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Health & Welfare Plans Newsletter

August 20, 2021

6 New Job Opportunities


[Guidance Overview]

Upcoming Deadline icon HIV PrEP Services Must Be Covered with No Co-Payment by September 17

"The FAQs clarify that the USPSTF recommendation includes a combination of certain baseline and monitoring services that are essential to the efficacy of PrEP. The FAQs describe these services ... [and] provide guidance on when group health plans can use medical management techniques with respect to PrEP coverage."  MORE >>

Snell & Wilmer

[Guidance Overview]

New Guidance for Required PrEP Coverage

"[P]lans may not use reasonable medical management techniques to restrict the frequency of PrEP services if the frequency is specified by underlying guidance.... The guidance also clarified that any office visits related to PrEP services must be covered without cost sharing when the preventive service (i.e., PrEP or an essential support service) is not billed separately from the office visit."  MORE >>


[Guidance Overview]

ARPA COBRA Subsidy Ending Soon

"Employers and plan administrators will revert to pre-subsidy COBRA administration. This includes contending with the [Outbreak Period relief] for certain deadlines that fall on or after March 1, 2020.... Some AEIs have lost the extended COBRA deadline to enroll retroactively and must be handled differently."  MORE >>


[Guidance Overview]

Changes to California's Paid Leave Programs Coming in 2022

"California's state disability insurance (SDI) and paid family leave (PFL) benefit rates for 2022 may revert to pre-2018 levels without legislative action.... Pending legislation (AB 123) would raise the PFL weekly benefit to 90% of an employee's weekly wage for claims beginning on or after Jan. 1, 2022. However, the bill doesn't address the SDI program, and the SDI benefit rate will revert to 55% without legislative amendments."  MORE >>


[Guidance Overview]

New York Issues Guidance on Paid Family Leave Tax Treatment

"[1] Premiums are to be deducted from employee's after-tax wages. [2] Paid Family Leave Benefits paid to employees will be taxable, non-wage income that must be included in federal gross income. [3] Taxes will not automatically be withheld from benefits. [4] Employees wishing to avoid tax liability for receipt of paid family leave benefits can request voluntary tax withholding from such benefits. [5] Employers should report employee contributions on an IRS Form W-2 using Box 14 -- State disability taxes withheld."  MORE >>

Society for Human Resource Management [SHRM]; membership may be required to view article

2022 Transportation, Health FSA and Archer MSA Limits Projected

"Limits for qualified transportation fringe benefits, health FSAs and Archer MSAs are all expected to increase noticeably in 2022, thanks to the unusually large increase in chained CPI for the year (3.1% for the 11 months ending July 2021). The inflationary increases are expected to be as large as several typical years' worth."  MORE >>


Ninth Circuit Holds Health Plan Did Not Abuse Its Discretion in Terminating Spousal Benefits Following Judgment of Dissolution of Marriage

"[T]he court found that because Plaintiff Robbins did not inform the Plan office of the final decree of divorce within 60 days of the state court judgment, the Plan was not obligated to send Goodman any additional information about her COBRA rights.' [Goodman v. Motion Picture Indus., No. 20-55937 (9th Cir. Aug. 16, 2021; unpub.)]  MORE >>

Roberts Disability Law

Benefits in General

[Guidance Overview]

How DOL's Cybersecurity Guidance Impacts Retirement and Health and Welfare Plans

"[T]he DOL did not provide a delayed effective date but considers this guidance enforceable now.... Note that the DOL cybersecurity guidance is very high-level and does not include a lot of detail. That can make it difficult to determine what, exactly, a plan sponsor and a vendor must do."  MORE >>

Quarles & Brady LLP

Employee Benefits Jobs

View job as Fiduciary Analyst
for Anchor 3(16) Fiduciary Solutions, LLC Fiduciary Analyst

Anchor 3(16) Fiduciary Solutions, LLC

Remote / Wexford PA

View job as Fiduciary Analyst
for Anchor 3(16) Fiduciary Solutions, LLC

View job as Retirement Plan Administrator
for KB Pension Services Retirement Plan Administrator

KB Pension Services

Remote / Bradenton FL

View job as Senior Attorney - NY Insurance Counsel
for The Standard Senior Attorney - NY Insurance Counsel

The Standard

Remote / Portland OR / NY

View job as 401(k) Consultant
for Creative Retirement Systems 401(k) Consultant

Creative Retirement Systems

Remote / Cincinnati OH

View job as Retirement Plan Services Relationship Manager
for Fulton Bank Retirement Plan Services Relationship Manager

Fulton Bank

Lancaster PA / DE / MD / NJ / VA

View job as Consultant / Retirement Plan Administration
for Spectrum Pension Consultants, Inc. Consultant / Retirement Plan Administration

Spectrum Pension Consultants, Inc.

Remote / Tacoma WA / Honolulu HI / Fresno CA / Pasadena CA / Las Vegas NV / Mansfield OH / Independence OH

Last Issue's Most Popular Items

IRS Information Letters Explain Post-Termination Health FSA Reimbursement Under COBRA and COVID-19 Relief

Thomson Reuters / EBIA

DOL Settles Unprecedented Lawsuit Against United Healthcare for Violations of the Mental Health Parity and Addiction Equity Act

Epstein Becker Green

Most Private Insurers Are No Longer Waiving Cost-Sharing for COVID-19 Treatment

The Peterson-Kaiser Health System Tracker

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

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