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Health & Welfare Plans Newsletter

August 9, 2021

2 New Job Opportunities


[Guidance Overview]

Duluth, Minnesota Adds Permitted Uses, Notice, Enforcement to Sick and Safe Time Ordinance

"In additional to using ESST for an employee or employee's family member's mental or physical illness/injury, preventive care, or absences due to domestic abuse or sexual assault, employees may use ESST for lost work hours due to closure of an employee's place of employment for public health reasons.... The new law requires employers to provide every new employee an individual copy of the employer's ESST policy[.]"  MORE >>

Jackson Lewis P.C.

[Guidance Overview]

Implementing Regs for the No Surprises Act: Part I

"Medicare and Medicaid already prohibit surprise billing/balance billing, and the NSA extends this protection to patients insured through employer-based and individual health plans. The NSA applies to fully insured and self-insured group health plans, including grandfathered plans, but they do not apply to excepted benefits (such as limited-scope dental and vision plans, and most health flexible spending arrangements), or to health reimbursement arrangements."  MORE >>

Robinson & Cole LLP

Exceptional Usefulness and Quality icon A $50 Monthly Paycheck Deduction by Your Employer: Coming Soon for the Unvaccinated?

" '[We] have received inquiries from at least 20 employers over the past few weeks who are giving consideration to adding health coverage surcharges for the unvaccinated as a way to drive up vaccination rates in their workforce,' said Wade Symons, Mercer's regulatory resources group leader.... [T]he amount of the surcharge being discussed with these employers is akin to the $20 to $50 a month charges companies already charge workers who smoke."  MORE >>

Forbes; subscription may be required

CMS Proposes Pulling Model That Ties Part B Drug Prices to Those Paid Overseas

"The Biden administration has pulled a Trump-era regulation that ties Medicare Part B prices for certain products to prices paid overseas. The proposed rule released [August 6 by CMS] comes in response to a series of legal defeats that the Biden administration faced over the controversial model."  MORE >>


What Is an 'Arbitrary and Capricious' Benefit Denial?

"It is easier to be proactive in preventing an arbitrary and capricious denial than to overturn a claim decision after it has been made. Claimants must take advantage of their right to appeal a claim denial prior to filing suit by creating a claim record that is 'bulletproof.' The case needs to be made so strongly that if the insurance company is reviewing the evidence objectively, it should experience shock and awe upon receipt of the claim appeal."  MORE >>

DeBofsky Sherman Casciari Reynolds P.C.

Employee Benefits Jobs

View job as Retirement Services Specialist Principal - Southeast Field Representative
for Minnesota State Retirement System Retirement Services Specialist Principal - Southeast Field Representative

Minnesota State Retirement System


View job as Labor & Employment Associate
for Willcox & Savage, P.C. Labor & Employment Associate

Willcox & Savage, P.C.

Norfolk VA

Press Releases

NWPS Continues to Add to Its Business Development Team with Another Industry Professional: Timothy Loehr CPFA


Last Issue's Most Popular Items

Medicare Part D Notices Must Be Provided by October 15

HUB International

IRS Finalizes Mandatory 60-Day Postponement Period for Federally Declared Disasters


Last-Minute Creative Employee Perks to Incorporate This Open Enrollment


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

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