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Health & Welfare Plans Newsletter

March 30, 2022

7 New Job Opportunities 7 New Job Opportunities

 

Updates to Wit v. United Behavioral Health

"[T]he Ninth Circuit reversed the district court's order requiring UBH to reprocess more than 60,000 claims that had initially been denied for not meeting UBH's medical necessity guidelines. The memorandum decision was surprisingly short -- and that has both positive and negative implications for mental health parity litigation." [Wit, et al. v. United Behavioral Health, Nos. 20-17363, 21-15193, 20-17364, 21-15194 (9th Cir. Mar. 22, 2022; unpub.)]  MORE >>

Dickinson Wright PLLC

Deciphering First Circuit's Thirty-Page Primer on NQTL Analysis and ERISA Information Requests

"[T]he First Circuit Court of Appeals determined that a health plan's blanket assertion of compliance with the Parity Act is not enough for the case to be dismissed where a participant plausibly alleges that: [1] as written, the plan document covers some habilitative services for physical conditions, but bars such services for mental health conditions, and [2] the plan's denial of coverage for habilitative services was based on a mental health diagnosis, without a medical necessity review or confirmation of habilitative purpose of the services." [N.R. v. Raytheon Co., No. 20-1639 (1st Cir. Jan. 31, 2022)]  MORE >>

Verrill Dana LLP

One-Third of Americans Say They Can't Afford to Contribute to an HSA

"The challenge is one of implementation; getting workers to focus on the differences in contributions, deductibles, employer support in the form of contributions to HSAs and out of pocket expense maximums. The implementation challenge often arises when a plan sponsor/employer simply introduces an HSA-capable coverage as an alternative to a traditional PPO and/or HMO option, without any education or transitions."  MORE >>

aequum

Are High-Deductible Plans the Best Choice?

"Why are HDHP's more favorable for employees? The answer is not that employers are differentially providing more premium support.... [On] average firms contribute approximately the same total dollar amount toward premiums for both HDHP and traditional health plans types. However, many employers also contribute additional funds for employee's health savings accounts (HSAs) which are linked to the HDHPs."  MORE >>

Healthcare Economist

Prepare for Health Plan Impacts from FDA Approval of Second COVID Booster

"While Federal law currently mandates that all group health plans and group and individual health insurance covered by the [ACA] cover FDA-approved initial vaccination and first booster vaccinations administered in accordance with recommendations of the Advisory Committee on Immunization Practices (ACIP), the ACIP as of now has not amended its COVID-19 vaccination recommendations to include the FDA second boosters approved by the FDA."  MORE >>

Solutions Law Press

What Business Owners Should Know About Qualified Sick Pay Plans

"A QSPP is an agreement that sets company policy before a disability occurs. It establishes who should be included, how much salary they will be paid, when payments start, and how long the payments will last.... This legal document, recognized by the IRS, allows your business to provide income to select employees even if they're out of work for years. With a QSPP in place, you can pay the employee's salary and deduct their wages from the company's taxes just as you would for a regular full-time employee."  MORE >>

MassMutual

Prescription Drug Spending Debate Turns to Payers

"The issue of increasing drug prices hindering patient access is not new. In fact, more than the past decade has been marked by major drug price hikes. But the spotlight has historically been on drug manufacturers and not so much on the role of health insurers, whether public or private.... Yet payers frequently review the medications they cover and adjust their coverage of these medications."  MORE >>

HealthLeaders Media

GAO Report on Mental Health Care Access Challenges for Covered Consumers and Relevant Federal Efforts

"Can people with mental health care coverage easily access services? [GAO] looked at challenges they experience, and federal efforts to improve access to mental health services. [GAO] found that people may have difficulty finding in-network mental health providers that accept new patients. Representatives from 19 of the 29 stakeholder organizations we contacted said low provider reimbursement rates contributed to this problem." [GAO-22-104597, published Mar. 29, 2022, released Mar. 30, 2022]  MORE >>

U.S. Government Accountability Office [GAO]

Benefits in General

[Guidance Overview]

SAS 136: Forming an Opinion and Reporting on Financial Statements of Employee Benefit Plans Subject to ERISA

"In addition to specific audit steps, there are new required management representations and responsibilities (particularly in determining that an entity is a qualifying institution for which an ERISA Section 103(a)(3)(C) audit may be performed)."  MORE >>

Belfint Lyons Shuman

Are Employee Benefit Plan Meeting Minutes Vital?

"Not only are plan amendments and meeting minutes vital for documenting adherence with ERISA and demonstrating meeting fiduciary obligations under ERISA, these documents also provide your auditors with information they will need to properly plan and execute your plan audit. Maintaining these documents and providing them early to your auditors will provide for a smoother and more efficient audit."  MORE >>

EisnerAmper

Employee Benefits Jobs

View job as Retirement Plan Consultant
          for Pension Plan Specialists Retirement Plan Consultant

Pension Plan Specialists

Remote

View job as Retirement Plan Consultant
          for Pension Plan Specialists

View job as Plan Administrator
          for BlueStar Retirement Services Inc. Plan Administrator

BlueStar Retirement Services Inc.

Remote

View job as Plan Administrator
          for BlueStar Retirement Services Inc.

View job as Retirement Plan Administrator / Actuary
          for Abar Retirement Plan Services LLC Retirement Plan Administrator / Actuary

Abar Retirement Plan Services LLC

Florham Park NJ

View job as Retirement Plan Administrator / Actuary
          for Abar Retirement Plan Services LLC

View job as Retirement Plan Consultant
          for Long Island Employee Benefits Group Ltd. Retirement Plan Consultant

Long Island Employee Benefits Group Ltd.

Remote / Huntington NY

View job as Retirement Plan Consultant
          for Long Island Employee Benefits Group Ltd.

View job as Manager, Document Team
          for Definiti Manager, Document Team

Definiti

Remote / Louisville KY

View job as Manager, Document Team
          for Definiti

View job as Retirement Plan Analyst - Defined Contribution
          for Compensation Strategies Group, Ltd Retirement Plan Analyst - Defined Contribution

Compensation Strategies Group, Ltd

Remote / Beaumont TX

View job as Retirement Plan Analyst - Defined Contribution
          for Compensation Strategies Group, Ltd

View job as Client Service Manager for Non-Qualified Plans
          for Newport Client Service Manager for Non-Qualified Plans

Newport

Remote / AZ / CA / CO / FL / GA / IA / IL / KS / MA / MD / MI / MN / MO / NC / NJ / NY / OH / SC / TX / VA / WI

View job as Client Service Manager for Non-Qualified Plans
          for Newport

Press Releases

Multnomah Group Expands Team and Client Service Capabilities

Multnomah Group

The Angell Pension Group Names Sue Collins to Executive Vice President

The Angell Pension Group

Webcasts and Conferences
(Health & Welfare Plans)

International Benefits: Strategies for Financial Optimization

April 14, 2022 WEBCAST

Worldwide Employee Benefits Network [WEB] - Northeast Ohio Chapter

Last Issue's Most Popular Items

Maintaining ACA Compliance When Hiring a Former Employee

Ascensus

Reasonable Cause vs. Good Faith: Handling Late ACA Filings

Tango Health

Using an HSA for Retirement

Tango Health

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

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