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Health & Welfare Plans Newsletter

December 21, 2021

10 New Job Opportunities 10 New Job Opportunities


[Official Guidance]

Text of IRS Notice 2022-04: Updated PCORTF Fee Payable for 2021 by Insured and Self-Insured Health Plans (PDF)

"The applicable dollar amount ... for policy years and plan years that end on or after October 1, 2021, and before October 1, 2022, is $2.79. Because HHS did not publish updated National Health Expenditures tables for fiscal year 2021, this year's fee is calculated using last year's projections."  MORE >>

Internal Revenue Service [IRS]

[Guidance Overview]

Preparing for the No Surprises Act: Considerations for Providers and Health Plans Before the January 2022 Effective Date

"There are several actions organizations should take now. [1] Complete a gap analysis.... [2] Differentiate workflows for uninsured or self-pay vs. [out of network] insured patients.... [3] Provide a quality good faith estimate.... [4] Have an accurate provider directory.... [5] Revisit productivity standards.... [6] Caution about noncompliance with overlapping transparency rules.... [7] Communicate consistently and frequently."  MORE >>

Moss Adams LLP

[Guidance Overview]

Washington State Announces Moratorium on Long Term Care Act Payroll Tax

"In light of a class action lawsuit filed against the Washington Cares Fund and a pending citizens' initiative (I-1436) which would make it optional to participate in Washington's long-term care insurance, Governor Inslee announced ... that he and the State Legislature ... have identified some areas that need adjustments.... Inslee is ordering the state Employment Security Department not to collect the LTC payroll taxes from employers that were scheduled to begin in January."  MORE >>


[Guidance Overview]

Governor Inslee Postpones Collection of Washington State Fund Long Term Care Fund Premium

"Governor Inslee ... ordered the Employment Security Department not to collect the tax, or subject employers to taxes or penalties prior to April 1 ... It is anticipated the legislature will affirm this unprecedented delay ... [T]he governor lacks the unilateral authority to direct employers not to collect the premiums. Therefore, until the legislature acts in 2022, employers are urged not to withhold the premium tax[.]"  MORE >>

Davis Wright Tremaine LLP

[Guidance Overview]

New York City Is Poised to Require Employers to Provide Paid COVID-19 Child Vaccination Leave

"On November 23, 2021, the New York City Council approved a measure, Int. 2448-A ('Bill'), that would provide additional paid sick leave for employees who are parents or legal guardians of a child under the age of 18 to accompany their child to receive the COVID-19 vaccine, or provide care for the child due to the vaccine's side effects. The Bill, which awaits Mayor de Blasio's signature, would take effect immediately and apply retroactively to November 2, 2021."  MORE >>

Epstein Becker Green

Compliance, Practicality Issues Surround Federal Price Transparency Requirements

"The first year of federal price transparency regulations for hospitals hasn't had high rates of compliance, nor has it always been conducive to providing actionable information for consumers ... A new study adds to questions about how useful the information is for consumers, pointing out that healthcare entities aside from hospitals may contribute substantially to the cost of care episodes."  MORE >>

Healthcare Financial Management Association [HFMA]; free registration may be required

Large HIPAA Penalties Put Spotlight on Protection of Health Plan Data

"OCR has received a wave of required unsecured electronic health information breach notifications impacting 500 or more individuals arising from hacking of electronic systems or e-mail since January 1, 2021 ... While health plan breach notifications generally have lagged far behind provider notifications in number, reported health plan breaches generally have resulted the largest civil monetary penalty or resolution payments largely due to the massive number of individuals affected by these breaches."  MORE >>

Solutions Law Press

Small Business Healthcare Policy Priorities

"Eight in ten (78%) [small business owners (SBOs)] agree health care reform that adds new costs for small businesses is high-risk and would add another burden to recovering businesses ... SBOs indicated that [the impact of] rising health insurance costs ... on their businesses and employees [includes]: Employees asked to pay higher percentage of health insurance costs (42%), ability to offer other health care benefits (40%), reduced employee medical benefits (36%), employees getting less family coverage (32%), and reduced employee salaries (32%)."  MORE >>

Small Business & Entrepreneurship Council [SBEC] and United States Hispanic Chamber of Commerce [USHCC]

Three Insurers to Pay Out $3.1 Million After Health Parity Violations

"Aetna, Oscar Health and Wellfleet must pay $3.1 million after allegedly violating federal and New York mental health parity and cost-sharing laws.... Between fines for parity and data-reporting violations, the payers owe $2.6 million in penalties and must return $473,565 to members. "  MORE >>

Becker's Hospital Review

Supreme Court Agrees to Review the Vaccine Mandate for Healthcare Workers in Upcoming Weeks

