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Health & Welfare Plans Newsletter
August 5, 2022
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2 New Job Opportunities
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[Guidance Overview]
Affordability Percentage for Employer-Sponsored Health Coverage Will Shrink in 2023
"For the many 2023 calendar-year plans using the [federal poverty level (FPL)] affordability safe harbor, the required employee contribution cannot exceed 9.12% of the FPL for a particular area -- $13,590 for mainland US -- or $103.28 per month (slightly up from $103.15
in 2022)[.]" MORE >>
Mercer
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[Guidance Overview]
IRS Releases ACA Shared Responsibility Affordability Percentage for 2023
"Employers should consider the adjustments to the affordability contribution percentage in developing a contribution strategy for 2023 -- they may be able to increase the required employee contribution for their lowest cost self-only coverage and still satisfy one of the
safe harbors." [Charts show prior year maximum contribution amounts and ACA indexed dollar limits.] MORE >>
Buck
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How Does the FMLA Apply to a Remote Workforce?
"The new remote landscape is making what used to be an easy application of FMLA eligibility into a difficult analysis. This article examines the FMLA regulatory framework for remote employees, a recent Texas federal court decision on the issue and the practical options that
employers have moving forward." MORE >>
McDermott Will & Emery
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Expanding Pre-Deductible Coverage for Certain Prescription Drugs Has Limited Impact on Premiums (PDF)
"The impact on premiums of expanding pre-deductible coverage to 116 drug classes related to chronic disease management medications in HSA-eligible health plans is relatively small (range 1.3–4.7 percent).... Premiums increased the least ... when employers imposed
coinsurance instead of a deductible and when increased use of prescription drugs led to reduced use of other medical services." MORE >>
Employee Benefit Research Institute [EBRI]
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Health Insurance Providers Expand Networks to Address Growing Mental Health Care Demands
"All respondents (100%) provide coverage for tele-behavioral health services. The number of in-network behavioral health providers has grown by an average of 48% in 3 years among commercial health plans. The overwhelming majority of health plans (89%) are actively recruiting
mental health care providers ... The number of providers eligible to prescribe Medication Assisted Therapy (MAT) for substance use disorder, including opioid dependence, has more than doubled -- growing 114% over 3 years." MORE >>
America's Health Insurance Plans [AHIP]
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President Biden Issues Second Executive Order Responding to Dobbs Decision
"The White House ... executive order announces a policy of supporting women's ability to access reproductive health care by traveling to seek abortion care in states where it is legal." MORE >>
Thomson Reuters Practical Law
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Employee Benefits Jobs |
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Webcasts and Conferences (Health & Welfare Plans) |
Leave of Absence Management: FMLA and Beyond
RECORDED
OneDigital
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Last Issue's Most Popular Items |
What Employers Need to Know in a Post-Dobbs Landscape
Sheppard Mullin
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IRS Announces Indexing Adjustments for 2023 ACA Affordability and Premium Tax Credit Determinations
Thomson Reuters / EBIA
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Transparency Laws and Inflation May Strain Relationship Between Providers and Insurers
Hall Benefits Law
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BenefitsLink Retirement Plans Newsletter, ISSN no. 1536-9587.
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