logo logo

Health & Welfare Plans Newsletter

February 24, 2022

6 New Job Opportunities 6 New Job Opportunities


[Guidance Overview]

Tolling of Important Health and Welfare and Retirement Plan Deadlines Extended Again Due to COVID-19

"On February 18, 2022, President Biden again formally extended the COVID-19 National Emergency ... [Certain deadlines] continue to be tolled for one year (or, if earlier, 60 days from the end of the National Emergency).... For Participants: [1] COBRA qualifying event and disability extension notices ... [2] COBRA election ... [3] COBRA premium payments ... [4] HIPAA special enrollment period ... [5] Benefit claims and appeals ... [6] External review ... [7] Perfecting a request for external review ... For Plan Administrators: COBRA Election Notice."  MORE >>

Groom Law Group

COVID-19 Testing Provider Sues Plans and TPAs for Violating Group Health Plan Coverage Mandate

"In a footnote to its opinion, the court acknowledged the plan's assertion that the price of the testing was too high and noted that its ruling did not foreclose a counterclaim challenging the propriety of the pricing." [Diagnostic Affiliates of N.E. Hou, LLC v. United Healthcare Servs., No. 21-0131 (S.D. Tex. Jan. 18, 2022)]  MORE >>

Thomson Reuters / EBIA

Health Plan's Informational Phone Calls May Have Violated Telephone Consumer Protection Act

"This case highlights the importance of understanding the broad array of privacy laws -- apart from HIPAA -- that may limit the ability of health plans and their business associates to use and disclose PHI. A use or disclosure of PHI that is permitted by HIPAA may still run afoul of other laws." [Fiorarancio v. Wellcare Health Plans, Inc., No. 21-14614 (D.N.J. Jan. 11, 2022)]  MORE >>

Thomson Reuters / EBIA

Exceptional Usefulness and Quality icon 2022 Health Law and Policy Outlook (PDF)

39 pages. "Despite partisan gridlock on numerous healthcare issues in Congress, bipartisan support could bring measures to expand telehealth access, broaden access to behavioral health services and further expand transparency ... At the state level ... [e]mployers can expect new or enhanced paid leave benefits, continued focus on mental health parity, and efforts to expand access to telehealth.... Federal agencies are expected to adjust COVID-19 requirements for employers and group health plans as the pandemic wanes. Implementation and enforcement efforts will concentrate on transparency, surprise billing and mental health parity.... A wide variety of litigation has implications for employer-sponsored health plans."  MORE >>


Semi-Annual Hospital Price Transparency Compliance Report

62 pages, Feb. 2022. "Of the 1,000 total hospitals reviewed ... Only 14.3% were complying with the transparency rule. Only 37.9% of the hospitals posted a sufficient amount of negotiated rates, but over half were not compliant in other criteria of the rule, such as rates by each insurer and named plan. Only 0.5% of hospitals owned by the three largest hospital systems in the country -- HCA Healthcare, CommonSpirit Health, and Ascension -- were in compliance."  MORE >>


2022 CCA Healthcare Meeting A Virtual Event for Health Actuaries April 12 & 14

Earn up to 13.5 hours of continuing education credits during this two-day, virtual meeting! Choose from eight sessions that cover a range of healthcare topics. Registration includes access to CCA’s Healthcare webinar Predictive Modeling/Advanced Analytics. Learn more.

Sponsored by Conference of Consulting Actuaries [CCA]

CBO Working Paper 2022-02: Economic Effects of Five Illustrative Single-Payer Health Care Systems

"CBO used a general-equilibrium, overlapping-generations model to analyze the economic and distributional implications of five illustrative single-payer health care systems. The working paper builds on previous CBO studies about single-payer health care systems."  MORE >>

Congressional Budget Office [CBO]

Ninth Circuit Opens Door to Claims by Out of Network Providers

"[The court] concluded that Bristol had standing to raise the ERISA claims alleged in the Complaint, even though it was neither a plan participant nor a medical provider with an assignment from a participant -- but instead purchased the right to raise the claims in question from the bankrupt medical provider's assets." [Bristol SL Holdings, Inc. v. Cigna Health and Life Ins. Co., No. 20-56122 (9th Cir. Jan. 14, 2022)]  MORE >>

Dorsey & Whitney LLP, via JDSupra

Does Your Health Plan Leave Your Workers Functionally Uninsured?

"A significant and worrying number of workers are forced to make hard choices and sacrifices with regard to their health care. Concerns over health care costs are driving employees' need for greater access to mental and behavioral health services.... [E]mployees are willing to give up benefit plan features that were once considered untouchable if they can expect significantly lower costs in return.... Fortunately, each point is actionable."  MORE >>

Harvard Business Review

Employee Benefits Jobs

View job as Retirement Plan Administrator
for Schlosser, Fleming & Associates, Ltd. Retirement Plan Administrator

Schlosser, Fleming & Associates, Ltd.

Remote / Alexandria VA

View job as Retirement Plan Administrator
for Schlosser, Fleming & Associates, Ltd.

View job as Retirement Plan Proposal & Implementation Rep.
for National Rural Electric Cooperative Association Retirement Plan Proposal & Implementation Rep.

National Rural Electric Cooperative Association

Arlington VA

View job as Retirement Plan Proposal & Implementation Rep.
for National Rural Electric Cooperative Association

View job as Retirement Plan Relationship Manager
for ERISA Services, Inc. Retirement Plan Relationship Manager

ERISA Services, Inc.


View job as Retirement Plan Relationship Manager
for ERISA Services, Inc.

View job as Plan Consultant TPA Services
for BPAS Plan Consultant TPA Services


Remote / Syracuse NY

View job as Plan Consultant TPA Services
for BPAS

View job as Form 5500 Manager
for Guideline, Inc. Form 5500 Manager

Guideline, Inc.

Remote / CA / CO / FL / GA / IN / MA / ME / MI / NC / NY / OH / OR / PA / SC / TX / WA

View job as Specialist, Defined Benefit Administration
for Charles Schwab Specialist, Defined Benefit Administration

Charles Schwab


Press Releases

PBGC Announces Leadership Appointments

PBGC [Pension Benefit Guaranty Corporation]

Betterment Enters into an Agreement with 529 Company Gradvisor, and Launches Student Loan Management via Spinwheel


Vitality Offers HealthFitness Return to Work Solutions to Help Employers Navigate Evolving COVID-19 Health and Safety Protocols


Webcasts and Conferences
(Health & Welfare Plans)

From Long-COVID to Compliance with Regulations: Trends in Health and Welfare Administration and Disability Litigation

March 23, 2022 WEBCAST

American Bar Association Joint Committee on Employee Benefits [JCEB]

Last Issue's Most Popular Items

An $80,000 Tab for Newborns Lays Out a Loophole in the New Law to Curb Surprise Bills

Kaiser Health News

Large Employers Launch PBM

Managed Healthcare

Introduction to Fiduciary Duties for Health and Welfare Plans

HUB International

Unsubscribe  |   Change Email Address

Search Past Issues   |   Privacy Policy

Submit an Article   |   Contact Us   |   Advertise Here

Copyright 2021, 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, 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.

Links to web sites other than and are offered as a service to our readers. We are not involved in their production and are not responsible for their content.