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Health & Welfare Plans Newsletter

March 17, 2022

10 New Job Opportunities 10 New Job Opportunities

 

[Guidance Overview]

HHS OIG Approves Arrangement That Provides Cash Equivalents to Patients

"[HHS OIG Advisory Opinion 22-04] approves a program through which the requestor provides certain individuals who suffer from a substance use disorder (SUD) access to digital contingency management and related tools, including cash equivalents, to motivate behavioral health changes.... Although the requestor is not enrolled as a provider or supplier in any federal health care program, it contracts with customers (including health plans, addiction treatment providers, other treatment providers, and employee assistance programs) that may be enrolled in a federal health care program."  MORE >>

Vorys

[Guidance Overview]

Congress Extends Telehealth Flexibilities: Things You Need to Know

"Medicare will pay for telehealth provided at home ... Expands list of telehealth practitioners ... Extension of first dollar coverage for telehealth under HDHP/HSA plans ... Study on COVID-19-related telehealth changes under Medicare & Medicaid."  MORE >>

Foley & Lardner LLP

Court Credits Treating Physician Over Retained Experts

"[T]he court was not persuaded by and largely rejected the opinions of LINA's other reviewing doctors, finding that one misread Plaintiff's medical diagnosis, another either misread Plaintiff's functional capacity examination and other medical opinions or ignored them without justification, and the third failed in both respects." [Stratton v. Life Insurance Co. of North Am., No. 20-2037 (S.D. Cal. Mar. 8, 2022) ]  MORE >>

Kantor & Kantor

Alert (High Risk Issue) icon HIPAA vs. ERISA Claims Procedures

"ERISA's broad disclosure obligations in the context of claims and relatively loose authorization standard is somewhat at odds with HIPAA's more narrow focus on protected health information and more stringent requirements for disclosing that information.... This case is instructive that employers should not just stay silent, even if the HIPAA authorization is defective in some manner." [Wilson v. UnitedHealthcare Ins. Co., No. 20-2044 (4th Cir. Feb. 24, 2022)]  MORE >>

HUB International

Consumer-Directed Health Plans Broke Down Barriers to Physical and Mental Health Care During COVID-19 Pandemic

"The vast majority of CDHPs elected to cover telehealth services on a pre-deductible basis (83% of plans offering fully insured products, 81% of plans offering self-insured products).... Services most commonly covered included primary care (95%), mental health care (95%), chronic care (89%), and acute/urgent care (89%).... [B]ehavioral health care services together were the form of care most frequently accessed via telehealth pre-deductible."  MORE >>

America's Health Insurance Plans [AHIP]

[Sponsor]

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]

Benefits in General

Employee Benefits Arising from Misclassification of Employees

"The effects of worker misclassification on employee benefit plans may include, but are not limited to: [1] failure to provide employee benefit coverage and appropriate remedial action; [2] failure to make employer and employee contributions to retirement and other employee benefit plans; [3] failure to provide the individual with required benefit plan disclosure and administrative notices; and [4] excise taxes under the [ACA] for failure to provide required health plan coverage."  MORE >>

Foley & Lardner LLP

Employee Benefits Jobs

View job as DC Plan Administrator
for The Best TPA Firm in the US DC Plan Administrator

The Best TPA Firm in the US

Remote / Oklahoma City OK

View job as DC Plan Administrator
for The Best TPA Firm in the US

View job as Senior Retirement Plan Analyst – Defined Contribution Plans
for M2B Retirement Consulting, LLC Senior Retirement Plan Analyst – Defined Contribution Plans

M2B Retirement Consulting, LLC

Remote / Wexford PA

View job as Senior Retirement Plan Analyst – Defined Contribution Plans
for M2B Retirement Consulting, LLC

View job as Client Manager DB/DC
for CMC Pension Professionals Client Manager DB/DC

CMC Pension Professionals

Remote / Glendale CA

View job as Client Manager DB/DC
for CMC Pension Professionals

View job as Employee Benefits Investigator (Student Intern)
for Employee Benefits Security Administration [EBSA] Employee Benefits Investigator (Student Intern)

Employee Benefits Security Administration [EBSA]

Remote / Kansas City MO

View job as Employee Benefits Investigator (Student Intern)
for Employee Benefits Security Administration [EBSA]

View job as Employee Benefits Associate
for Kutak Rock LLP Employee Benefits Associate

Kutak Rock LLP

Minneapolis MN

View job as Employee Benefits Associate
for Kutak Rock LLP

View job as Health & Welfare Benefits Analyst - Health Analytics
for University of California Office of the President Health & Welfare Benefits Analyst - Health Analytics

University of California Office of the President

Oakland CA

View job as Health & Welfare Benefits Analyst - Health Analytics
for University of California Office of the President

View job as Client Relationship Manager, Retirement Plans
for Human Interest Client Relationship Manager, Retirement Plans

Human Interest

Remote / San Francisco CA

View job as Client Relationship Manager, Retirement Plans
for Human Interest

View job as Finance Manager
for Vestwell Finance Manager

Vestwell

Remote / New York NY

View job as Finance Manager
for Vestwell

View job as Economist
for Centers for Medicare & Medicaid Services [CMS] Economist

Centers for Medicare & Medicaid Services [CMS]

Remote / Woodlawn MD / Bethesda MD

View job as Economist
for Centers for Medicare & Medicaid Services [CMS]

View job as Distribution Processor
for Duncan Financial Group, LLC Distribution Processor

Duncan Financial Group, LLC

Remote / Irwin PA

View job as Distribution Processor
for Duncan Financial Group, LLC

Selected New Discussions

Employer Failed to Take Health Premiums Out of Employee Paychecks -- Now What?

"Employee elected health coverage during open enrollment, coverage effective 9-1-21. Employer just discovered premiums were not being withheld from employee's paycheck. Can the employer begin deducting the cost of the elected coverage now plus an amount to make up the missed deductions?"

BenefitsLink Message Boards

Form 1095-C as Affected by Lookback Period for Employees Not Employed for Full 12 Months

"If we used a 12 month lookback period to determine 'eligibility,' do we need to issue Form 1095-C to people who were not employed for a full 12 months? Because we use that 12 month lookback period to determine 'full time,' it stands to reason that any employee not employed for at least 12 months is categorically NOT full time. Thoughts?"

BenefitsLink Message Boards

Press Releases

OneAmerica® Names Joe Ingream as SVP of Employee Benefits

OneAmerica

World Insurance Associates Acquires Pensionmark Financial Group

Pensionmark

Alight Announces New Release of Alight Worklife™

Alight

Pontera and SageView Advisory Group Announce Partnership to Enable Advisors to Manage Client Retirement Accounts

SageView Advisory Group

Webcasts and Conferences
(Health & Welfare Plans)

Bringing Healthcare to Employers' Fingertips

April 5, 2022 WEBCAST

Mercer

Benefit Claims

April 7, 2022 WEBCAST

American Bar Association Joint Committee on Employee Benefits [JCEB]

Introduction to Fiduciary Governance

April 7, 2022 WEBCAST

American Bar Association Joint Committee on Employee Benefits [JCEB]

Last Issue's Most Popular Items

ERISA's Cops: DOL Enforcement Overview and Current Priorities (PDF)

Morgan Lewis, via LexisNexis Practical Guidance

Government Funding Bill Extends Honeymoon for HDHPs and Telemedicine

Miller Johnson

How to Avoid Surprise Bills, and the Pitfalls in the New Law

Kaiser Health News

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

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