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Health & Welfare Plans Newsletter
August 20, 2021
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► 6 New Job Opportunities
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[Guidance Overview]
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
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[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 >>
Graydon
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[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 >>
TRI-AD
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[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 >>
Mercer
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[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
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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 >>
Mercer
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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
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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
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Employee Benefits Jobs |
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Last Issue's Most Popular Items |
IRS Information Letters Explain Post-Termination Health FSA Reimbursement Under COBRA and COVID-19 Relief
Thomson Reuters / EBIA
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DOL Settles Unprecedented Lawsuit Against United Healthcare for Violations of the Mental Health Parity and Addiction Equity Act
Epstein Becker Green
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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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