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Health & Welfare Plans Newsletter

March 31, 2022

5 New Job Opportunities 5 New Job Opportunities


[Guidance Overview]

Temporary Reinstatement of Relief for Telemedicine Coverage in HDHPs

"[F]or HDHPs with plan years beginning on or after January 1, 2022, this temporary relief generally does not apply to telehealth services that occurred from January 1 through March 31, 2022, and such telemedicine visits must be subject to the HDHP minimum deductible. Plan sponsors are permitted but not required to adopt this temporary relief."  MORE >>

Faegre Drinker

[Guidance Overview]

Nonenforcement Policy for ACA Noncompliant 'Grandmothered' Plans Is Extended Indefinitely

"Previously, CMS extended this nonenforcement policy to eligible individual and small group market plans, commonly known as 'grandmothered plans,' one year at a time. This year's open-ended extension may reflect a policy shift--or simple pragmatism. Grandmothered plans are distinct under the ACA from 'grandfathered plans,' which are plans that were in existence on March 23, 2010, and have not undergone certain prohibited changes[.]"  MORE >>

Thomson Reuters / EBIA

The Ninth Circuit Giveth and the Ninth Circuit Taketh Away, in Two Health Cases Against United

"Ryan S. claimed that United created barriers to accessing substance use disorder care and wrongfully denied payment of covered benefits in violation of ERISA and the federal [MHPAEA] ... [T]he district court ... granted United's motion to dismiss on jurisdictional grounds, contending that Ryan S. lacked standing to challenge any of the six allegedly illegal practices he had identified. Ryan S. appealed. The Ninth Circuit addressed each of the practices individually and concluded that three were sufficient to grant him standing, but three were not." [Ryan S. v. UnitedHealth Group, Inc., No. 20-56310 (9th Cir. Mar. 24, 2022; unpub.)]  MORE >>

Kantor & Kantor

Mental Health Parity: Now, the DOL Really Means It

"Enforcement actions are handled by the DOL and the [CMS], ... and regulators are signaling that they plan to step up their activities. DOL investigations are triggered by employee complaints, Kirschbaum said, and those complaints can also lead to class-action lawsuits."  MORE >>

Society for Human Resource Management [SHRM]; membership may be required to view article

Commercial Insurers Pay Oregon Hospitals Twice What Medicare Pays for Same Services

"In a report and accompanying dataset released Friday, the Oregon Health Authority showed that in 2019, commercial insurers paid Oregon hospitals double what Medicare paid for the same services.... This means employer-sponsored plans pay far more for hospital services, which costs businesses more in premiums, and costs people more in deductibles, co-pays and other out-of-pocket expenses."  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]

Poll Finds Public Wants Congress to Focus on Drug, Out-of-Pocket Costs

"A majority of the public (61%) say limiting how much drug companies can increase the price of prescription drugs each year to not surpass the rate of inflation should be a 'top priority' for Congress. Slight majorities also say capping out-of-pocket costs for insulin at $35 a month (53%) and placing a limit on out-of-pocket costs for seniors (52%) are top priorities for Congress to take action on in the coming months. Majorities across partisans say many of the health care priorities asked about are important for Congress to work on in the coming months."  MORE >>

Henry J. Kaiser Family Foundation

Using Benefits Decision Support Tools Beyond Open Enrollment

"If your company has invested in a benefits decision support tool or is considering it, it's easy to focus solely on its function for open enrollment. However, ... there are several ways it can provide significant value year-round. If you're not continuously encouraging your employees to use it, you're leaving money on the table in terms of return on investment, not to mention overlooking opportunities to reduce stress, save money, and increase employee satisfaction."  MORE >>

Tango Health

How to Drive Greater Participation in Voluntary Benefits

"Employees may bypass benefits -- especially voluntary and nontraditional benefits -- because they don't understand them and the need they fill, or the enrollment process just seems too difficult or inconvenient.... The good news is there are proven best practices you can implement to create more effective communication and easier enrollment processes."  MORE >>


Employee Benefits Jobs

View job as Retirement Plan Administrator
          for Carpenter Morse Group Inc. Retirement Plan Administrator

Carpenter Morse Group Inc.


View job as Retirement Plan Administrator
          for Carpenter Morse Group Inc.

View job as Financial Processor (Distributions Specialist)
          for Retirement Solutions Specialists, LLC Financial Processor (Distributions Specialist)

Retirement Solutions Specialists, LLC

Remote / Jacksonville FL

View job as Financial Processor (Distributions Specialist)
          for Retirement Solutions Specialists, LLC

View job as Senior Compliance Associate, IRA
          for Guideline, Inc. Senior Compliance Associate, IRA

Guideline, Inc.

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

View job as Senior Compliance Associate, IRA
          for Guideline, Inc.

View job as Relationship Manager II
          for The Standard Relationship Manager II

The Standard

Remote / CO

View job as Relationship Manager II
          for The Standard

View job as Retirement Plans Account Manager
          for The Standard Retirement Plans Account Manager

The Standard


View job as Retirement Plans Account Manager
          for The Standard

Press Releases

MCCA Names Groom Law Group Scholar in Its LMJ Scholarship Program

Groom Law Group

Vitality Expands Gateway Flex Health and Wellness Marketplace with HealthFitness Personal Training, Health and Ergonomics Coaching


OneDigital Names Peter Sims As Vice President Of Corporate Development, Retirement & Wealth


Webcasts and Conferences
(Health & Welfare Plans)

Timely Review of ACA Reporting Requirements


Bond, Schoeneck & King, PLLC

Last Issue's Most Popular Items

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

Verrill Dana LLP

Updates to Wit v. United Behavioral Health

Dickinson Wright PLLC

Are High-Deductible Plans the Best Choice?

Healthcare Economist

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

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