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Health & Welfare Plans Newsletter

October 3, 2022

7 New Job Opportunities 7 New Job Opportunities

 

[Official Guidance]

Text of Instructions for 2022 IRS Form 1095-A: Health Insurance Marketplace Statement (PDF)

"Form 1095-A is used to report certain information to the IRS about individuals who enroll in a qualified health plan through the Health Insurance Marketplace. Form 1095-A is also furnished to individuals to allow them to take the premium tax credit, to reconcile the credit on their returns with advance payments of the premium tax credit, and to file an accurate tax return." [Also see: 2022 IRS Form 1095-A]  MORE >>

Internal Revenue Service [IRS]

[Guidance Overview]

Departments Release Guidance on Surprise Billing and Machine-Readable Files

"[FAQs Part 55] clarified employers are not required to post a link to the data files on their organization's website if there is a written agreement in place that ensures that the carrier or administrator will make the relevant files publicly available in compliance with the requirements.... There is currently no specific guidance on what constitutes a valid written agreement between the employer and their carrier or TPA. Employers may be able to meet this requirement in a variety of ways."  MORE >>

EPIC

[Guidance Overview]

Recent CMS FAQs Simplify RxDC Reporting

"[CMS] recently posted a number of FAQs that should ease the prescription drug data collection (RxDC) reporting burden for employers sponsoring complex group health plans.... Regulators confirmed that they will accept multiple data files of the same type from the same group health plan ... if there are 'extenuating circumstances' preventing vendors from working together. CMS wants to use the plan-specific files to connect a particular group health plan with the multiple data files submitted by its vendors, and provides sample P2 files for a variety of situations."  MORE >>

Mercer

[Guidance Overview]

California Expands Who an Employee Can Care for Under the CFRA and California Paid Sick Leave Law

"Beginning January 1, 2023, employees throughout California will be able to use sick leave or take leave under the California Family Rights Act (CFRA) to care for a 'designated person' ... defined as any individual related by blood or whose association with the employee is equivalent to a family relationship. An employee can designate this person at the time they request leave."  MORE >>

Jackson Lewis

[Guidance Overview]

California COVID-19 Supplemental Paid Sick Leave Extended Until Year End with Potential Grants

"The previous version of SPSL was passed in February 2022 and required employers with 26 or more employees to provide additional paid leave for certain COVID-19-related reasons. This law was scheduled to expire on September 30, 2022.... While SPSL will now be available through the end of the year, AB 152 does not provide an additional bank of time to those employees who may have already exhausted their allotted SPSL for the year."  MORE >>

Jackson Lewis

District Court: CMS Must Immediately Begin Paying Full Reimbursement Rate for 340B Drugs for the Remainder of CY2022

"Despite the Supreme Court's decision in June and CMS's subsequent acknowledgement that the CY2022 cuts would need to be repaid, the agency was still reimbursing Affected Covered Entities at the reduced ASP -- 22.5% rate for 340B drugs billed." [American Hospital Assoc. v. Becerra, No. 18-2084 (D.D.C. Sep. 28, 2022)]  MORE >>

Quarles & Brady LLP

Severe Sleep Apnea Diagnosis Panics Reporter Until He Finds a Simple, No-Cost Solution

"[T]he American health care system has joined with commercial partners to define a medical condition -- in this case, sleep apnea -- in a way that allows both parties to generate revenue from a multitude of pricey diagnostic studies, equipment sales, and questionable treatments.... Like so much of U.S. health care, sleep medicine turns out to be a thriving industry."  MORE >>

Kaiser Health News

[Opinion]

Embracing a Fiduciary Mindset for Health Plans

"All too often, plan sponsors assume they have little opportunity to control or reduce their healthcare spend. They accept the status quo and do not challenge brokers who are receiving financial incentives to keep them in poorly managed arrangements with specific insurers. Dave Chase's book, Relocalizing Health ... outlines a 5-step process called LOCAL that a plan sponsor can implement to better manage the health of their workforce and their healthcare spend[.]"  MORE >>

Chelko Center for Benefits Management

Employee Benefits Jobs

View job as Retirement Plan Administrator
            for Nicholas Pension Consultants

Retirement Plan Administrator

Nicholas Pension Consultants

Remote

View job as Retirement Plan Administrator for Nicholas Pension Consultants

View job as Associate General Counsel
            for Central Pension Fund of the IUOE

Associate General Counsel

Central Pension Fund of the IUOE

Washington DC

View job as 401(k) Retirement Plan Administrator
            for Red Oak Retirement

401(k) Retirement Plan Administrator

Red Oak Retirement

Towson MD

View job as 401(k) Retirement Plan Administrator for Red Oak Retirement

View job as Retirement Client Service Manager
            for Newport, an Ascensus Company

Retirement Client Service Manager

Newport, an Ascensus Company

Remote

View job as Retirement Client Service Manager for Newport, an Ascensus Company

View job as ESOP Consultant
            for FuturePlan, by Ascensus

ESOP Consultant

FuturePlan, by Ascensus

Remote

View job as ESOP Consultant for FuturePlan, by Ascensus

View job as Actuarial Services Manager
            for FuturePlan, by Ascensus

Actuarial Services Manager

FuturePlan, by Ascensus

Remote

View job as Actuarial Services Manager for FuturePlan, by Ascensus

View job as Retirement Sales Consultant
            for Alerus

Retirement Sales Consultant

Alerus

Remote / NC / TN

View job as Retirement Sales Consultant for Alerus

Press Releases

The Cerrado Group Announces Qualified Retirement Plan Services as Newest Member Firm

The Cerrado Group

Multnomah Group Acquires Pacific Retirement Partners

Multnomah Group

Webcasts and Conferences
(Health & Welfare Plans)

Beyond the Basics Part V: Plan Selection Strategies

RECORDED

Center on Budget and Policy Priorities

Top Multistate Compliance Issues: Weed and Leave—How to Manage Two of Employers’ Biggest Headaches

October 11, 2022 WEBCAST

Ogletree Deakins

Compliant Medical and Dependent Care Flexible Spending Plans

October 19, 2022 WEBCAST

Miller Johnson

Last Issue's Most Popular Items

IRS Disaster Relief Announcement FL-2022-19, for Victims of Hurricane Ian in Florida

Internal Revenue Service [IRS]

Senate Confirms Lisa Gomez as EBSA Leader

Pensions & Investments

Text of 2022 IRS Form 1095-A: Health Insurance Marketplace Statement (PDF)

Internal Revenue Service [IRS]

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

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