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Health & Welfare Plans Newsletter

October 11, 2021

7 New Job Opportunities 7 New Job Opportunities


[Guidance Overview]

Exceptional Usefulness and Quality icon The No Surprises Act and Transparency Requirements

"[This article provides a table listing] adjusted effective dates for the [No Surprises Act], CAA Transparency and [Transparency in Coverage] provisions ... [along with a summary of] each of the provisions ... [T]he September 30 interim final rules state that grandfathered plans must ... provide for external review of adverse benefit determinations for claims subject to the cost-sharing and surprise billing protections in the No Surprises Act. This would take effect in the 2022 plan year."  MORE >>


[Guidance Overview]

COBRA Election and Payment Periods: Does One Year of 'Tolling' Really Mean One Year?

"In Notice 2021-58, the IRS (with the blessing of DOL and HHS) clarified that the one-year Tolling Relief periods for COBRA elections and initial premium payments run concurrently not consecutively. That means that a qualified beneficiary generally will have only one year of total disregarded time for the election and initial payment periods."  MORE >>


[Guidance Overview]

Changes to California's Paid Leave Programs Coming in 2023

"California's state disability insurance (SDI) and paid family leave (PFL) current benefit calculation rates will remain unchanged until 2023 ... However, without further legislative action, those rates may revert to pre-2018 levels in 2023."  MORE >>


[Guidance Overview]

States, Cities Tackle COVID-19 Paid Leave (PDF)

61 pages, updated Oct. 8, 2021. "The latest updates ... cover the expiration of California’s supplemental paid sick leave mandate, extension of paid leave requirements in Massachusetts and Los Angeles County, and a new ordinance on employees’ vaccination rights in Cook County, IL."  MORE >>


[Guidance Overview]

Surprise Billing Regs Establish Procedures to Determine Out-of-Network Rates

"If state law or an applicable All Payer Model Agreement provides a method for determining the out-of-network rate that rate will apply. Otherwise, the out-of-network rates will be determined under the interim final rules, which establish ... timeframes for negotiating and determining out-of-network rates."  MORE >>

McDonald Hopkins

Employer Medical Benefit Costs Continue to Triple the Rate of Inflation Globally in 2022

"The costs of employer medical benefits across the world are forecasted to rise 7.4 percent in 2022, outpacing general inflation by 5 percent ... The average annual increase for employer-sponsored medical plans is expected to rise 0.2 percent, mainly due to medical utilization returning to pre-COVID-19 pandemic levels, increased chronic disease, expanded benefits and higher unit costs for medical services."  MORE >>


Starting January 1, Continued Health Benefits Will Be Required for Striking California Public Employees

"Governor Newsom signed Assembly Bill 237 (AB 237), which prohibits California public employers from discontinuing employer contributions for health care or other medical coverage for employees who, during the duration of an authorized strike, fall below the minimum hours worked to qualify for employee health care coverage."  MORE >>

Jackson Lewis

Bill to Provide Paid Family Leave for Feds Could Cost $20 Billion by 2027

"[CBO] warned that the actual price tag of providing feds with up to 12 weeks of paid family leave could vary widely from their estimate, depending on how much the new benefit is used.... The bill mirrors a recently enacted law providing federal employees with 12 weeks of paid parental leave per year, and it also provides paid leave following the loss of a pregnancy or a failed adoption and births as part of a surrogacy arrangement."  MORE >>

Government Executive

Value-Based Payment and Health Care System Preparedness and Resilience

"Over the past 20 years, Medicare and many private payers have transitioned to policies known collectively as value based purchasing (VBP). The COVID-19 pandemic has had an unprecedented impact on health, health care, the economy, and our daily lives over the past 15 months. This report identifies lessons learned from this experience and uses them to consider how future disaster preparedness, response, and resilience (PRR) might be incorporated as we move forward with VBP policies."  MORE >>

Assistant Secretary for Planning and Evaluation [ASPE], U.S. Department of Health and Human Services [HHS]

Employee Benefits Jobs

View job as Retirement Plan Administrator
for Heritage Administrative Services, LLC Retirement Plan Administrator

Heritage Administrative Services, LLC

Woodbury NY

View job as Retirement Plan Administrator
for Heritage Administrative Services, LLC

View job as Retirement Plan Consultant (RPC)
for Qualified Plan Consultants, LLC (QPC) Retirement Plan Consultant (RPC)

Qualified Plan Consultants, LLC (QPC)


View job as Retirement Plan Consultant (RPC)
for Qualified Plan Consultants, LLC (QPC)

View job as Lead Client Executive
for Transamerica Lead Client Executive


Remote / FL / GA / SC

View job as Retirement Planning Consultant
for Transamerica Retirement Planning Consultant


Remote / TX

View job as Senior Client Executive
for Transamerica Senior Client Executive


Remote / CA

View job as Account Manager
for MAP Retirement Account Manager

MAP Retirement

Remote / Appleton WI

View job as ESOP Client Service Specialist
for Alerus ESOP Client Service Specialist



Last Issue's Most Popular Items

IRS Provides COBRA Coverage Clarifications


SCOTUS to Hear ACA Discrimination Case That Could Have Far-Reaching Effects on Group Health Plans

MZQ Consulting, LLC

Asking Applicants for Vax Status? Not So Fast, Employers

Constangy, Brooks, Smith & Prophete LLP

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

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