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Health & Welfare Plans Newsletter

October 5, 2021

10 New Job Opportunities 10 New Job Opportunities

 

[Guidance Overview]

CMS: Employer Plans Can't Deny Benefits to Unvaccinated Customers But Can Offer Premium Discounts

"Employer group health plans cannot deny benefits to customers who have not gotten the COVID-19 vaccine but can offer premium discounts to customers who decide to get the shot, new guidance from [CMS] said. But plans that increase premiums on the unvaccinated will have that increase count toward whether that coverage is affordable under the [ACA]."  MORE >>

FierceHealthcare

[Guidance Overview]

HIPAA Takeaways as HHS Addresses Misconceptions on Applicability to COVID-19 Vaccination Information

"[1] HIPAA only regulates covered entities and business associates.... [2] HIPAA does not prohibit covered entities or business associates from asking about vaccinations.... [3] HIPAA does not apply to employee information.... [4] HIPAA covered entities do not always need authorization to disclose vaccination information.... [5] HIPAA covered entity health care providers can disclose vaccination information to employers without authorization only in specific circumstances."  MORE >>

Foley & Lardner LLP

[Guidance Overview]

Banning Surprise Bills, Part 2: Good Faith Estimates, External Review, and More

"This post summarizes the parts of the interim final rule related to external review, providing good faith estimates to uninsured individuals, and the dispute resolution process for patients and providers. The good faith estimates and the patient/provider dispute resolution process are HHS-only rules and generally apply beginning on January 1, 2022."  MORE >>

Health Affairs Blog

[Guidance Overview]

Exceptional Usefulness and Quality icon More Surprises on Surprise Billing: Will Federal or State Law Control?

"This article provides an overview of the concurrent jurisdiction Congress created through the [No Surprises Act (NSA)] and discusses key issues stakeholders should consider as the Departments continue to release regulations in preparation for the NSA's January 1, 2022, effective date."  MORE >>

Epstein Becker Green

[Guidance Overview]

Upcoming Deadline icon Medicare Part D Notice of Creditable Coverage Deadline: October 15

"Who must receive the Notice of Creditable Coverage? ... Where are the model notices? ... How to provide ... Combining with other materials ... Why the Notice matters: the late enrollment penalty ... One other Part D disclosure requirement ... What about the other required annual notices?"  MORE >>

Newfront

[Guidance Overview]

Massachusetts PFML: New 2022 Benefit Amounts and Contribution Rates, COVID-19 Sick Leave Law Extended/Expanded Until April 1, 2022 (PDF)

"Effective January 1, 2022: [1] New [state average weekly wage (SAWW)] for PFML purposes is increased to $1694.24. [2] New weekly maximum PFML benefit is increased to $1084.31. [3] New employer contribution rate is DECREASED to .68% ... H. 4127 [extends] the emergency sick leave benefit until the earlier of April 1, 2022 or the exhaustion of the $75 million in program funding.... [E]ffective October 1, 2021, employees may use MA COVID sick leave to care for a family member who needs to obtain or recover from a COVID-19 immunization."  MORE >>

RAS Law, P.C.

Air Ambulance Charges Have Soared for Commercial Insurance

"[T]he average charge for fixed-wing air ambulance services rose by 27.6% between 2017 and 2020, increasing from $19,210 to $24,507.... Alaska, Wyoming, South Dakota, Montana and New Mexico were the states in which fixed-wing air ambulance services accounted for the largest portion of overall claims lines ... Virginia, Kentucky, New Hampshire, New Jersey and Vermont were the states in which such costs accounted for the lowest portion of overall claims."  MORE >>

FierceHealthcare

Questions to Ask Before Signing Your First Stop-Loss Insurance Contract

"How much risk are we willing to take on? ... What are our contract terms, and will we have coverage gaps? ... What is our exit strategy?"  MORE >>

Corporate Synergies

Collecting Disability Benefits for Medication Side-Effects

"Although courts recognize the need to consider medication side effects when determining disability, many long term disability plan administrators still ignore those side effects in rendering their disability determinations. This article will address some of the recent case law and offer tips on how to prove disability due to medication side effects."  MORE >>

DeBofsky Sherman Casciari Reynolds P.C.

Employee Benefits Jobs

View job as DC Plan Administrator
for The Best TPA Firm in the US DC Plan Administrator

The Best TPA Firm in the US

Remote / Oklahoma City OK

View job as DC Plan Administrator
for The Best TPA Firm in the US

View job as Compliance Manager
for Newfront, formally ABD Insurance and Financial Services Compliance Manager

Newfront, formally ABD Insurance and Financial Services

Remote / San Mateo CA

View job as Compliance Manager
for Newfront, formally ABD Insurance and Financial Services

View job as Client Relationship Manager
for Stones River Consulting Client Relationship Manager

Stones River Consulting

Remote / TN

View job as Client Relationship Manager
for Stones River Consulting

View job as Retirement Plan Administrator
for Leading Retirement Solutions Retirement Plan Administrator

Leading Retirement Solutions

Remote / Seattle WA

View job as Retirement Plan Consultant
for Leading Retirement Solutions Retirement Plan Consultant

Leading Retirement Solutions

Remote / Seattle WA

View job as Senior Client Service Consultant
for CBIZ Senior Client Service Consultant

CBIZ

Independence OH / Phoenix AZ / Torrance CA / Denver CO

View job as Retirement Plan Sales Associate
for Leading Retirement Solutions Retirement Plan Sales Associate

Leading Retirement Solutions

Remote / Seattle WA

View job as Senior Financial Analyst for Newport Trust
for Newport Senior Financial Analyst for Newport Trust

Newport

Remote / New York NY / Minneapolis MN / Washington DC / Los Angeles CA

View job as Health Insurance Specialist (Program Policy) - GS13
for Centers for Medicare & Medicaid Services [CMS] Health Insurance Specialist (Program Policy) - GS13

Centers for Medicare & Medicaid Services [CMS]

Remote / Woodlawn MD

View job as Health Insurance Specialist (Program Policy) - GS 11/12
for Centers for Medicare & Medicaid Services [CMS] Health Insurance Specialist (Program Policy) - GS 11/12

Centers for Medicare & Medicaid Services [CMS]

Remote / Woodlawn MD

Press Releases

Prudential Financial Aligns Individual and Institutional Retirement Capabilities to Form New Prudential Retirement Strategies Business

Prudential Financial, Inc.

Firefly Health Launches Health Plan for Employers

Firefly Health

Tamara Middleton Joins RMC Group as Vice President of Pensions

RMC Group

Webcasts and Conferences
(Health & Welfare Plans)

Annual Disability and Leave Management Symposium: Leave It to Us

November 1, 2021 WEBCAST

Jackson Lewis LLP

Annual Disability and Leave Management Symposium: Leave It to Us

November 2, 2021 WEBCAST

Jackson Lewis LLP

Last Issue's Most Popular Items

Text of Agency FAQs, Part 50: Rapid Coverage of Preventive Services for Coronavirus; HIPAA Nondiscrimination and Wellness Programs (PDF)

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

2021 Plan Amendment Deadlines and Other Looming Fourth Quarter Considerations

Jackson Lewis P.C.

Banning Surprise Bills, Part 1: A New Rule on Independent Dispute Resolution

Health Affairs Blog

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

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