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Health & Welfare Plans Newsletter

April 26, 2022

6 New Job Opportunities 6 New Job Opportunities

 

[Guidance Overview]

IRS Issue Snapshot: Qualified Parking Fringe Benefit

"Issue Indicators and Audit Tips: [1] Determine whether the taxpayer provides employer-provided parking for any of their employees. [2] Request a list of employees entitled to receive employer-provided parking. [3] Determine if the employer includes any portion of the benefit in employees' wages. [4] Request the method used to determine the value of the parking benefit. [5] If the value was not determined by Treas. Reg. 1.61-21(b)(2), you may need to conduct a survey of nearby parking facilities to determine the FMV."  MORE >>

Internal Revenue Service [IRS]

[Guidance Overview]

Technical Guidance Issued on Transparency in Coverage Regs

"The new guidance ... [provides] enforcement safe harbors for satisfying the reporting requirements where reimbursement arrangements do not permit the plans and issuers to accurately derive specific dollar amounts in advance, or where the rates are not supported by the schema established by the [transparency in coverage] rules or additional context is required."  MORE >>

Ballard Spahr LLP

[Guidance Overview]

Agencies Provide Guidance on Transparency in Coverage Rule Implementation

"[FAQs Part 53 reiterate] that the enforcement of the requirements related to machine-readable files disclosing in-network and out-of-network data will begin July 1, 2022 ... and clear up confusion regarding reporting for certain alternative reimbursement arrangements. This [article] summarizes the safe harbor issued for disclosing rates on specific arrangements for which a dollar amount may not be available before the item or service is provided or rendered."  MORE >>

McDermott Will & Emery

[Guidance Overview]

'The No Surprises Act' a/k/a 'The Act That Continues to Surprise Providers'

"The No Surprises Act continues muddling through its implementation period.... There has been legal movement as health care providers and facilities have brought lawsuits against the Departments of [HHS], Labor, and Treasury, and the Office of Personnel Management. In addition, the [CMS] issued answers to new frequently asked questions (FAQs)."  MORE >>

Akerman

Second Circuit: HHS Rule for Embedded Individual Out-of-Pocket Limits Does Not Apply to Pre-2016 Health Insurance Plans

"[A 2015 HHS rule states] that 'beginning in 2016, insurance providers cannot require any individual, including those with family coverage, to spend more than the individual out-of-pocket limit established under the Act -- a limitation commonly known as an "embedded individual out-of-pocket limit." ' The court found that the final rule adopted in 2015 for health insurance plans in 2016 does not apply retroactively for Fisher's claims under the 2014 and 2015 health insurance plans." [Fisher v. Aetna Life Ins. Co., No. 20-3148 (2d Cir. Apr. 22, 2022)]  MORE >>

Roberts Disability Law

Navigation Checklist: Simplifying the Healthcare and Benefits Maze

"By offering benefits navigation support as part of the employee experience, employers can: [1] Deliver a more unified benefits and healthcare experience; [2] Improve engagement and utilization of their employee benefits package[ [3] Help deliver better health and financial outcomes to employees.... [U]se this checklist to ensure you have the key areas your employees may need support with all covered."  MORE >>

bswift

How to Avoid Another Dismal Group Health Renewal

"[Employers] typically have very little actionable data. This has contributed to the 'pay more, get less' results that plague group health plans. It has also contributed to the 'set it and forget it' mentality. For this reason, most employers open their calendar to benefit analysis for a measly 90 to 120 days per year. One would think an expense that is in the top two or three for most small, mid-sized and large employers would garner more attention. Perhaps it would if there was something to focus on."  MORE >>

