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Health & Welfare Plans Newsletter

June 20, 2022

5 New Job Opportunities 5 New Job Opportunities

 

Fifth Circuit Enforces Pre-Existing Condition Exclusion in Long-Term Disability Policy Despite Employer's Misrepresentations

"The district court found that Defendants made material misrepresentations upon which Bunner reasonably and detrimentally relied but that she did not rely on them under extraordinary circumstances.... The [Fifth Circuit] affirmed the district court's grant of summary judgment and its ruling regarding ERISA estoppel." [Bunner v. Dearborn National Life Ins. Co., No. 21-20327 (5th Cir. June 15, 2022)]  MORE >>

Roberts Disability Law

Limiting Exposure for Health and Welfare Plan Fiduciaries

"Protective steps include forming a benefits committee, getting fiduciary training, do periodic market checks, purchasing fiduciary liability coverage and of course, following the rules [the authors have] described in this series. These protective measures can help not only the employer, but also their employees acting in fiduciary capacities, as individuals can be held personally liable for breaches of fiduciary duties."  MORE >>

HUB International

FTC Launches Inquiry Into Pharmacy Benefit Managers: Is This Time Different?

"The FTC's June 7 decision signals that PBMs are now in the regulatory sights of both federal and state lawmakers. In particular, the topics the FTC will be investigating as part of its inquiry mirror what many states have already begun to regulate with new state PBM legislation: pharmacy clawbacks and fees, steering of patients to PBM-owned or affiliated pharmacies, pharmacy audit practices and greater transparency with rebates and pricing methodologies."  MORE >>

Hall Render, via Lexology; free registration required

Health Insurers Seeking Major Rate Increases in New York for 2023

"Health insurers serving individuals and companies in the state are requesting increases as high as 30 percent in some cases, although the weighted average is 18.7 percent for individuals and 16.5 percent for the so-called small group employer market that includes companies under 100 people."  MORE >>

TimesUnion.com

New Iowa Law Targets Drug Intermediaries in Effort to Reduce Costs, Protect Pharmacies

"The new state law requires PBMs to update weekly their list of reimbursement rates to pharmacies; allows pharmacies to disclose or sell lower-cost prescriptions to covered individuals; and creates a framework for the state insurance commissioner to gather data on PBMs' activity in the state."  MORE >>

The Gazette

Vaccination Policy, Delayed Care, and Health Expenditures

"[R]eceiving a COVID-19 vaccine reduces the likelihood of delaying care for any medical condition by 37 percent.... [I]ncreased vaccine uptake has a positive, albeit statistically insignificant, effect on consumer healthcare spending in the short run.... The decline in delayed or foregone care caused by vaccination is particularly strong among minorities and those with a low socioeconomic background[.]"  MORE >>

National Bureau of Economic Research [NBER]; purchase required for full document

Benefits in General

Form 5500 Reminders for Plan Sponsors

"The due date may be extended if Form 5558 is properly filed with the IRS by the due date.... The information entered onto a Form 5558 should match the Form 5500 and the plan ... [R]ecognize it is your filing made under penalty of perjury; not that of a service provider who may have populated the form ... An auditor might sample some compliance issues and/or instances of late deposits; however, the process is not a comprehensive analysis of a plan's legal compliance."  MORE >>

Hawley Troxell

Employee Benefits Jobs

View job as Benefits Supervisor
          for NFL Player Benefit Office Benefits Supervisor

NFL Player Benefit Office

Baltimore MD

View job as Benefits Supervisor
          for NFL Player Benefit Office

View job as Compliance Consultant - DC Plans
          for Blue Chip Retirement Plans, Inc. Compliance Consultant - DC Plans

Blue Chip Retirement Plans, Inc.

Remote / WI

View job as Compliance Consultant - DC Plans
          for Blue Chip Retirement Plans, Inc.

View job as Retirement Plan Relationship Manager
          for ERISA Services, Inc. Retirement Plan Relationship Manager

ERISA Services, Inc.

Loganville GA / Sterrett AL

View job as Retirement Plan Relationship Manager
          for ERISA Services, Inc.

View job as Plan Services Consultant II
          for CUNA Mutual Plan Services Consultant II

CUNA Mutual

Remote

View job as Plan Services Consultant II
          for CUNA Mutual

View job as Plan Consultant II - RKO Team
          for CUNA Mutual Plan Consultant II - RKO Team

CUNA Mutual

Remote

View job as Plan Consultant II - RKO Team
          for CUNA Mutual

Press Releases

Ascensus Wins Retirement Leader of the Year

Ascensus

Paychex Surpasses 100,000 Milestone for Number of 401(k) Clients Served

Paychex

Webcasts and Conferences
(Health & Welfare Plans)

Group Health Plans Facing New Machine-Readable File Requirements

RECORDED

Miller Johnson

Last Issue's Most Popular Items

Enforcement of Health Plan Transparency Requirements Begins July 1

Burnham Benefits

One Change to ACA Reporting Could Save Significant IRS Resources and Employer Headaches

Accord

Lawsuits Put Spotlight on Paying Remote Workers' Expenses

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

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

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