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Health & Welfare Plans Newsletter

April 7, 2022

9 New Job Opportunities 9 New Job Opportunities

 

[Official Guidance]

Text of HHS RFI: Considerations for Implementing the Health Information Technology for Economic and Clinical Health (HITECH) Act

"[OCR] is issuing this Request for Information (RFI) to solicit public comment on certain provisions of the Health Information Technology for Economic and Clinical Health (HITECH) Act, namely: The consideration of recognized security practices of covered entities and business associates when OCR makes determinations regarding fines, audits, and remedies to resolve potential violations of the [HIPAA] Security Rule; and the distribution to harmed individuals of a percentage of civil money penalties (CMPs) or monetary settlements collected pursuant to the HITECH Act[.]"  MORE >>

Office for Civil Rights [OCR], U.S. Department of Health and Human Services [HHS]

[Guidance Overview]

Toolkit on COVID-19 Vaccine for Health Insurance Issuers and Medicare Advantage Plans (PDF)

30 pages; updated Apr. 6, 2022. "As safe and effective COVID-19 vaccines become available, CMS is issuing this toolkit to help health insurance issuers and Medicare Advantage plans identify the issues that need to be considered and addressed in order to provide coverage and reimbursement for vaccine administration."  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

[Guidance Overview]

CMS Announces 2023 Medicare Part D Benefit Parameters Used for Creditable Coverage Disclosures

"These parameters will be used by group health plan sponsors to determine whether their plans' prescription drug coverage is creditable for 2023. The information is needed for required disclosures to Part D eligible individuals and to CMS." [See CMS Announcement and Fact Sheet.]  MORE >>

Thomson Reuters / EBIA

[Guidance Overview]

HHS Begins Implementing 2021 Legislation on Cybersecurity Practices and HIPAA Enforcement

"HHS's Office for Civil Rights (OCR) has begun implementing 2021 legislation that requires the agency, in enforcing HIPAA, to consider whether HIPAA covered entities (CEs) and business associates (BAs) have implemented and applied certain recognized security practices -- including with regard to cybersecurity ... As an initial step in this process, HHS has issued a request for information (RFI) concerning CEs' and BAs' voluntary implementation of recognized security practices[.]"  MORE >>

Thomson Reuters Practical Law

[Guidance Overview]

Exceptional Usefulness and Quality icon Proposed Regs Would Base Eligibility for ACA Premium Tax Credits on Affordability of Family Coverage

"[S]ome employers may see a shift from family coverage to self-only coverage if family members become eligible for PTCs and prefer QHP coverage over employer coverage. Applicable large employers may also foresee additional Code Section 6056 reporting obligations since, to administer family-member PTCs, the IRS would need information on the required employee contribution for family coverage and whether the coverage provides minimum value."  MORE >>

Thomson Reuters / EBIA

[Guidance Overview]

The COBRA Gross Misconduct Exception

"The COBRA rules do not provide a definition of what qualifies as 'gross misconduct' for purposes of this exception. The court cases that have addressed the issue have often come to an exceptionally restrictive interpretation of the term. In other words, it has proven very difficult for employers to rely on the gross misconduct exception to deny an offer of COBRA."  MORE >>

Newfront

Health & Welfare Benefits Monthly Update, April 2022 (PDF)

18 presentation slides. Topics: [1] Washington update; [2] ACA 1557 and HSA/telehealth issues; [3] MHPAEA litigation update; [4] State PBM legislation; and [5] ERISA plan assets: recent issues and concerns.  MORE >>

Alston & Bird

Never-Ending Costs: When Resolved Medical Bills Keep Popping Up

"There's no national data to indicate how often patients or their families receive medical bills that were previously paid or forgiven, but hospital billing experts say they frequently see it happen. Patients receive bills for claims their insurers already paid. A reminder statement arrives even after a patient submitted payment."  MORE >>

Kaiser Health News

Protecting Patients from Surprise Medical Bills (PDF)

"At least 1 in 6 patients who have health insurance will receive a surprise medical bill from a provider or specialist who treated them.... Most studies on surprise medical bills have found that these bills were most likely to come from emergency medicine physicians, anesthesiologists, radiologists, and pathologists.... Every year, the outrageous out-of-network bills from a subset of specialty physicians result in $40 billion in additional spending in employer-provided coverage alone."  MORE >>

America's Health Insurance Plans [AHIP]

Voluntary Benefits Help Counter Worker Shortages in Food and Beverage Industry

"Like half of all Americans, many food and beverage workers live paycheck to paycheck. They are also among the 80% of workers who want benefits geared to their circumstances and age.6 Funded by the employer or not, voluntary benefits have value to workers in this highly competitive labor market."  MORE >>

