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Health & Welfare Plans Newsletter
March 23, 2022
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3 New Job Opportunities
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[Guidance Overview]
Special Telehealth Rules for HSAs Return -- Briefly
"Employers that expected the telehealth rule to be renewed retroactively to January 1, 2022, might consider whether corrective action can be taken to preserve HSA eligibility for January through March 2022, to the extent the employer continued to offer telehealth
services at first-dollar coverage from January through March 2022 ... This could be done by billing participants for any telehealth visits prior to April 2022." MORE >>
Morgan Lewis
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[Guidance Overview]
Correcting ACA Reporting Errors
"The ACA reporting instructions provide guidance on how to address various corrections depending on the form and filing status. Timely correction of errors discovered by the employer can significantly reduce the potential ACA reporting penalty liability." MORE >>
Newfront
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[Guidance Overview]
Guidance Expands ACA-Approved List of Women's No-Cost, Preventive Services
"The new guidelines, as approved by the HRSA, provide updates to five existing preventive services for women and will go into effect for plan years starting on or after December 30, 2022." MORE >>
EPIC
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Ninth Circuit Reverses Class Win Against United Behavioral Health
"[In] a stunningly brief unpublished memorandum, the Ninth Circuit reversed Magistrate Judge Joseph Spero's thorough and lengthy
findings of facts and conclusions of law following a 10-day bench trial that United Behavioral Health (UBH) violated its ERISA fiduciary duties and wrongfully denied benefits for treatment of mental health and substance use disorders.... [T]he court found that the district court misapplied the abuse of discretion standard by substituting its interpretation of the Plans for UBH's. " [Wit, et al. v. United Behavioral Health, Nos. 20-17363, 21-15193, 20-17364, 21-15194 (9th Cir. Mar. 22, 2022; unpub.)] MORE >>
Roberts Disability Law
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Employee FMLA Retaliation Claim Fails to Show Termination Was Pretextual
"[T]he court noted that the employer had documented prior performance issues, suggestions to the employee to seek assistance and efforts to resolve work-related problems.... The court also rejected the employee's claim of disparate treatment.... Because the employer never
abandoned the original reason for termination, the court found that the employee could not prove pretext.' [Litzsinger v. Adams County Coroner's Office, No. 21-1106 (10th Cir. Feb. 15, 2022)] MORE >>
Society for Human Resource Management [SHRM]; membership may be required to view article
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Health Insurance Marketplaces: 2022 Open Enrollment Report (PDF)
13 pages. "Over 14.5 million consumers selected or were automatically re-enrolled in health insurance coverage through HealthCare.gov and State-based Marketplaces during the 2022 [open enrollment period (OEP)]. Over 2.5 million more consumers signed up for coverage
during the 2022 OEP compared to the 2021 OEP, a 21 percent increase." MORE >>
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
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CMS Interim Summary Report on Permanent Risk Adjustment for the 2021 Benefit Year (PDF)
12 pages. "The data displayed in this report are preliminary. Final risk adjustment data may differ and therefore result in significantly different magnitude and direction of the transfers from the data presented in this report.' MORE >>
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
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New Dawn for Employer Health Plan Management Opens New Door for HR Pros
"Technology has made it much simpler to design and implement company health plan programs by providing executives with the ability to dive into data around cost, quality and utilization, and iterate accordingly. Likewise, the old 'broker' persona is being replaced by
savvy benefits 'advisors' who can bring fresh ideas to the table." MORE >>
BenefitsPro; free registration required
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What Employers Should Know About the EEOC's Updates to Religious Accommodation and Vaccine Mandate Guidance
"[1] Employees who have a religious objection to receiving a COVID-19 vaccination must inform their employers who may seek clarification if needed.... [2] Employers should provide employees and applicants with information about requesting a religious accommodation....
[3] Objections to COVID-19 requirements that are purely based on social, political or economic views or personal preferences or other nonreligious concerns do not qualify.... [4] Employers cannot rely on speculative or hypothetical hardship.... [5] A reduction in pay or some other loss of a benefit or privilege of employment is not a reasonable accommodation if an alternative accommodation exists." MORE >>
Masuda Funai
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Employee Benefits Jobs |
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Press Releases |
Spectrum CEO to Deliver Testimony to Senate HELP Committee
Spectrum Pension Consultants, Inc.
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Winners Announced -- New Competition and Award: Innovative Public Pension Funding Strategies
National Institute on Retirement Security [NIRS]
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Transamerica, FuturePlan by Ascensus, and Natixis Investment Managers Debut Group Plan Solution with Focus on ESG Investments
Transamerica
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Webcasts and Conferences (Health & Welfare Plans) |
What Employers Need to Know About Statutory PFML Plans
June 22, 2022 WEBCAST
Disability Management Employer Coalition [DMEC]
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Last Issue's Most Popular Items |
The No Surprises Act: Guidance for Health Plans and Insurers
Thomson Reuters
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Congress Reopens Door for HSA with No-Deductible Telehealth, But with a Hole
Proskauer
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State of the States: State-Mandated Disability Insurance and Paid Family Leave Overview (PDF)
Voya Financial
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BenefitsLink Retirement Plans Newsletter, ISSN no. 1536-9587.
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