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Health & Welfare Plans Newsletter

February 9, 2022

7 New Job Opportunities 7 New Job Opportunities


[Guidance Overview]

Exceptional Usefulness and Quality icon DOL's MHPAEA Report Provides a Roadmap for Health Plans and TPAs

"Every group health plan sponsor needs to have a comparative analysis of how their plan develops and applies non-quantitative treatment limitations.... NQTL analyses are NOT a one-time proposition.... [C]ommon failures include not identifying the MHPAEA benefit classifications and/or the specific M/S and MH/SUD benefits affected by the NQTL, failing to identify and/or define factors, and not demonstrating compliance of an NQTL as applied.... [The] Biden Administration is expressly asking for the statutory authority to directly pursue parity violations by entities that provide administrative services to ERISA group health plans, including health insurance issuers when they are providing administrative services to self-funded plans."  MORE >>

MZQ Consulting, LLC

[Guidance Overview]

New Agency Guidance Provides Flexibility for Coverage of Over-the-Counter COVID-19 Tests

"[FAQs Part 52] gives plans and insurers more flexibility in how they satisfy the safe harbor that permits capping reimbursements at $12 per test if they provide 'adequate access' to tests through both a pharmacy network and a direct-to-consumer shipping program.... When providing coverage through a direct-to-consumer shipping program, the plan or insurer must cover reasonable shipping costs."  MORE >>

Ogletree Deakins

[Guidance Overview]

Agencies Issue More Guidance for Coverage of COVID-19 Over-the-Counter Tests

"[T]he Departments acknowledge that small plans covering individuals in a limited geography may be able qualify for this $12 limit without providing a direct-to-consumer shipping option. In other words, these small plans could only offer in-person distribution.... The new FAQs also clarify that tests requiring a reading in a lab are not covered by these rules.... OTC COVID-19 tests must be self-administered and self-read.  MORE >>

HUB International

[Guidance Overview]

New York State Adopts Final Regs on Paid Sick Leave

"The Regulations largely mirror the proposed rules that were issued in December 2020 ... [T]he NYSDOL notably did not respond to questions from commenters related to collective bargaining agreements, leaving open questions about what constitutes 'comparable benefits' sufficient to comply with the Sick Leave Law."  MORE >>

Slevin & Hart, P.C.

Senators Push Telehealth Medicare Coverage Bill

"As federal agencies decide how telemedicine should or should not become an accepted mode of reimbursable treatment, several independent health insurers see the frontline impact and bottom-line efficiencies of telemedicine and are moving ahead with plans of their own."  MORE >>

Idaho Telehealth Regs Withdrawn

"In addition to withdrawing board regulations, Idaho's Division of Occupational and Professional Licenses has made it even easier for out-of-state providers to render telehealth in Idaho during the COVID-19 emergency."  MORE >>

Holland & Hart LLP


Can Mark Cuban Slash Drug Costs?

"Cuban's company is pledging to sell a growing range of generic drugs online at cost plus 15 percent, plus a $3 fee for pharmacists, plus $5 shipping.... If drugs were still purchased predominantly by individuals paying out of pocket, those price differences would be enough to win substantial market share. Yet, over 90 percent of Americans now have health-insurance coverage that pays for prescription drugs.... The market for Cuban's drug company is therefore likely to be limited to the uninsured and those with skimpy insurance coverage."  MORE >>

City Journal

Employee Benefits Jobs

View job as Retirement Plan Analyst
for Preferred Pension Planning Corporation Retirement Plan Analyst

Preferred Pension Planning Corporation

Remote / Bridgewater NJ

View job as Retirement Plan Analyst
for Preferred Pension Planning Corporation

View job as Retirement Plan Administrator
for Gammon & Drueck CPAs PLLC Retirement Plan Administrator

Gammon & Drueck CPAs PLLC

Remote / Mount Juliet TN

View job as Retirement Plan Administrator
for Gammon & Drueck CPAs PLLC

View job as Benefits Advisor (English and/or Spanish) (Recent Graduates)
for Employee Benefits Security Administration [EBSA] Benefits Advisor (English and/or Spanish) (Recent Graduates)

Employee Benefits Security Administration [EBSA]

Remote / Chicago IL

View job as Retirement Plan Administrator
for Aldrich Retirement Solutions Retirement Plan Administrator

Aldrich Retirement Solutions


View job as Senior Pension Actuarial Consultant
for Nyhart, part of FuturePlan by Ascensus Senior Pension Actuarial Consultant

Nyhart, part of FuturePlan by Ascensus

Remote / Chicago IL

View job as Senior Actuary
for FuturePlan, by Ascensus Senior Actuary

FuturePlan, by Ascensus


View job as Retirement Plan Administrator, Sr.
for Incentive Benefits, Inc. Retirement Plan Administrator, Sr.

Incentive Benefits, Inc.

Pasadena CA

Selected New Discussions

Medication Flavoring for Children -- FSA-Reimbursable?

"A TPA told an employer that charges for flavorings added to Rx medicines (usually for kids) are not reimbursable under an FSA. Has there been any IRS guidance on this issue?"

BenefitsLink Message Boards

Press Releases

NFP Expands Medical Stop Loss and Self-Funded Group Captive Capabilities with Acquisition of East Coast Underwriters, LLC and Blue Ridge Captive Solutions PCC, Inc.

NFP Corp.

Guardian Life Acquires Strategic Minority Stake in HPS Investment Partners


Webcasts and Conferences
(Health & Welfare Plans)

California’s New COVID-19 Supplemental Paid Sick Leave Law: What Employers Need to Know to Comply

February 11, 2022 WEBCAST

Ogletree Deakins

For Health Plan Sponsors: How to Use the CAA to Negotiate a Better Administrative Services Agreement

February 22, 2022 WEBCAST

Trucker Huss

Pension and Welfare Plan Overpayments: What Plans and Participants Need to Know

February 24, 2022 WEBCAST

American Bar Association Joint Committee on Employee Benefits [JCEB]

Hot Topics of 2021 and Issues on the Horizon for 2022

February 25, 2022 WEBCAST

Ballard Spahr LLP

HSA University

April 28, 2022 WEBCAST


Last Issue's Most Popular Items

Departments Issue More Guidance Addressing Coverage of Over-the-Counter COVID-19 Tests

Groom Law Group

The CAA's New Rules for Health Care Provider Directories

Ballard Spahr LLP

Helping Participants Navigate OTC COVID-19 Test Coverage

Corporate Synergies

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

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