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Health & Welfare Plans Newsletter

August 5, 2022

2 New Job Opportunities 2 New Job Opportunities


[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 >>


[Guidance Overview]

Exceptional Usefulness and Quality icon 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 >>


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

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]

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]

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

Employee Benefits Jobs

View job as 401(k) Plan Administrator
          for Abacus Retirement Solutions, LLC 401(k) Plan Administrator

Abacus Retirement Solutions, LLC

Albuquerque NM

View job as 401(k) Plan Administrator
          for Abacus Retirement Solutions, LLC

View job as Retirement Analyst / Senior Retirement Analyst
          for Montgomery County, MD Government Employee Retirement Plans Retirement Analyst / Senior Retirement Analyst

Montgomery County, MD Government Employee Retirement Plans

Rockville MD

Webcasts and Conferences
(Health & Welfare Plans)

Leave of Absence Management: FMLA and Beyond



Last Issue's Most Popular Items

What Employers Need to Know in a Post-Dobbs Landscape

Sheppard Mullin

IRS Announces Indexing Adjustments for 2023 ACA Affordability and Premium Tax Credit Determinations

Thomson Reuters / EBIA

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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