"The Act makes wide-reaching changes to Medicare prescription drug coverage and more targeted changes to Medicaid, the State Children's Health Insurance Coverage Program (CHIP), and private health insurance."  MORE >>

"While the 2022 NPRM proposes various changes, this Legal Sidebar discusses HHS's position on several legal issues that arose in this earlier litigation and that are addressed in the 2022 NPRM, over how to interpret the precise scope and meaning of Section 1557's incorporation of another statute -- Title IX of the Education Amendments of 1972. Title IX, among other things, prohibits discrimination 'on the basis of sex' in federally funded education programs or activities." [LSB10813 Sep. 2, 2022]  MORE >>

"In addition to concluding the decedent's death was due to an accident despite the insured's reckless behavior, the court discussed a bedrock [ERISA] principle that precludes benefit plans from raising new issues for the first time in litigation. The absence of a policy exclusion was also critical to the outcome of the case." [Wolf v. Life Ins. Co. of North America, No. 21-35485 (9th Cir. Aug. 25, 2022)]  MORE >>

"There's still time to prepare your HR team and employees before this year's enrollment window opens -- and by tapping into these tips, you can achieve the strategic trifecta of OE success: communication, education, and engagement."  MORE >>

"Prescription drug expenses were 22.2 cents, including calculations for rebates negotiated by health insurance providers and their pharmacy benefit manager partners. Costs for care provided by hospitals included in-patient hospital costs at 19 cents, out-patient hospital costs at 19.9 cents, and emergency costs at 3.3 cents. Doctor visits accounted for 11.8 cents. Taxes and fees represented 3.8 cents."  MORE >>

"Subject to certain limitations, the DOL is revising its independence guidelines to provide an exception for new audit engagements from the condition on holding disqualifying financial interests during the period covered by the financial statements being audited."  MORE >>