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Health & Welfare Plans Newsletter

September 8, 2022

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[Official Guidance]

Health Insurance Oversight System (HIOS) Prescription Drug Data Collection (RxDC) User Manual (PDF)

21 pages, Sept. 2022 (Version 3.00.00). "This User Manual explains how to use the Prescription Drug Data Collection (RxDC) module within the Health Insurance Oversight System (HIOS). Group health plans, health insurance issuers offering group of individual or group coverage, and Federal Employee Health Benefit (FEHB) carriers use the RxDC module to submit information about prescription drug and health care spending on an annual basis."  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

[Guidance Overview]

ERISA 408(b)(2) Now Covers Health Plan Payments to Covered Service Providers

"Under the new law, 'covered service providers' that enter into a contract, provide 'brokerage or consulting' services to 'covered' plans, and reasonably expect that compensation to exceed at least $1,000, must disclose all compensation, either direct or indirect, received in relation to such brokerage or consulting services for a health plan.... There is no requirement that the contract be in writing.... Plan fiduciaries will need to request these disclosures, review them to be sure they accurately reflect both the services to be provided and the agreed on amount of compensation as reflected in any written service contract."  MORE >>

Boutwell Fay LLP, via Journal of Pension Benefits

[Guidance Overview]

State of the States: Paid Family Medical Leave Overview

"Employers need to keep on top of the rapidly changing landscape of laws as states continue to propose, fund, and launch their own PFML programs. Every jurisdiction has adopted plans that vary -- and some states have combined their state-mandated short term disability with a PFL program to create a PFML program."  MORE >>

Voya Financial

[Guidance Overview]

California to Provide Small Business Grant Money for Paid Family Leave

"Beginning in June 2022, California businesses with between 1 and 100 employees may qualify to receive grants of up to $2,000 for each employee who is off work for a reason covered by California's Paid Family Leave (PFL) program. The intent of the PFL Small Business Grant program is to help small businesses offset some of the expenses they incur while complying with their PFL obligations."  MORE >>

Shaw Law Group

District Court: HHS Process for Determining Whether Preventative Services Are Covered by the ACA Is Unconstitutional

"[A] federal judge in Fort Worth agreed with a group of Christian conservatives that the ACA's mandate that insurance plans cover HIV preventive medications violates their religious freedom.... Judge Reed O'Connor concluded that the government's process for determining whether preventative services are covered by the ACA is unconstitutional." [Braidwood Management, Inc. v. Becerra, No. 20-0283 (N.D. Tex. Sep. 7, 2022)]  MORE >>


Increasing Health Care Premiums and Renewals

"To counter inflationary trends, plan sponsors should focus more on helping participants build savings rather than the purchase of more costly insurance -- as part of a 'health and wealth' strategy designed to optimize both savings and financial preparedness."  MORE >>


ERISA Preemption of State PBM Laws

"In what is now nearly a year and a half since the Rutledge decision, more than 40 states have introduced upwards of 100 pieces of legislation intended to regulate PBMs. The laws are all different and aim to regulate the PBM industry in different ways."  MORE >>


New York State Department of Financial Services Reporting Requirements for Pharmacy Benefit Managers

"Currently, New York requires every pharmacy benefit manager performing pharmacy benefit management services to register with the New York State Department of Financial Services from June 1, 2022 through December 31, 2023. On or after January 1, 2024, a pharmacy benefit manager must obtain a license with the New York State Department of Financial Services."  MORE >>

Quarles & Brady LLP

Support Employees with Well-Being Benefits and a Human Touch

"Mental health and well-being programs continue to gain importance.... [P]roactive employers are: [1] Embracing mental health benefits ... [2] Checking the value-added benefits provided by their carriers and communicating them often ... [3] Offering mental health first aid training."  MORE >>

Woodruff Sawyer

Walmart, UnitedHealth to Offer Preventive Healthcare Program for Seniors

"The 10-year partnership represents Walmart's latest push into healthcare and could help the retail giant better compete with CVS Health and Walgreens Boots Alliance. Walmart's clinics could get a boost of new customers from UnitedHealth's Medicare Advantage members, while UnitedHealth gains access to the largest U.S. retailer's footprint and a venue to enroll more people[.]"  MORE >>

Reuters; free registration may be required

Employee Benefits Jobs

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CecilCo 401k Managed Solutions

Remote / Dallas TX

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          for CecilCo 401k Managed Solutions

Selected New Discussions

Embryo Adoption Expenses Qualify for Section 137 (Adoption Assistance) Plans?

"Wondering what other practitioners' thoughts or experiences are on how expenses of the adoption of an embryo could apply under an Adoption Assistance program under Code Section 137?"

BenefitsLink Message Boards

Press Releases

National Alliance Helps Employers Get to Fair Price for Hospital Services

National Alliance of Healthcare Purchaser Coalitions

Retirement Technology Provider Smart Names Gaobo Pang Ph.D., CFA, Head of Quantitative Strategy


Webcasts and Conferences
(Health & Welfare Plans)

HHS Security Risk Assessment Tool

September 14, 2022 WEBCAST

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

HHS Security Risk Assessment Tool

September 15, 2022 WEBCAST

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

Dobbs v. Jackson Woman’s Health- post Roe v. Wade Impact to Employee Benefits

September 15, 2022 WEBCAST

Worldwide Employee Benefits Network [WEB] - New York Chapter

Tales from the Crypt Crafting Competitive Global Total Rewards

October 13, 2022 in OH

Worldwide Employee Benefits Network [WEB] - Northeast Ohio Chapter

Last Issue's Most Popular Items

Top Benefits Trends for 2023


District Court Addresses HIPAA Privacy Implications of Kentucky Abortion Law

Thomson Reuters Practical Law

Massachusetts Clarifies That Employees May Not 'Top Off' Paid Family and Medical Leave Benefits

Foley & Lardner LLP

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

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