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Health & Welfare Plans Newsletter

January 17, 2022

9 New Job Opportunities 9 New Job Opportunities


[Guidance Overview]

Understanding the 'No Surprises' Rules

"The No Surprises Rules also introduce a negotiation and dispute resolution process for situations where the health plan and provider do not agree that the plan's ordinary payment is appropriate. The rules set a strong presumption as to the amount ... The rules ... [include] information that plans will need to provide to participants about the expected costs and benefits for a service subject to the rules. This requirement is delayed, pending further guidance."  MORE >>

Ballard Spahr LLP

[Guidance Overview]

Alert (High Risk Issue) icon Preventive Coverage Mandate Now Includes At-Home COVID-19 Tests

"In addition to ensuring the updated preventative health guidelines are implemented, plan sponsors should work with their third-party administrator or insurer to develop a process for coverage of OTC COVID-19 tests and to develop procedures to reduce the risk of participant fraud."  MORE >>

McDermott Will & Emery

[Guidance Overview]

Alert (High Risk Issue) icon Health Plans Must Cover OTC COVID-19 Tests: Immediate Considerations for Plan Sponsors

"[1] For self-funded plans, will the plan seek to provide coverage through a direct arrangement and rely on the safe harbor? ... [2] How will plans communicate these changes to participants? ... [3] How will self-funded plans track the number of tests provided compared to the allowable limits set by the FAQs? ... [4] Will the self-funded plans require an attestation from participants as part of the reimbursement process? ... [5] What will self-funded plans require as documentation as part of the reimbursement process?"  MORE >>


[Guidance Overview]

DOL Announces Temporary Enforcement Policy for Group Health Plan Service Provider Disclosures

"Under its temporary enforcement policy, the DOL will treat a provider of brokerage or consulting services to a group health plan as having made the required disclosures to a responsible plan fiduciary if the disclosures are made in accordance with a reasonable good faith interpretation of ERISA Section 408(b)(2)(B)."  MORE >>

The Wagner Law Group

HHS Renews COVID-19 Public Health Emergency Order for Another 90 Days

"By [renewing the Emergency Order] for another 90 days, [HHS] preserved major flexibilities for providers on telehealth and other waivers intended to help combat the virus ... The emergency ... also enables states and counties to waive certain requirements if they have issued their own emergencies."  MORE >>


Bankrupt Provider's Successor Can Sue Cigna for Unpaid Benefit Claims

"The successor of a bankrupt mental-health and substance-abuse treatment provider can sue Cigna for $8.6 million in unpaid benefits but can't seek damages for fraud ... The 9th U.S. Circuit Court of Appeals revived most of a lawsuit brought by Bristol SL Holdings Inc. -- a company formed by the principals of Chapter 11 debtor Safe Haven Inc., with the bankruptcy court's approval -- to collect on the unpaid claims that Safe Haven blamed for forcing it into bankruptcy in 2017." [Bristol SL Holdings Inc. v. Cigna Health and Life Ins. Co., No. 20-56122 (9th Cir. Jan. 13, 2022; also companion opinion, unpub.)  MORE >>

Reuters; free registration may be required

Employee Benefits Jobs

View job as Retirement Plan Administrator
for Fulton Bank / Fulton Financial Advisors Retirement Plan Administrator

Fulton Bank / Fulton Financial Advisors


View job as Retirement Plan Administrator
for Fulton Bank / Fulton Financial Advisors

View job as Retirement Plan Administrator
for Benefit Consultants Group Retirement Plan Administrator

Benefit Consultants Group

Cherry Hill NJ

View job as Retirement Client Services Manager
for Newport Retirement Client Services Manager


Remote / Folsom CA / Chicago IL / Saint Petersburg FL / Lake Mary FL / La Crosse WI / Charlotte NC / Mobile AL / Overland Park KS / Dallas TX / West Des Moines IA / Los Angeles CA / Pittsburgh PA

View job as Retirement Relationship Manager - 401(k), 403(b)
for Newport Retirement Relationship Manager - 401(k), 403(b)


Remote / Folsom CA / Saint Petersburg FL / Lake Mary FL / Chicago IL / West Des Moines IA / Overland Park KS / Minneapolis MN / Lake Mary FL / Charlotte NC / Greensboro NC / De Pere WI / La Crosse WI / AZ / CO / GA / MA / MD / MI / MO / NJ / NY / OH / SC / TX / VA

View job as Investment Consultant Analyst / Associate Consultant - Fiduciary Consulting Services
for Newport Investment Consultant Analyst / Associate Consultant - Fiduciary Consulting Services


Lake Mary FL / Saint Petersburg FL

View job as Account Manager, Retirement Plans
for Human Interest Account Manager, Retirement Plans

Human Interest

Remote / San Francisco CA

View job as Retirement Plan Administrator
for Prime Pensions Northwest, LLC Retirement Plan Administrator

Prime Pensions Northwest, LLC

Eugene OR

View job as Defined Benefit Administrator - Experienced
for MGKS Defined Benefit Administrator - Experienced


Remote / Phoenix AZ

View job as Senior Retirement Analyst
for Dunbar, Bender & Zapf, Inc. Senior Retirement Analyst

Dunbar, Bender & Zapf, Inc.

Remote / Pittsburgh PA

Press Releases

Corporate Insight Announces Annual User Experience Awards in Investing and Retirement, Highlighting Rise of Mobile Apps and Holistic Financial Planning

Corporate Insight

Webcasts and Conferences
(Health & Welfare Plans)

Beyond the OSHA ETS Vaccine/Testing Mandate: Employer Update

January 20, 2022 WEBCAST

Fox Rothschild LLP

Last Issue's Most Popular Items

DOL Increases Civil Money Penalties for 2022

Thomson Reuters Practical Law

Terms of SPD Created Enforceable Promises Under State Law Despite At-Will Employment Status

Faegre Drinker

Agencies Reiterate ACA Preventive Care Requirements, Scold Some Plans


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

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