logo logo

Health & Welfare Plans Newsletter

November 21, 2022

New Job Opportunity Today New Job Opportunity Today


[Guidance Overview]

District of Columbia Expands Paid Leave for Private Sector Employees

"[E]ffective October 1, 2022, the Paid Leave Act [provides] eligible individuals with: [1] twelve weeks of paid parental leave, [2] twelve weeks of paid family leave, [3] twelve weeks of medical leave, and [4] two weeks of paid prenatal leave up to a maximum of twelve weeks paid leave in any fifty-two-workweek period.... D.C. employer payroll taxes for the program are reduced to 0.26% of each employee's wages."  MORE >>

King & Spalding

[Guidance Overview]

Upcoming Deadline icon Massachusetts' Health Insurance Responsibility Disclosure Form Is Due December 15

"[E]mployers with six or more Massachusetts employees must complete and submit the state's annual Health Insurance Responsibility Disclosure (HIRD) form by December 15, 2022.... HIRD forms must be filed electronically."  MORE >>


[Guidance Overview]

Upcoming Deadline icon Massachusetts Paid Family and Medical Leave Benefits, Contribution Rates Changing Effective January 2023

"Beginning in January 2023, the maximum total weekly benefit amount will be $1,129.82 (up from $1,084.31), and the contribution rate on eligible employee wages will be reduced to 0.63% (down from 0.68%). Employers must provide current employees who have already signed an acknowledgement of PFML rates and deductions information about the new contribution rate 30 days in advance of the rate change."  MORE >>

Armstrong Teasdale

SCOTUS Rejects ERIC's Challenge to Seattle's Hotel Worker Insurance Mandate

The U.S. Supreme Court on Monday turned away a challenge to a 2018 Seattle law requiring hotels to pay for health insurance for low-wage workers pursued by a business group that argued the measure violated a federal law that regulates employee benefits.... Their decision not to take up the challenge could encourage other cities and states to adopt similar requirements intended to address the widespread lack of health insurance among low-wage employees." [ERISA Industry Committee (ERIC) v. City of Seattle, No. 20-35472 (9th Cir. Mar. 17, 2021; unpub.; cert. pet. denied Nov. 21, 2022)]  MORE >>

Reuters; free registration may be required

Federal District Court Certifies Transgender Discrimination Class Action Against Third-Party Administrator Under the ACA

"[T]he US District Court for the Western District of Washington certified a class of individuals who were denied gender-affirming care by a third-party administrator, Blue Cross Blue Shield of Illinois (BCBSIL).... [T]he class members have been, are, or will be [1] participants in an ERISA self-funded health plan, which is both administered by BCBSIL and contains a categorical exclusion for gender-affirming care ... [and] [2] denied preauthorization or coverage for excluded gender-affirming care because of BCBSIL's administration of the exclusion." [C.P. v. Blue Cross Blue Shield of Illinois, No. 20-6145 (W.D. Wash. Nov. 9, 2022)]  MORE >>

ArentFox Schiff LLP

Has Your Company Decided to Self-Fund Its Medical Plan? Don't Forget Privacy, Security, and Reporting Requirements

"In addition to drafting a new plan document and summary plan description, negotiating contracts with a claims administrator and other vendors, and purchasing stop-loss coverage to insure against the risk of catastrophic claims, employers must address privacy and security obligations under [HIPAA] and reporting requirements under the [ACA]."  MORE >>

Dickinson Wright

Walgreens Plots 'Aggressive' Strategy to Build Out Healthcare Services

"On the heels of several high-profile acquisitions, Walgreens aims to be a point of entry for consumers for healthcare services ranging from urgent care to specialty care and even in-home health."  MORE >>


National Council of Insurance Legislators Adopts Bipartisan Paid Family Leave Model Law

"The National Council of Insurance Legislators (NCOIL) adopted a model law on [November 19] during its annual conference that will help workers to care for a family member without fear of economic loss. NCOIL is an organization composed of state lawmakers that develops model insurance laws for consideration by state legislatures."  MORE >>

Benefits in General

IRS Guidance Priorities for 2022-23 Reflect Few New Projects

"Notable changes to the list include: ... [1] guidance under Section 408(m), relating to 'collectibles' that result in deemed distributions to the IRA owner, [2] a project relating to the 'timing of the use or allocation of forfeitures in qualified plans' ... and [3] a project on the definition of 'church plan' under section 414(e) has reappeared.... In the health care and employment tax areas, there is a new guidance project relating to 'contributions to and benefits paid from paid family and medical leave programs.' And ... a project covering guidance on W-2 reporting for qualified sick and family leave wages."  MORE >>

Groom Law Group

Employee Benefits Jobs

View job as Senior Compliance Consultant
            for Loren D. Stark Company

Senior Compliance Consultant

Loren D. Stark Company


View job as Senior Compliance Consultant for Loren D. Stark Company

Press Releases

Prudential Launches 'Now What?' Campaign, Defying Industry Norms Using Moments of Hope Instead of Fear

Prudential Financial, Inc.

Marci Guillemette Is Lockton's New Vice President, Pharmacy Audit Services


Last Issue's Most Popular Items

DOL Changes 'Employee vs. Contractor' Rule


IRS Announces Expansion of Change in Status Rules for Cafeteria Plans

The Wagner Law Group

Once a Plan Year Begins, Opportunities for Cafeteria Plan Election Changes Are Slim

HUB International

Unsubscribe  |   Change Email Address

Search Past Issues   |   Privacy Policy

Submit an Article   |   Contact Us   |   Advertise Here

Copyright 2022, Inc. All materials contained in this newsletter are protected by United States copyright law and may not be reproduced, distributed, transmitted, displayed, published or broadcast without the prior written permission of, Inc., or in the case of third party materials, the owner of those materials. You may not alter or remove any trademark, copyright or other notices from copies of the content.

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

Links to web sites other than and are offered as a service to our readers. We are not involved in their production and are not responsible for their content.