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Health & Welfare Plans Newsletter

November 16, 2022

6 New Job Opportunities 6 New Job Opportunities


[Guidance Overview]

Minimum Essential Coverage Reference Chart (PDF)

"This [5-page chart] is a reference tool that lists whether various types of coverage are considered MEC and whether eligibility for that coverage makes an individual ineligible for premium tax credits (PTC) in the marketplace."  MORE >>

Center on Budget and Policy Priorities

[Guidance Overview]

CRS Report: Health Care-Related Expiring Provisions of the 117th Congress, Second Session (PDF)

15 pages. "The expiring provisions included in this report are any identified provisions related to Medicare, Medicaid, the State Children's Health Insurance Program (CHIP), or private health insurance programs and activities. The report also includes any identified expired or expiring provisions among other health care-related provisions enacted or extended in the [ACA] ... In addition, the report describes health care-related provisions within the same scope that expired during the first session of the 117th Congress (i.e., during CY2021)." [R47303 Nov. 15, 2022]  MORE >>

Congressional Research Service [CRS]

District Court Awards ERISA LTD Benefits for a Limited Time, Declines to Consider New Evidence Beyond That Time Period

"Under certain 'limited circumstances' the court can consider evidence outside the administrative record. Here, the court declined to consider additional extrinsic evidence offered by Mr. Cameron related to the time period in and after September 2020, explaining that records related to this later time period were not relevant to determining whether his benefits entitlement ended in January 2020." [Cameron v. Sun Life Assurance Company of Canada, No. 21-2092 (C.D. Cal. Nov. 2, 2022)]  MORE >>

Roberts Disability Law

District Court Finds Section 1557 Does Not Prohibit Discrimination on Account of Sexual Orientation or Gender Identity

"As the district court acknowledged, other courts have reached the opposite conclusion on the central question in this case -- and held that Section 1557 does extend to claims of gender identity based on the statute's plain language. For health plans, as a result, this could mean that litigation challenging plan exclusions for transgender care may have different outcomes depending on the jurisdiction in which the litigation is brought." [Neese v. Becerra, No. 21-0163 (N.D. Tex. Nov. 11, 2022)]  MORE >>

Thomson Reuters Practical Law

Exceptional Usefulness and Quality icon Addressing Employee Health Plan Exception Requests, Part 8: Deadline for Cafeteria Plan Election Changes

"The Section 125 cafeteria plan rules allow employers to permit election changes all the way through the last moment before the start of the new plan year. However, because of the ERISA plan precedent concerns and administrative challenges, employers should at a minimum consider imposing a hard outer deadline sufficiently in advance of the start of the plan year to process elections."  MORE >>


With Price Transparency in the Limelight, How Much Are Patients Really Paying?

"Using the average hourly earnings of residents of each state from the U.S. Bureau of Labor Statistics, researchers were able to calculate the number of hours of work required to pay off the bill for an average hospital stay. Oregon was the least affordable state, requiring residents to work 646 hours to pay for the average hospital stay. It was followed by Utah (600 hours), New Mexico (581 hours), Ohio (581 hours), and California (572 hours)."  MORE >>

HealthLeaders Media

Paid Sick Time Spreading in the COVID Era

"Today, 77 percent of all employees in the private sector get paid time off for short-term illnesses and preventive medical care. That's a modest four points higher than in 2019 ... Just 55 percent of workers with earnings in the bottom 25 percent of all workers receive paid sick time ... Even their coverage has increased -- from 47 percent prior to the pandemic -- but they're still trailing far behind everyone else."  MORE >>

Squared Away Blog, by the Center for Retirement Research at Boston College

Benefits in General

Workplace Wellness Programs and LGBTQ Employees (PDF)

"LGBTQ workers were less likely than non-LGBTQ workers to be satisfied with their employee benefits overall and with paid leave.... LGBTQ workers were less likely than non-LGBTQ workers to be satisfied with the mix of retirement contributions and wages and more likely than non-LGBTQ workers to prefer higher wages and lower retirement contributions. In contrast, LGBTQ workers were more likely than non-LGBTQ workers to prefer higher mental health benefits and lower wages, whereas non-LGBTQ workers were more likely than LGBTQ workers to prefer fewer mental health benefits and lower wages."  MORE >>

Employee Benefit Research Institute [EBRI]

Employee Benefits Jobs

View job as Retirement Plan Administrator - Senior Associate
            for PBMares

Retirement Plan Administrator - Senior Associate


Norfolk VA

View job as Retirement Plan Administrator - Senior Associate for PBMares

View job as Senior Defined Benefits Consultant
            for Loren D. Stark Company

Senior Defined Benefits Consultant

Loren D. Stark Company


View job as Senior Defined Benefits Consultant for Loren D. Stark Company

View job as Attorney - Employee Benefits & Executive Compensation
            for Southern California Edison

Attorney - Employee Benefits & Executive Compensation

Southern California Edison

Rosemead CA

View job as Senior Attorney
            for Southern California Edison

Senior Attorney

Southern California Edison

Rosemead CA

View job as Employee Benefits and Compensation Associate
            for Fox Rothschild LLP

Employee Benefits and Compensation Associate

Fox Rothschild LLP

Pittsburgh PA / Dallas TX / Minneapolis MN

View job as Retirement Plan Manager
            for Chemung Canal Trust Company

Retirement Plan Manager

Chemung Canal Trust Company

Elmira NY

Press Releases

Chubb Introduces Third Generation of Fiduciary Solutions for Multiemployer Plans


The Retirement Advantage Hires New York / New Jersey Regional Sales Consultant

TRA [The Retirement Advantage]

President Names PBGC Advisory Committee Members

PBGC [Pension Benefit Guaranty Corporation]

Webcasts and Conferences
(Health & Welfare Plans)

Washington Update Briefing

November 17, 2022 WEBCAST


Last Issue's Most Popular Items

Employee Benefit Plan Year-End Deadlines

Frost Brown Todd LLC

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

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

ICHRAs: An Innovative Alternative to Traditional Plans

Corporate Synergies

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

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