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Health & Welfare Plans Newsletter

November 15, 2022

3 New Job Opportunities 3 New Job Opportunities


[Official Guidance]

Text of CMS ICHRA Employer Lowest Cost Silver Plan Premium Look-Up Table and Data Dictionary (PDF)

"The [CMS] Center for Consumer Information & Insurance Oversight (CCIIO) publishes the Individual Coverage Health Reimbursement Arrangement (ICHRA) Employer Lowest Cost Silver Plan (LCSP) Premium Look-up Table [XLSM] to help stakeholders access individual market Qualified Health Plans (QHPs) LCSP premium data by geographic location."  MORE >>

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

[Guidance Overview]

Make Sure You're Fit to Administer the FMLA's Fitness-For-Duty Certification Requirements

"Under the FMLA, if a sufficient return-to-work certification is provided -- and it's a relatively low bar -- the employer must return the employee to work in the same or an equivalent position -- even if the employer has good reason to believe the employee may not be quite ready to return."  MORE >>

McAfee & Taft

[Guidance Overview]

Upcoming Deadline icon Preparing for Paid Leave Oregon

"Key steps to take include: [1] Notify your employees about Paid Leave Oregon by Jan. 1, 2023; [2] Decide whether to apply for an equivalent plan (or file a declaration of intent); [3] Arrange for employer payments (unless a small employer -- fewer than 25 employees); [4] Begin payroll deduction contributions from employees beginning Jan. 1, 2023."  MORE >>


[Guidance Overview]

New Hampshire's Paid Family and Medical Leave Plan: Breaking Ground in the Granite State

"This is the first voluntary state paid family and medical leave plan in the nation, allowing employees who wish to participate to seek paid state leave without mandating premium payments for employees who opt out. Employers may participate and offer at least six weeks of paid leave. If employers elect not to participate in the NH PFML plan, employees may purchase individual insurance plans ... Enrollment begins for employers on December 1, 2022, and will be available on an ongoing basis. Employee enrollment begins January 1, 2023, and runs through March 2, 2023."  MORE >>

Ogletree Deakins

[Guidance Overview]

PBM Regulatory Roundup: State Medicaid Enforcement Efforts Continue as Legislative Activity Slows Down

"States continue to enact legislation aimed at increasing pharmacy price transparency. Though activity slowed in the last quarter, three states took action in October:"  MORE >>


Amazon Launches Virtual Health Service for Common Problems Such as Allergies and Acne

"Amazon Clinic will offer users virtual care related to 20 common health conditions such as allergies, acne, and hair loss. The clinic would then guide users to purchase the products through Amazon's interface or local stores and clinics."  MORE >>

Washington Examiner

ICHRAs: An Innovative Alternative to Traditional Plans

"Instead of trying to accommodate all employees with a few plans, employers can offer ICHRAs to defined classes of employees. That provides more freedom and flexibility to employees while stabilizing costs for employers and allowing them to offer coverage to employees that otherwise wouldn't be feasible.... ICHRAs can offer advantages and cost savings over other options, including multiple carriers and networks, expanded plan designs, copays and deductibles, and a more predictable budgeting process."  MORE >>

Corporate Synergies

Key Findings from RAND Health Care Research on Telehealth Policy

"About 30 percent of patients used video telehealth services in the first months of the pandemic ... Survey data collected later in the pandemic showed that willingness to try telehealth among respondents ... significantly increased, relative to February 2019 ... Psychiatrists interviewed in the summer of 2021 felt that almost all their patients would be good candidates for receiving care through televisits as part of hybrid care, given some essentials, such as access to private space."  MORE >>

RAND Corporation

Benefits in General

[Guidance Overview]

Employee Benefit Plan Year-End Deadlines

"This year, with the delay of the deadline for amending qualified plans, 403(b) plans, and governmental 457(b) plans to comply with the SECURE Act and CARES Act, year-end to-dos are on the light side; however, there are still a few deadlines to be aware of ... [1] Prescription drug disclosures.... [2] 125 plan deadline for COVID-19 special rules ... [3] 457(b) SECURE Act amendments."  MORE >>

Frost Brown Todd LLC

Employee Benefits Jobs

View job as Pension Consultant
            for Randall & Hurley, Inc.

Pension Consultant

Randall & Hurley, Inc.

Remote / Liberty Lake WA / Helena MT

View job as Pension Consultant for Randall & Hurley, Inc.

View job as Retirement Proposals & Implementation Representative
            for NRECA

Retirement Proposals & Implementation Representative


Arlington VA

View job as Retirement Proposals & Implementation Representative for NRECA

View job as Program Implementation Representative
            for NRECA

Program Implementation Representative


Arlington VA

View job as Program Implementation Representative for NRECA

Press Releases

NWPS Continues to Expand and Evolve by Adding Industry Veteran Lisa Tassara to Its Management Team


Groom’s Taylor Costanzo Wins 2022 Alvin D. Lurie Memorial Award

Groom Law Group

Centivo's Virtual Primary Care Practice Receives NCQA Patient-Centered Medical Home Recognition


Ubiquity Retirement + Savings® Hits New Record for 401(k) Plan Sales Amid a Year of Workforce Changes

Ubiquity Retirement + Savings

Webcasts and Conferences
(Health & Welfare Plans)

Over-the-Counter Drugs and Their Impact on Health Benefits Design

November 16, 2022 WEBCAST

ERIC [ERISA Industry Committee]

The Anatomy of a Deal: Key Aspects of M&A Deals That Every Benefits Lawyer Should Know

December 15, 2022 WEBCAST

Worldwide Employee Benefits Network [WEB] - New York Chapter

Last Issue's Most Popular Items

Text of IRS Notice 2022-59: Updated PCORTF Fee Payable for 2022 by Insured and Self-Insured Health Plans (PDF)

Internal Revenue Service [IRS]

Is My Severance Plan Subject to ERISA or Section 409A? (PDF)

Ice Miller LLP, via Employee Benefit Plan Review

ACA Numbers and Limits 2014-2023 (PDF)

Kaufman & Canoles, P.C.

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

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