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Health & Welfare Plans Newsletter
January 19, 2022
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8 New Job Opportunities
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[Guidance Overview]
DOL Sets 2022 Penalties for Health and Welfare Benefit Plan Violations
"The year-over-year inflation increase for 2022 is 6.222%.... [A] chart shows the 2022 and 2021 maximum (and in some cases, minimum) penalties for certain health and welfare plan violations assessed after Jan. 15." MORE >>
Mercer
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[Guidance Overview]
Challenges of Mental Health Parity Compliance
"In 2021, DOL mental health parity audits cited coverage items that are more nuanced and less numbers-based. Issues found include differences in NQTL between medical and MH/SUD benefits for medical necessity review, prior authorization and clinical review, and treatment for
autism spectrum disorder." MORE >>
International Foundation of Employee Benefit Plans [IFEBP]
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[Guidance Overview]
CMS Proposes Revised Definition of Medicare Part D Drug 'Negotiated Prices'
"If finalized in its current form, the 2022 Proposed Rule could enhance predictability of cash flow for pharmacies, reduce out-of-pocket prescription drug costs for Medicare Part D enrollees, and lead Part D plan sponsors to raise premiums, thereby causing increased competition
among Part D plan sponsors for beneficiaries." MORE >>
Ropes & Gray LLP
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[Guidance Overview]
Ohio's New Telehealth Rules Cover Exams for Medical Marijuana Use
"The law, which goes into effect March 23, 2022, ... includes provisions that will continue to allow physicians authorized to recommend medical marijuana to conduct the required in-person patient exams via telehealth.... [T]he law provides that each healthcare
professional licensing board may adopt rules it considers necessary to establish a standard of care for telehealth services." MORE >>
McGuireWoods
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Issues Arise as Health Plans Begin Covering At-Home COVID-19 Tests
"[Self-insured employers can] take steps to keep costs down for the unbudgeted expense of paying for at-home COVID-19 tests.... [1] Plan ahead with the knowledge that the mandate allows for eight tests per family member, so a family of four is entitled to 32 tests per
month.... [2] [D]ecide whether to cover OTC COVID-19 tests under [the] medical and/or prescription drug plans.... [3] Companies can work directly with preferred OTC test sellers through a pharmacy network and a direct-to-consumer shipping program." MORE >>
Society for Human Resource Management [SHRM]; membership may be required to view article
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Pandemic Changed How Americans Make Decisions About Their Benefits
"A third of employees think supplemental insurance is more important now than they did before the pandemic. And almost half of employees -- and 63% of millennials -- purchased at least one new benefit because of the pandemic, with life insurance, critical illness
insurance and mental health resources sought after the most." MORE >>
InsuranceNewsNet.com
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What Are 'Bespoke Perks'?
"[T]he future of employee benefits may well be personalized or 'bespoke' benefits packages that are closely tailored to the needs of individual employees.... [I]ndividualized benefits necessarily require a personal approach to benefits management. This means managers need
to work closely with HR teams to ensure the perks offered to employees actually reflect the perks those employees value the most." MORE >>
HR Daily Advisor
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Georgia University System Employees Call for Change to Smoking Fee Rule
"Employees of Georgia's university system are automatically categorized as smokers through the system's health insurance plan. If employees don't opt out of that status, they're charged an additional monthly fee. Employees who don't smoke have to opt out every
year to avoid the fee.... [S]ome employees say a glitch in the system during the 2019 and 2020 Open Enrollment periods still categorized some workers as smokers even after they'd opted out." MORE >>
WABE Atlanta
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Employee Benefits Jobs |
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Press Releases |
New Plan Governance Platform Vynntana™ is the Next Step in the 403(b) and 457(b) Non-ERISA Industry
Verity Asset Management
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Webcasts and Conferences (Health & Welfare Plans) |
New Year, New Questions: Your Answers for Connecticut Paid Leave + COVID-19
RECORDED
OneDigital
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Washington Update Briefing
January 20, 2022 WEBCAST
Mercer
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Last Issue's Most Popular Items |
Employers Using the Form W-2 Affordability Safe Harbor Must Use Extreme Caution as IRS Crackdown Continues
Accord
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Mandatory Employee Vaccines: Coming to a State Near You?
Littler
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Recent ACA Guidance: Updated Preventive Services, MLR Rebates, and More
Health Affairs
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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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