HUB International

2019 Benefit Year HHS Risk Adjustment Data Validation Results: Appendix B Supplement (PDF)

"In the Results Memo, Appendix B provides a table indicating which state market risk pools would have 2020 benefit year risk adjustment transfers impacted by 2019 benefit year HHS-RADV (due to the presence of at least one error rate outlier in the state market risk pool).... [T]his supplement provides a second table indicating the estimated weighted average risk score adjustment factors by state market risk pool based on the 2019 benefit year HHS-RADV results. These numbers are for reference purposes only and do not reflect the actual weighted average risk scores that will be applied to 2020 benefit year risk adjustment transfers."  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

[Opinion]

Employers Need to Start Expecting More from the Health System

"[T]he employer-sponsored market has been slow to adopt accountable care models relative to public programs, leaving a majority of Americans stuck in a system that rewards more care, rather than rewarding improvements in health. With more adoption of accountable care models and providers working in a value-oriented framework, employers may be able to improve their employees' health outcomes while reducing their out-of-pocket costs."  MORE >>

Dan Mendelson, in Forbes; subscription may be required

Benefits in General

[Guidance Overview]

DOL Issues 2022 Adjusted Penalty Amounts

"These penalties cover a wide range of benefit plan compliance failures. The DOL has discretion to impose lower penalties in some instances -- such as pursuant to programs designed to encourage Form 5500 filing -- so not all violations will result in the maximum permitted penalty. And while relief granted in connection with the COVID-19 public health emergency allows more time to provide certain disclosures, penalties could potentially be triggered if the terms of that relief are not met."  MORE >>

Sapers & Wallack

Employee Benefits Jobs

View job as Retirement Plan Analyst
          for Preferred Pension Planning Corporation Retirement Plan Analyst

Preferred Pension Planning Corporation

Remote / Bridgewater NJ

View job as Retirement Plan Analyst
          for Preferred Pension Planning Corporation

View job as Client Service Consultant - Retirement
          for CBIZ Client Service Consultant - Retirement

CBIZ

Remote / Phoenix AZ / Kansas City MO / Independence OH / Philadelphia PA

View job as Client Service Consultant - Retirement
          for CBIZ

View job as Retirement Savings Plan Analyst
          for NWPS Retirement Savings Plan Analyst

NWPS

Seattle WA

View job as Retirement Savings Plan Analyst
          for NWPS

View job as Retirement Plan Customer Consultant
          for PAi Retirement Services Retirement Plan Customer Consultant

PAi Retirement Services

Remote / De Pere WI / Sioux Falls SD

View job as Retirement Plan Customer Consultant
          for PAi Retirement Services

View job as Retirement Plan Administrator
          for Pension and Retirement Services, LLC Retirement Plan Administrator

Pension and Retirement Services, LLC

Remote

View job as Retirement Plan Administrator
          for Pension and Retirement Services, LLC

View job as Relationship Manager
          for Benefit Plans Plus Relationship Manager

Benefit Plans Plus

Remote / Saint Louis MO

View job as Relationship Manager
          for Benefit Plans Plus

View job as Retirement Plan Specialist
          for Benefit Plans Plus Retirement Plan Specialist

Benefit Plans Plus

Remote / Saint Louis MO / Edwardsville IL

View job as Retirement Plan Specialist
          for Benefit Plans Plus

View job as Employee Benefits Investigator (Senior Advisor, Health Investigations)
          for Employee Benefits Security Administration [EBSA] Employee Benefits Investigator (Senior Advisor, Health Investigations)

Employee Benefits Security Administration [EBSA]

Remote / Pasadena CA

View job as Employee Benefits Investigator (Senior Advisor, Health Investigations)
          for Employee Benefits Security Administration [EBSA]

View job as Actuarial Consultant
          for USI Insurance Services Actuarial Consultant

USI Insurance Services

Cleveland OH / Pittsburgh PA

View job as Actuarial Consultant
          for USI Insurance Services

Press Releases

RPA Develops Custom Investment Solutions for Alameda County DC Plans

Retirement Plan Advisors, LLC

OneDigital Retirement + Wealth Wins the 2021 NAPA Top DC Advisor Multi-Office Firms Award

OneDigital

peppermint's Retirement Savings Plan Makes 401k Plans Easier and More Affordable Than Ever

peppermint

Announcing Target Date Plus from Capital Group/American Funds, Powered by Morningstar Investment Management LLC

Capital Group

Pontera and Mutual Group Announce Partnership to Enable Advisors to Manage Client Held Away Retirement Accounts

Pontera

Millennium Trust to Acquire PayFlex from CVS Health

Millennium Trust Company, LLC

Last Issue's Most Popular Items

IRS Proposed Regs Revise Premium Tax Credit's Affordability Test to Fix 'Family Glitch'

Journal of Accountancy

Biden Administration Proposes to Fix the 'Family Glitch'

Health Affairs

Text of IRS PMTA 2022-04: IRC 501(c)(6) Organizations Providing Pension and Health Benefits (PDF)

Internal Revenue Service [IRS]

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

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