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Health & Welfare Plans Newsletter

June 28, 2022

3 New Job Opportunities 3 New Job Opportunities


[Guidance Overview]

Employers May Have to Pay More in 2022 Under New ACA Limits

"For plan years beginning in 2022, coverage is considered affordable if an employee's required contribution for self-only coverage does not exceed 9.61% of the employee's household income. This is a decrease of 0.22% from the 2021 affordability threshold of 9.83%.... The increases in the Employer shared responsibility penalties are summarized in [a chart]."  MORE >>


[Guidance Overview]

Secretaries Becerra, Walsh and Yellen Underscore Contraceptive Coverage Mandate for Private Insurance

"In all fifty states, the ACA guarantees coverage of women's preventive services, including free birth control and contraceptive counseling, for individuals and covered dependents. Recent reports have shown that some issuers and plans may not be appropriately providing this coverage. The letter is another step for the Departments to put the industry on notice for the required coverage and demand prompt action to ensure that people can rightfully access the birth control they need."  MORE >>

U.S. Department of Health and Human Services [HHS]

Text of Eleventh Circuit Opinion: ERISA Authorizes Claim for Equitable Relief for Alleged Fiduciary Breaches in Plan Enrollment Process (PDF)

"This appeal presents a question of first impression ... Section 1132(a)(3) of ERISA authorizes a beneficiary of an ERISA plan to sue for 'appropriate equitable relief' to redress violations of the plan or statute.... The question for us is: Does Section 1132(a)(3) create a cause of action for an ERISA beneficiary to recover monetary benefits lost due to a fiduciary's breach of fiduciary duty in the plan enrollment process? Our answer is 'yes.' " [Gimeno v. NCHMD, Inc., No. 21-11833 (11th Cir. Jun. 28, 2022)]  MORE >>

U.S. Court of Appeals for the Eleventh Circuit

Life and Health Insurance M&A: A Review of 2021 and an Outlook for 2022 and Beyond

58 pages. "This paper provides an analysis of recent life and health insurance transaction activity across the globe ... For key markets under each region, [the authors] provide: [1] An analysis of the level of activity in 2021 versus previous years; [2] An overview of the key announced transactions in 2021; [3] An analysis of transaction drivers, including the impacts of the COVID-19 pandemic; [4] An analysis of M&A themes and trends; [5] An analysis of private equity and private asset manager involvement in life and health M&A in 2021; [6] The outlook for life and health insurance M&A in 2022 and beyond."  MORE >>


The Impact of Dobbs on Employer-Provided Health Benefits

"[E]mployers committed to ensuring their employees have access to abortion services should be prepared to take the following steps ... [1] Consider the way in which your medical benefits are funded.... [2] Review provider network access.... [3] Establish a Health Reimbursement Arrangement for abortion services.... [4] Consider establishing a travel and lodging benefit under your medical plan.... [5] Other options.... [6] Understand the risks.... [7] Review any group health plan documentation ... [8] Prepare employee communications[.]"  MORE >>

Ropes & Gray LLP


The Immediate Aftermath of Dobbs, and the Coming Legal Morass

"The fabric of state and federal laws has effectively woven in the right to abortion and limited state regulation in innumerable ways. To the extent that the Dobbs majority thought the Court is now done with the issue, it is wrong. [This article flags] some of the issues that could arise."  MORE >>

The Commonwealth Fund


More Detail and Further Clarity Required for Part IV of the Form 1094-C

"[T]he details of how a merger operates with ALE status midyear is far from clear.... [IRS Notice 2014-49] overviewed some of the issues and solicited comments.... One solution to this problem is simple. Add another column where an employer can state the month when an employer became part of the controlled group.... An alternative solution would be to only list employers who are part of the controlled group for the entire year in Part IV of the Form 1094-C."  MORE >>


Employee Benefits Jobs

View job as Pension Administrator
          for MGKS Pension Administrator


Remote / Phoenix AZ

View job as Pension Administrator
          for MGKS

View job as Defined Benefit (DB) Plan Administrator
          for CEP Consultants Inc. Defined Benefit (DB) Plan Administrator

CEP Consultants Inc.

Remote / NY

View job as Defined Benefit (DB) Plan Administrator
          for CEP Consultants Inc.

View job as 401(k) Plan Administrator
          for Duncan Financial Group, LLC 401(k) Plan Administrator

Duncan Financial Group, LLC


Press Releases

Federal Court Sentences Florida Addiction Recovery Doctor to Prison, to Pay $31.3 Million in Restitution After Submitting $106 Million in Fraudulent Benefits Claims

Employee Benefits Security Administration [EBSA], U.S. Department of Labor

Transamerica Enhances Coverage Within Its Workplace Supplemental Health Benefits Suite


Ubiquity Retirement + SavingsĀ® Adds 3(16) Administrative Fiduciary Services to Select 401(k) Products

Ubiquity Retirement + Savings

Prime Pensions Acquires Northwest Retirement Plan Consultants

Prime Pensions

Webcasts and Conferences
(Health & Welfare Plans)

The Overturning of Roe v. Wade

June 29, 2022 WEBCAST

McDermott Will & Emery LLP

Roe Overturned: What Employers & Plan Sponsors Need to Know

July 20, 2022 WEBCAST


Last Issue's Most Popular Items

Dobbs v. Jackson Women's Health: Implications for Employers and Employer Plan Sponsors

Morgan Lewis

SCOTUS Overturns Roe: Understanding the Impact on Employer-Sponsored Benefit Plans


Group Health Plans in the Wake of Dobbs v. Jackson Women's Health


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

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