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Health & Welfare Plans Newsletter
April 4, 2022
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6 New Job Opportunities
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[Guidance Overview]
Oregon Rule Expands Reasons Employees Can Take Emergency Paid Leave
"On March 21, 2022, the Oregon Bureau of Labor and Industries (BOLI) adopted a permanent rule, effective April 1, 2022, that expands the reasons employees can use leave under Oregon's paid sick and safe leave law during a public health emergency.... BOLI's
permanent rule expanding paid sick and safe leave is identical to its temporary rule in effect from August 6, 2021 through January 17, 2022." MORE >>
Littler
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[Guidance Overview]
San Francisco HCSO Annual Reporting Requirement Back in Effect
"After a two-year reprieve, the Office of Labor Standards Enforcement (OLSE) has announced the annual San Francisco Health Care Security Ordinance (HCSO) reporting requirement is back in effect. Since the traditional April 30th due date falls on a Saturday, the deadline to
complete the reporting shifts to the following Monday, May 2." MORE >>
Newfront
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[Guidance Overview]
CMS Announces New Way for Medicare Beneficiaries to Get Free Over-the-Counter COVID-19 Tests
"[M]ore than 59 million Americans with Medicare Part B, including those enrolled in a Medicare Advantage plan, now have access to Food and Drug Administration (FDA) approved, authorized, or cleared over-the-counter COVID-19 tests at no cost. People with Medicare can get up
to eight tests per calendar month from participating pharmacies and health care providers for the duration of the COVID-19 public health emergency." MORE >>
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
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Ninth Circuit: ERISA Did Not Govern Long-Term Disability Policy Purchased Through Trade Association
"Though Steigleman's employees gained access to group-type disability insurance coverage through her membership in the TAA, and the LLC paid the premiums for the employees' coverage, these facts are not sufficient to show that Steigleman established or maintained an ERISA
plan." [Steigleman v. Symetra Life Ins. Co., No. 21-15613 (9th Cir. Mar. 29, 2022; unpub.)] MORE >>
Roberts Disability Law
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Tackling High Health Care Prices: Employer-Led Efforts
"[This article profiles] four purchaser-led initiatives to tackle the high costs of health care, centered around direct negotiations with health care providers; employee incentives to seek care from higher-quality, lower-cost providers; and efforts to call attention to high
prices. While success has varied and challenges are daunting, these strategies point to possible avenues for other employers to explore." MORE >>
The Commonwealth Fund
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It's So Easy to ... Put Your Employees' HSAs at Risk
"In addition to telehealth, there are other incentives or special benefits that employers may be tempted to offer, especially to encourage retention during this era of labor shortage. Be careful, though, that your generosity doesn't compromise your employees' HSAs by
relieving them of their obligation to bear the full weight of their HDHP coverage." MORE >>
Holland & Hart LLP
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Simplifying Your Dependent Eligibility Verification Audit (PDF)
"The sooner your people know of this initiative and how it benefits them, the easier the process will be and the more engaged they will feel.... Use technology to your advantage ... Tailor your content so it is relevant to your people and encourages taking required actions
more swiftly.... Have an advocacy team to proactively assist employees." MORE >>
Alight Solutions
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Insulin Copay Cap Passes House Hurdle, But Senate Looks for a Broader Bill
"Senate Majority Leader Chuck Schumer ... tapped Sens. Susan Collins (R-Maine) and Jeanne Shaheen (D-N.H.) to craft a compromise that members of both parties could accept.... Collins said in an interview March 30 that the two senators had come up with an outline based
on a bill they worked on three years ago that goes beyond capping what diabetes patients pay and aims to bring down the prices drugmakers charge." MORE >>
Kaiser Health News
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Who Is Served by Employer-Provided Healthcare Coverage? (PDF)
"Employer-provided coverage is the cornerstone of our national health care system, delivering high-quality, affordable health care for more than half of all Americans ... Employer-provided coverage serves Americans from all walks of life, including significant proportions of
racial and ethnic minority populations. ... Americans of all ages get their health care coverage through either their own or a family member's employer. ... American workers at all levels and income brackets rely on employer-provided coverage for their and their families' health care needs." MORE >>
AHIP
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[Opinion]
Ninth Circuit's Hasty UnitedHealth Reversal Is Disappointing
"The lower court's decision was so thorough in its analysis that it was surprising the Ninth Circuit concluded it was reasonable for [United Behavioral Health (UBH)] to utilize guidelines that do not require consistency with generally recognized standards of care and
treatment.... [T]he district court's finding that the UBH guidelines failed to meet such standards should have been subjected to review for clear error and not disregarded on the ground that discretion permitted UBH to utilize treatment guidelines that were inconsistent with generally accepted standards of care." [Wit, et al. v. United Behavioral Health, Nos. 20-17363, 21-15193, 20-17364, 21-15194 (9th Cir. Mar. 22, 2022; unpub.)] MORE >>
DeBofsky Sherman Casciari Reynolds P.C.
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Benefits in General |
[Official Guidance]
Text of EBSA Meeting Notice for ERISA Advisory Council
"[T]he 210th open meeting of the Advisory Council on Employee Welfare and Pension Benefit Plans (also known as the ERISA Advisory Council) will be held via a teleconference on Monday, May 9, 2022.... The purpose of the open meeting is to set the topics to be addressed by the
Council in 2022." MORE >>
Employee Benefits Security Administration [EBSA], U.S. Department of Labor [DOL]
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Employee Benefits Jobs |
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Press Releases |
Barron Dorf Joins OneDigital as Regional Vice President of Growth for the West Region
OneDigital
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Empower Closes Acquisition of Prudential Financial Retirement Business
Empower Retirement
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Webcasts and Conferences (Health & Welfare Plans) |
ERISA Litigation: New Threats, Next Steps
April 21, 2022 WEBCAST
Worldwide Employee Benefits Network [WEB] - New York Chapter
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Health & Welfare: Beyond the Basics
May 4, 2022 WEBCAST
New England Employee Benefits Council [NEEBC]
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Annual Summit
May 25, 2022 in MA
New England Employee Benefits Council [NEEBC]
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Last Issue's Most Popular Items |
With U.S. Troops Heading to Europe, Employers Should Revisit Military Leave Policies
Akerman
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Leaves of Absence and Group Insurance Termination
Masuda Funai
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San Francisco's Annual Health Care Expenditure Report Due May 2
Mercer
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BenefitsLink Retirement Plans Newsletter, ISSN no. 1536-9587.
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