBenefits, Inc. Account Manager for CDH and COBRA

ProBenefits, Inc.

Remote / Winston Salem NC

View job as Account Manager for CDH and COBRA
for ProBenefits, Inc.

View job as Employee Benefits Associate
for Shipman & Goodwin LLP Employee Benefits Associate

Shipman & Goodwin LLP

Hartford CT / New Haven CT / Stamford CT / Washington DC

View job as Retirement Plan Administrator
for Afognak Native Corporation Retirement Plan Administrator

Afognak Native Corporation

Chesapeake VA

View job as Plan Administration Project Coordinator
for Nova 401(k) Associates Plan Administration Project Coordinator

Nova 401(k) Associates

Remote / Houston TX / Dallas TX / Scottsdale AZ

View job as Retirement Services Manager
for Sacramento County Employees' Retirement System (SCERS) Retirement Services Manager

Sacramento County Employees' Retirement System (SCERS)

Sacramento CA

View job as Benefits Advisor
for Employee Benefits Security Administration [EBSA] Benefits Advisor

Employee Benefits Security Administration [EBSA]

Remote / Ft. Wright KY

Press Releases

LeafHouse, iJoin® Partner to Deliver a Personalized Managed Account Solution with Breakthrough Pricing


Marc Schmeeckle Joins SageView Advisory Group in Denver

SageView Advisory Group

HUB International Strengthens Retirement and Private Wealth Capabilities with Addition of Randy Grose In Colorado

HUB International

Insured Retirement Institute Wins 'Power of A' Award for Advocacy

Insured Retirement Institute [IRI]

Webcasts and Conferences
(Health & Welfare Plans)

Annual Benefits Forum: How To Be an ERISA Superhero

September 15, 2021 WEBCAST

Williams Mullen

HSA Fundamentals

October 19, 2021 WEBCAST


Last Issue's Most Popular Items

Best Practices for Mental Health Parity: Considerations for Implementation (PDF)

Epstein Becker Green, via Compliance Today

The 2022 Required Annual Notices to Employees

ABD Insurance & Financial Services

Smaller Employers Beware: IRS Doesn't Want Paper ACA Filings Next Year


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

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