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Health & Welfare Plans Newsletter

March 3, 2022

5 New Job Opportunities 5 New Job Opportunities


[Guidance Overview]

Updated HRSA Guidelines Expand Women's Preventive Health Services That Must Be Covered Without Cost-Sharing

"Updates applicable to the women's preventive services that must be covered without cost-sharing in plan years beginning on or after December 30, 2022, include [1] Counseling to prevent obesity in women aged 40 to 60 years with normal or overweight body mass index; [2] Double electric breast pumps, pump parts and maintenance, and breast milk storage supplies; [3] The full range of women's contraceptives listed in the recently updated FDA Birth Control Guide; [4] Screening for HIV infection for all adolescent and adult women aged 15 and older at least once during their lifetime, and risk assessment and prevention education beginning at age 13; and [5] Pre-pregnancy, prenatal, postpartum, and interpregnancy well-woman visits."  MORE >>

Thomson Reuters / EBIA

The Driver Dictating Prescription Drug Benefits: PBMs Explained

"PBMs initially were formed in 1968 to process claims and negotiate lower prices with drugmakers. Now, PBMs administer prescription drug plans for more than 266 million Americans who have health insurance. The Federal Trade Commission is expected to probe the PBM industry this year about the fairness of their reimbursement policies."  MORE >>

Bloomberg Law

Texas District Court Vacates Arbitration Provisions of HHS Regs Under No Surprises Act

"[T]he court held that the arbitration procedures of the rule conflicted with the express terms of the No Surprises Act in violation of the Administrative Procedures Act (APA).... [This] decision, while a 'win' for providers, leaves the details of the arbitration process under the Act uncertain for now, as the agencies presumably go back to the proverbial drawing board." [Texas Medical Assoc. v. HHS, No. 21-0425 (E.D. Tex. Feb. 23, 2022)]  MORE >>

ArentFox Schiff LLP

Whoa There: A Surprise Turn of Events in Texas for the No Surprises Act Dispute Resolution Process

"At the moment, the QPA Presumption is vacated with nationwide effect. If no stay is issued and the district court's decision is not overturned, the IDR process may begin without the benefit of the QPA Presumption." [Texas Medical Assoc. v. HHS, No. 21-0425 (E.D. Tex. Feb. 23, 2022)]  MORE >>

Groom Law Group

Supreme Court Denies Review of Second Circuit Ruling on Scope of California's Anti-Discretion Statute and Meaning of 'Full and Fair Review' under ERISA

"In an issue of first impression at the Circuit Court level, [the Second Circuit] held that California's statutory ban on discretionary clauses in insurances ... applies only to claims by California residents, and does not extend to claims by non-California residents under any circumstance -- even under policies delivered in California." [Mayer v. Ringler Assocs. Inc., No. 20-1281 (2d Cir. Aug. 12, 2021; cert. pet. denied Feb. 22, 2022)]  MORE >>

Robinson & Cole LLP

Federal Appeals Court Upholds Town's Decision Not to Reappoint Employee on FMLA Leave

"Felix's case is unique because the employment at issue was for a predetermined term subject to reappointment, but it can serve as a reminder that employee protections under the state and federal laws aren't boundless." [Felix v. Town of Kingston, No. 19-1774 (1st Cir. Dec. 23, 2021; unpub.)]  MORE >>

HR Daily Advisor

Employee Benefits Jobs

View job as Client Success Specialist
for Ubiquity Retirement + Savings Client Success Specialist

Ubiquity Retirement + Savings


View job as Client Success Specialist
for Ubiquity Retirement + Savings

View job as VP Sales Consultant (Retirement Industry)
for FuturePlan, by Ascensus VP Sales Consultant (Retirement Industry)

FuturePlan, by Ascensus

Remote / CT / MA / ME / NH / RI

View job as Retirement Account Administrator
for Alerus Retirement Account Administrator



View job as ESOP Retirement Account Administrator, Senior
for Alerus ESOP Retirement Account Administrator, Senior



View job as Health Insurance Specialist  (Recent Graduates)
for Centers for Medicare & Medicaid Services [CMS] Health Insurance Specialist (Recent Graduates)

Centers for Medicare & Medicaid Services [CMS]

Remote / Boston MA / Baltimore MD / Atlanta GA / Dallas TX / San Francisco CA / Seattle WA

Press Releases

Dorsey Launches ERISA Insights Blog

Dorsey & Whitney LLP

Fidelity Investments® Launches Innovative Benefits Equity℠ Scorecard to Help Organizations Ensure Employee Benefits Are Equitable and Inclusive for All Workers

Fidelity Investments

Last Issue's Most Popular Items

Employers Are Offering Medicare Advantage to Retirees to Save on Costs


Feds Clarify At-Home COVID-19 Test Coverage Rules

Fisher Phillips

Responses by Congress and Administration to Growing Mental Health and Substance Use Challenges

Akin Gump

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

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