Forbes; subscription may be required

Adopting a 'Pure' Reference-Based Pricing Strategy

"The new transparency laws are expected to increase the use of [reference based pricing (RBP)] strategies by plan sponsors to maximize their value in managing costs value.... Designed to moderate excessive hospital costs, 'pure RBP' establishes a benchmark fee schedule and payment ceiling instead of negotiated fees by contracting with a provider network. Plan sponsors and participants benefit from the consistent application across all providers and health networks."  MORE >>

aequum

Fiduciary Duties for Health and Welfare Plans: The Duty of Prudence

"At its heart, prudence must be exercised in the decision making process. For health and welfare plans this primarily means prudence in selecting and monitoring plan service providers. The service providers themselves may or may not be fiduciaries, but even if the service provider is not a fiduciary, the service provider can advise the fiduciary on matters that allow the fiduciary to make an informed decision."  MORE >>

HUB International

Paid Time Off Could Help Solve Employer Challenges

"Flexible PTO offerings can attract new candidates, avoid burnout and retain star employees by becoming a benefit that allows them to stretch outside of the 9-5 lifestyle grasp. Whether your organization is developing a new policy or updating an existing policy, here are a few considerations for employers."  MORE >>

International Foundation of Employee Benefit Plans [IFEBP]

Shopping for Space, Health Systems Make Use of Shopping Malls

"What big-city health systems need most is something shopping malls have plenty of: space and parking. They offer convenience for patients and practitioners, as well as costing less than expanding an existing hospital campus. Nationwide, 32 enclosed malls house health care services in at least part of their footprint[.]"  MORE >>

Kaiser Health News

Employee Benefits Jobs

View job as DC Administrator
          for United Benefit Pensions Inc. DC Administrator

United Benefit Pensions Inc.

Remote / Melville NY

View job as DC Administrator
          for United Benefit Pensions Inc.

View job as Employee Benefits & Executive Compensation Associate
          for Polsinelli Employee Benefits & Executive Compensation Associate

Polsinelli

Chicago IL / Dallas TX

View job as Employee Benefits & Executive Compensation Associate
          for Polsinelli

View job as DC/DB Administrator
          for Heritage Pension Advisors, Inc. DC/DB Administrator

Heritage Pension Advisors, Inc.

Remote / Commack NY

View job as DC/DB Administrator
          for Heritage Pension Advisors, Inc.

View job as Compensation & Benefits Specialist
          for Troutman Pepper Compensation & Benefits Specialist

Troutman Pepper

Atlanta GA

View job as Compensation & Benefits Specialist
          for Troutman Pepper

View job as Relationship Manager for Non-Qualified Retirement Plans
          for Newport Relationship Manager for Non-Qualified Retirement 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 Relationship Manager for Non-Qualified Retirement Plans
          for Newport

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

WTW Selects Capital Rx as an Innovative New PBM Partner to Join its Rx Collaborative

WTW

OneAmerica, OneDigital Unite on Morningstar Investment Management LLC’s Advisor Managed Accounts Service

OneAmerica

Fidelity Investments Advances Leading Position as Digital Assets Provider With Launch of Industry’s First-of-Its-Kind Bitcoin Offering for 401(k) Core Investment Lineup

Fidelity Investments

Webcasts and Conferences
(Health & Welfare Plans)

Shifting Trends in Healthcare Benefits, and What They Mean for the Future

May 3, 2022 in TX

Worldwide Employee Benefits Network [WEB] - Dallas Chapter

5500 Highlights for All Plans & 408(b)(2) Disclosure Rules for Health and Welfare Plans

May 19, 2022 WEBCAST

Worldwide Employee Benefits Network [WEB] - New York Chapter

Dallas: A Tale of Two Cities. Addressing The Health Inequity Crisis in TX

May 24, 2022 in TX

Worldwide Employee Benefits Network [WEB] - Dallas Chapter

Last Issue's Most Popular Items

Departments Issue New FAQs on Transparency in Coverage Reporting Requirements

OneDigital

Using Benefits to Increase Take-Home Pay Is Probably an Illegal Double-Dip

HUB International

New Paid Family Leave Laws Sprout in Maryland, Virginia and D.C.

Jackson Lewis P.C.

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

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