"The Supreme Court is set to provide a measure of clarity on the Biden administration's COVID-19 vaccine mandate for healthcare workers after establishing a deadline of Dec. 30 for challenger-states to file briefs. The court's eventual ruling may eliminate the potential for the country to be temporarily split between states in which the mandate is in place and those in which injunctions prevent enforcement."  MORE >>

Healthcare Financial Management Association [HFMA]; free registration required

Benefits in General

[Official Guidance]

IRS Provides Disaster Relief for Victims of Tornadoes in Illinois and Tennessee

"Victims of this month's tornadoes in parts of Illinois and Tennessee will have until May 16, 2022, to file various individual and business tax returns and make tax payments ... [T]he IRS is providing this relief to taxpayers affected by storms, tornadoes and flooding that took place starting on December 10 ... who live or have a business in Bond, Cass, Coles, Effingham, Fayette, Jersey, Macoupin, Madison, Montgomery, Morgan, Moultrie, Pike and Shelby counties in Illinois and Cheatham, Decatur, Dickson, Dyer, Gibson, Lake, Obion, Stewart, and Weakley counties in Tennessee."  MORE >>

Internal Revenue Service [IRS]

Sixth Circuit Panel Member Questions Basis for Remand to ERISA Plan Administrator

"[A] recent concurrence ... may indicate that at least some members of the federal judiciary are beginning to consider whether ERISA authorizes remands.... [T]he concurrence questioned why a private litigant (there, the plan administrator) would get a second bite at the apple via a remand rather than have the district court supervise additional litigation using normal rules of civil procedure." [Card v. Principal Life Ins. Co., No. 20-6217 (6th Cir. Nov. 2, 2021)]  MORE >>

Jackson Lewis P.C.

Employee Benefits Jobs

View job as Internal Wholesaler
for The Retirement Plan Company Internal Wholesaler

The Retirement Plan Company

AZ / CA / CO / NV / OR / UT / WA

View job as Internal Wholesaler
for The Retirement Plan Company

View job as Defined Contribution Administrator
for PACETPA Defined Contribution Administrator


Remote / Clovis CA / Las Vegas NV

View job as Defined Contribution Administrator

View job as Defined Benefit Administrator
for PACETPA Defined Benefit Administrator


Remote / Clovis CA / NV

View job as Defined Benefit Administrator

View job as Retirement Plan Consultant
for October Three Consulting LLC Retirement Plan Consultant

October Three Consulting LLC

Remote / Chicago IL / Irving TX / Jacksonville FL

View job as Retirement Plan Consultant
for October Three Consulting LLC

View job as Benefit Specialist
for October Three Consulting LLC Benefit Specialist

October Three Consulting LLC

Remote / Chicago IL / Irving TX / Jacksonville FL

View job as Benefit Specialist
for October Three Consulting LLC

View job as Director of Qualified Retirement Plans
for Klaas Financial Director of Qualified Retirement Plans

Klaas Financial

Madison WI / Loves Park IL

View job as Senior Consultant, Non-Qualified Plans
for Newport Senior Consultant, Non-Qualified Plans


Remote / Chicago IL / Lake Mary FL / Richmond VA / Dallas TX / Los Angeles CA

View job as Plan Administrator for Non-Qualified Retirement Plans
for Newport Plan Administrator for Non-Qualified Retirement Plans


Lake Mary FL / Dallas TX / Richmond VA / NC

View job as Senior Implementations Relationship Manager
for Vestwell Senior Implementations Relationship Manager


Remote / New York NY

View job as National Benefits Coordinator
for AFGE National Benefits Coordinator


Washington DC

Press Releases

Wellbeats Joins Castlight Health's Digital Health Ecosystem


ARA Files Suit to Protect QKA® Trademark

American Retirement Association [ARA]

Webcasts and Conferences
(Health & Welfare Plans)

Wellness in the Workplace: Findings From the 2021 WWS

February 2, 2022 WEBCAST

EBRI [Employee Benefit Research Institute]

ERISA Counsel and Attorney-Client Privilege: What You Don't Know About the Fiduciary Exception Could Hurt You

February 16, 2022 WEBCAST


Have You Checked Your Vitals Recently? Healthcare Research & Industry Trends

February 22, 2022 WEBCAST

Disability Management Employer Coalition [DMEC]

Last Issue's Most Popular Items

Washington Governor and Legislative Leaders Announce Delay in Long-Term Care Fund

Ogletree Deakins

Friday Night Fights: What Just Happened to the OSHA and Federal Contractor Vaccine Mandates?


Medicare's 6-Month Lookback for HSA Contributions

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

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

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