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Health & Welfare Plans Newsletter
October 22, 2021
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7 New Job Opportunities
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[Guidance Overview]
A Survival Guide to DOL Group Health Plan Mental Health Parity Audits
"[T]he MHPAEA requires the preparation of an annual comparative analysis to ensure that NQTLs are applied to MH/SUD and M/S benefits in a comparable (and no more restrictive) manner.... The CAA now makes it mandatory that fiduciaries provide this information upon request.... The
DOL's production requirements are specific, extensive, and require analysis of the plan document provisions and the history of the application of the document provisions, policies, and procedures." MORE >>
Morgan Lewis
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[Guidance Overview]
HHS Releases Second Interim Final Rule Implementing the No Surprises Act
"This [interim final rule] largely deals with: [1] the provider-payer independent dispute resolution (IDR) process, [2] 'good faith' cost estimates for uninsured and self-pay individuals and [3] the patient-provider dispute resolution process (for when
costs exceed these estimates)." MORE >>
Holland & Knight
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[Guidance Overview]
Massachusetts Paid Family and Medical Leave Updates
"Decreased contribution rate.... Updated average weekly wage and maximum MAPFML benefits.... Annual Report issued.... Serious health certification form update.... Updated eligibility requirements for self-employed individuals.... Administrative changes to the MAPFML website....
Clarification on overlapping leave benefits.... Penalties for companies who leave private plans." MORE >>
Mintz
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[Guidance Overview]
Allegheny County, Pennsylvania, Enacts Paid Sick Leave Ordinance
"[T]he ordinance is scheduled to take effect on the 90th calendar day following the posting of notice information for employers on the Allegheny County website.... Upon taking effect, the Allegheny County paid sick leave ordinance will require covered employers to allow eligible
employees to earn up to 40 hours of paid sick leave per year." MORE >>
Seyfarth Shaw LLP
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CRS Insight: HR 5376 Universal Paid Family and Medical Leave Benefit Formula, and the Distribution of Workers Across Selected Earnings Groups
"H.R. 5376 [the 'Build Back Better Act'] proposes a new federal cash benefit for eligible individuals engaged in certain
types of family and medical caregiving. Benefits would be calculated on a weekly basis (paid monthly) for up to a maximum of 12 workweeks of qualified caregiving in a benefit period (generally a 12-month period). The weekly benefit amount would be equal to the product of the weekly benefit rate multiplied by the ratio of the number of creditable caregiving hours in the week to the number of hours in the regular workweek[.]" [IN11783,
Oct. 22, 2021] MORE >>
Congressional Research Service [CRS]
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Survey Confirms Effectiveness of Telehealth in Rural America and Beyond
"Nine in 10 adults say they are satisfied with the quality of their telehealth care, and eight in 10 adults say the issue they were primarily concerned about was resolved through e-visits.... Twelve percent of rural Americans indicate that they would have delayed seeking care
without a telehealth option, and 14 percent say they would not have sought care at all." MORE >>
Health Affairs Blog
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Texas Solicits Comments Regarding Major Changes to Health Plan Rating
"On October 19, 2021, the Texas Department of Insurance (TDI) released an informal working draft of a rule establishing a comprehensive state-based rate review process for individual and small group health plans with respect to premium rates for major medical coverage....
The new process, which would be effective for the 2023 plan year, would have the TDI review for compliance with federal, in addition to state, requirements." MORE >>
Foley & Lardner LLP
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Employee Benefits Jobs |
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Press Releases |
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Definiti Expands Operations into California and Southeast
Definiti LLC
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Last Issue's Most Popular Items |
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Health Plan Premium Incentives for the COVID-19 Vaccine: A 'How To' Guide
Foley & Lardner LLP
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Comments Submitted to DOL on Proposed SECURE Act Revisions to Form 5500
Employee Benefits Security Administration [EBSA], U.S. Department of Labor [DOL]
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Should Spouses Obtain Separate Health Insurance?
Christine Benz, in Morningstar
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Copyright 2021 BenefitsLink.com, Inc. All materials contained in this newsletter are protected by United States copyright law and may not be reproduced, distributed, transmitted, displayed, published or broadcast without the prior written permission of BenefitsLink.com, Inc., or in the case of third party materials, the owner of those materials. You may not alter or remove any trademark, copyright or other notices from copies of the content.
BenefitsLink Retirement Plans Newsletter, ISSN no. 1536-9587.
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