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Health & Welfare Plans Newsletter

May 4, 2022

6 New Job Opportunities 6 New Job Opportunities


[Guidance Overview]

IRS Announces 2023 Limits for HSAs, HDHPs and Excepted Benefit HRAs

"Employers are advised to begin planning for updating payroll and plan administration systems to reflect the 2023 cost-of-living adjustments. In addition, employers should be sure to incorporate the 2023 limits into all relevant participant communications, such as open enrollment and communication materials, plan documents and summary plan descriptions."  MORE >>

The Wagner Law Group

[Guidance Overview]

Final 2023 Payment Rule, Part 3: Risk Adjustment Program

"[C]hanges to the risk adjustment program [include] finalizing two of the three proposed updates to the risk adjustment models, a requirement that insurers collect certain data (including enrollee data on race and ethnicity), changes to the risk adjustment data validation (RADV) process, and tweaks to the recoupment of high-cost risk pool funds.... HHS also issued updated guidance on when telehealth and telephone services can be submitted for purposes of the risk adjustment program."  MORE >>

Health Affairs

[Guidance Overview]

Digital Health Industry Take Note: New HIPAA Comment Opportunity and Guidance Address Growing Risk of Cybersecurity Attacks

"OCR released an RFI seeking public input on ... [1] how covered entities and business associates are implementing recognized security practices and how they anticipate demonstrating such practices are in place and [2] the types of harm individuals experience as a result of HIPAA violations.... Comments from digital health companies could help inform what should be considered a recognized practice and what should be considered industry practice in ePHI within the evolving and varied practices of digital health business platforms.... Digital health companies should also consider undertaking an impact analysis of OCR's recent industry newsletter for HIPAA-regulated entities to protect against some of the more common cyberattack techniques."  MORE >>

Sidley Austin LLP

Hospital Price Transparency Data: Case Studies for How to Use It

"The hospital price transparency regulation that went into effect in January 2021 has the potential to significantly alter the competitive dynamic among healthcare providers. Using transparency data to its full potential requires significant data quality considerations but, once they have been addressed, payers and providers will be able to understand competition and contracting strategy like never before. This regulation also opens doors for innovators to create products that allow individual consumers to have more insight into the cost of their care."  MORE >>


Exceptional Usefulness and Quality icon Fertility and Family-Forming Solutions Buyer's Guide for Health Plans (PDF)

"This guide is designed for health plan teams looking for the best comprehensive fertility and family-forming solution to help their programs stand out and attract and retain groups."  MORE >>

America's Health Insurance Plans [AHIP]

Small Employer's FMLA Policy Did Not Obligate It to Provide Leave

"While small employers are not covered by the FMLA, they must take care not to assume coverage by offering FMLA leave in their handbooks. Other employment laws outside the FMLA may require them to provide medical or pregnancy leave." [Jones v. Wireless Time of Alabama LLC, No. 20-0613 (S.D. Ala. Feb. 10, 2022)]  MORE >>

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


U.S. Chamber of Commerce Comments to FTC on Impact of Pharmacy Benefit Managers' Practices (PDF)

"[T]he FTC should analyze PBMs in an objective and empirical manner consistent with past reviews.... [T]he Chamber has serious concerns that the FTC's current Solicitation is structured to elicit biased information about PBM business practices, their impact on patients, physicians, employers, and independent and chain pharmacies. Almost every single question appears to presuppose negative intent and actions.... [T]he FTC should ensure that it conducts a comprehensive evaluation before proposing new regulations of PBMs."  MORE >>

U.S. Chamber of Commerce

Employee Benefits Jobs

View job as Senior Compliance Analyst - Retirement Plans
          for Newport Senior Compliance Analyst - Retirement Plans



View job as Senior Compliance Analyst - Retirement Plans
          for Newport

View job as Compliance Specialist (Entry Level)
          for Newport Compliance Specialist (Entry Level)



View job as Compliance Specialist (Entry Level)
          for Newport

View job as H&W Sales Consultant
          for Alerus H&W Sales Consultant


Remote / CO / MA / NH / NJ / PA

View job as H&W Sales Consultant
          for Alerus

View job as Transaction Coordinator
          for The Retirement Advantage, Inc. (TRA) Transaction Coordinator

The Retirement Advantage, Inc. (TRA)


View job as Transaction Coordinator
          for The Retirement Advantage, Inc. (TRA)

View job as ESOP Retirement Plan Manager
          for OneAmerica ESOP Retirement Plan Manager


Remote / Indianapolis IN

View job as ESOP Retirement Plan Manager
          for OneAmerica

View job as Associate Retirement Plan Administrator
          for Nicholas Pension Consultant Associate Retirement Plan Administrator

Nicholas Pension Consultant

Rancho Cordova CA / Corona CA

View job as Associate Retirement Plan Administrator
          for Nicholas Pension Consultant

Selected New Discussions

2022 Form 720 PCORI Rates Not Updated?

"The IRS Form 720 was updated in March 2022; however, the dates and rates for the PCORI fee on line 133 were not updated (from $2.66 to $2.79). Does anyone have a work-around for this or how are you handling this? The service that we use is not allowing an override of the amount due. This is for plans with a 12/31/2021 year end."

BenefitsLink Message Boards

Press Releases

Colorado and New Mexico Select Vestwell to Power Historic State Savings Program


Webcasts and Conferences
(Health & Welfare Plans)

ERISA Long-Term Disability Claims: Appeal Strategies, Rights and Protections, Best Practices for Counsel

June 22, 2022 WEBCAST


HSA University

July 7, 2022 WEBCAST


Last Issue's Most Popular Items

Using the New Group Health Plan Fee Disclosure Rules to Reduce Plan Costs

Dickinson Wright

Paid Sick Leave Mandates Continue to Expand at State Level (PDF)


IRS Announces 2023 HSA/HDHP and Excepted Benefit HRA Limits


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

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