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Health & Welfare Plans Newsletter

August 13, 2021

3 New Job Opportunities


Ninth Circuit: ERISA Plan's Procedural Error in Reviewing Claim for Disability Benefits Does Not Warrant Remand to the Plan

"The Ninth Circuit agreed with the district court that the Plan violated the requirement of 'a meaningful dialogue between ERISA plan administrators and their beneficiaries.' ... Excluding Dimry from the process following remand was procedural error. The court found that this error prevented the full development of the administrative record and that the district court should determine whether Dimry is entitled to benefits." [Dimry v. Bert Bell/pete Rozelle NFL Player Ret. Plan, No. 20-17049 (9th Cir. Aug. 10, 2021)]  MORE >>

Roberts Disability Law

Third Circuit: Employer Paid Leave Benefits Must Extend to Reservists on Short-Term Military Leave

"The Third Circuit noted it had a limited task: interpreting USERRA's statutory language consistent with its ordinary meaning at the time Congress enacted the statute.... The Court concluded that USERRA entitles employees taking military leave to the 'other rights and benefits' their employers give employees taking similar kinds of leave. The Court found that since FedEx pays employees who take non-military leaves for jury duty and health it places employees who take military leave and are not paid at a disadvantage." [Travers v. Federal Express Corp., No. 20-2073 (3d Cir. Aug. 10, 2021)]  MORE >>

Stevens & Lee

Third Circuit Joins Seventh Circuit in Holding Paid Leave May Be Required During Military Service

"The ruling, which is the second by a federal appeals court to make a similar holding after the Seventh Circuit's decision in White v. United Airlines, Inc. et al., will likely lead to more litigation around unpaid military leave, and makes it even more critical for employers to review their policies to limit risk." [Travers v. Federal Express Corp., No. 20-2073 (3d Cir. Aug. 10, 2021)]  MORE >>

Morgan Lewis

How Would Drug Price Negotiation Affect Medicare Part D Premiums?

"The debate over a budget reconciliation package in the coming weeks, and possibly months, is likely to focus heavily on the savings to Medicare, which can be used to expand Medicare benefits and fund other health care priorities. However, by lowering Medicare spending for Part D, which covers retail prescription drugs, drug price negotiation proposals would also be expected to lower premiums that beneficiaries pay for Part D coverage."  MORE >>

Henry J. Kaiser Family Foundation

Summary of the Current Status of Health Insurance Enrollment in Connecticut

"In 2019, 93.5 percent of the population was enrolled in health insurance.... [Employer-sponsored insurance (ESI)] covered the largest proportion of individuals within each age category, but was highest among those ages 40-49; over two-thirds of that population was enrolled in ESI.... Asian individuals had the highest rate of ESI coverage (76.0 percent), compared with 64.0 percent of white individuals, 52.8 percent of black individuals, and 45.4 percent of those of other races."  MORE >>

RAND Corporation


Employer Self-Funded Health Insurance Is Taking Us in the Wrong Direction

"Self-funded arrangements have grown steadily as a share of the insurance market over the past 15 years and now include many employers with less than 200 employees. While this may be the most cost-effective decision for individual employers under the current regulatory framework, it has the effect of locking in uncoordinated, open-ended fee-for-service (FFS) and locking out comparatively economical Integrated Delivery Systems (IDS)."  MORE >>

Alain C. Enthoven, in Health Affairs Blog

Employee Benefits Jobs

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

Primark Benefits

Remote / Burlingame CA

View job as DB/DC Administrator
for Primark Benefits

View job as 401(k) Specialist
for Coastal Pension Services, LLC 401(k) Specialist

Coastal Pension Services, LLC

Remote / Columbia MD

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

Employee Benefits Security Administration [EBSA]

Remote / Chicago IL

Press Releases

Lockton Dunning Benefits Continues to Encapsulate Its Commitment to Growth


Willis Towers Watson announces agreement to sell Willis Re to Gallagher

Willis Towers Watson

Webcasts and Conferences
(Health & Welfare Plans)

Trends in Telemedicine

September 27, 2021 WEBCAST

EBRI [Employee Benefit Research Institute]

Last Issue's Most Popular Items

No More Balance Billing for Some Out-of-Network Services

Holland & Hart LLP

United Behavioral Health, United Healthcare Insurance Co. Plans to Pay $15.6M, Take Corrective Actions After Federal, State Investigations

Employee Benefits Security Administration [EBSA], U.S. Department of Labor [DOL]

ERISA's Broken Promise

Peter J. Wiedenbeck, Washington University in St. Louis - School of Law, via SSRN

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

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