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Health & Welfare Plans Newsletter

July 29, 2022

2 New Job Opportunities 2 New Job Opportunities

 

[Guidance Overview]

Are We There Yet? CAA and Transparency in Coverage

"[This article provides] a summary of the various requirements and reminders about where group health plans should be in terms of compliance to date.... Requirements effective for plan years beginning on or after January 1, 2022 ... Previous requirements ... Delayed requirements."  MORE >>

Spencer Fane

[Guidance Overview]

It's That Time of Year Again: Medicare Part D Notices Due (2022 Edition)

"The notice requirement applies to all employers who offer prescription drug coverage, regardless of size, whether insured or self-funded or ACA grandfathered status. It also applies whether the prescription drug coverage is standalone or integrated into another plan, such as a medical plan."  MORE >>

Kushner & Company

[Guidance Overview]

Massachusetts Paid Family and Medical Leave Act Allows Adding Accrued Sick, Vacation Pay to Benefits

"A provision in the enacted state budget for fiscal year 2023 amends the Massachusetts Paid Family and Medical Leave Act (PFMLA) to provide employers and employees more flexibility to use other accrued benefits to supplement paid benefits received from the state."  MORE >>

Jackson Lewis P.C.

District Court Strikes Additional Portions of Regs Implementing No Surprises Act Addressing Air Ambulance Services

"The court concluded that the portions of the Rule applicable to air ambulance providers 'rewrite[] clear statutory terms' by 'requiring [IDR entities] to presume the correctness of the QPA and then imposing a heightened burden on the remaining statutory factors to overcome that presumption.' " [LifeNet v. HHS, No. 22-162 (E.D. Tex. Jul. 26, 2022)]  MORE >>

Polsinelli PC

Recent Trends in Patient Out-of-Pocket Cost Sharing

"[T]he share of out-of-pocket costs paid by patients with employer-sponsored health plans increased from 17.4 percent in 2013 to 19 percent in 2019, before a pandemic-related decline to 16.4 percent in 2020.... The increase in the share of expenses paid out of pocket observed between 2013 and 2019 appears to be driven by an increase in the number of workers enrolling in plans with higher deductibles."  MORE >>

Employee Benefit Research Institute [EBRI]

[Opinion]

A Billion, a Trillion? Price Transparency Brings Enormous Data Sets

"There are thousands of procedure codes with prices attached, multiplied by thousands of doctors, labs and hospitals, layered over thousands of health-plan contracts. [One consultant] said he was dealing with 700,000 unique files for insurers' in-network prices. 'It's hundreds of terabytes, reaching petabyte scale,' [he said].... The analysis of this data is overwhelming and certainly costly...  Is it too skeptical to suggest that healthcare price transparency requirements will raise overall healthcare costs?"  MORE >>

aequum

Employee Benefits Jobs

View job as Institutional Wealth Business Development Officer I
          for BOK Financial Institutional Wealth Business Development Officer I

BOK Financial

Dallas TX

View job as Institutional Wealth Business Development Officer I
          for BOK Financial

View job as Retirement Plan Consultant - Combo Plans
          for Definiti LLC Retirement Plan Consultant - Combo Plans

Definiti LLC

Remote

View job as Retirement Plan Consultant - Combo Plans
          for Definiti LLC

Press Releases

Teamsters and UNITE HERE Alliance Launches Campaign Against Private Equity Pension Takeovers

UNITE HERE

Pentegra Combines with New Pinnacle Consulting Group to Make Strategic Expansion in the Retirement Plan Market

Pentegra

Benefitfocus Enhances Health Insights Platform to Include Claims Audit and Recovery Services

Benefitfocus

Webcasts and Conferences
(Health & Welfare Plans)

ACA Anti-Discrimination Rule

July 29, 2022 WEBCAST

Health Affairs

Providing Benefits for Abortion Services Post-Dobbs: Ways to Protect the Plan Sponsor

August 9, 2022 WEBCAST

Trucker Huss

Last Issue's Most Popular Items

Text of ACA FAQs Part 54: Preventive Services Requirements for Contraceptive Coverage (PDF)

U.S. Department of Health and Human Services [HHS]; U.S. Department of Labor [DOL]; and U.S. Treasury Department

HHS Proposes Revised ACA Anti-Discrimination Rule

Health Affairs

Agencies Issue Guidance Regarding Birth Control Coverage

U.S. Department of Health and Human Services [HHS]; U.S. Department of Labor [DOL]; and U.S. Treasury Department

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

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