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Health & Welfare Plans Newsletter

January 3, 2023

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[Guidance Overview]

New York's COVID-19 Leave: An Update

"[New York] state continues to mandate paid COVID-19 sick leave in most cases.... [P]aid New York COVID-19 leave does not have an end or sunset date.... This leave is in addition to traditional sick leave. If employees can return to work sooner than the leave period, the employer can require employees to do so. Employees using COVID-19 leave must be paid the amount that the employee would have otherwise received had they continued to work as scheduled."  MORE >>

Fox Rothschild LLP

[Guidance Overview]

Pre-Deductible Telehealth Coverage Extension Included in 2023 Spending Bill

"[T]he provision allows health savings account (HSA)-qualifying high-deductible health plans (HDHPs) to cover telehealth and other remote-care services on a pre-deductible basis. Additionally, an otherwise HSA-eligible individual can receive pre-deductible coverage for telehealth and other remote-care services from a stand-alone vendor outside of the HDHP ... In both cases, the pre-deductible telehealth coverage won't hinder an individual's eligibility to make or receive HSA contributions."  MORE >>

Society for Human Resource Management [SHRM]; membership may be required to view article

Want a Clue on Health Care Costs in Advance? New Tools Take a Crack at It

"As of Jan. 1, health insurers and employers that offer health plans must provide online calculators for patients to get detailed estimates of what they will owe -- taking into account deductibles and copayments -- for a range of services and drugs.... Insurers must make the cost information available for 500 nonemergency services considered 'shoppable,' meaning patients generally have time to consider their options."  MORE >>

Kaiser Health News

Medical Bills Heading to Dispute Resolution Far More Often Than Anticipated

"When providers do dispute payments, they face months-long waits to work out whether their claims are eligible and to ultimately receive reimbursements ... [M]ost insurers are not providing specific enough information to determine the right venue for a dispute, despite CMS giving insurers a standardized way to do that."  MORE >>


Private Industry Workers with Access to Medical Care Benefits in 2022

"Seventy percent of private industry workers had access to medical care benefits in March 2022. Forty-seven percent of workers participated in a medical care plan offered by their employer, resulting in a take-up rate of 66 percent.... Access, participation, and take-up rates varied among the geographic areas. In Pacific states, 74 percent of private industry workers had access to medical care benefits. In West South Central states, 67 percent had access."  MORE >>

U.S. Bureau of Labor Statistics [BLS]

Employer-Supported Child Care: A 'How-To' Guide for Retaining Talent and Boosting Performance

"[It] is important to understand employees' caregiving status and child care requirements. Utilizing tools such as caregiver Employee Resource Groups (ERGs), employee surveys, and open discussion sessions will help determine employees' unique child care needs. Employers should use a range of questions to uncover insights about possible child care options that would benefit their employees and their business."  MORE >>

HR Daily Advisor

IRS Boosts Standard Mileage Rate for 2023

"The 2023 mileage rate took effect Jan. 1. In addition to the 65.5 cents per mile driven for business use, the IRS also announced the standard mileage rate for 2023 will be: 22 cents per mile driven for medical or moving purposes for qualified active-duty members of the armed forces, consistent with the increased midyear rate set for the second half of 2022. 14 cents per mile driven in service of charitable organizations; the rate is set by statute and remains unchanged from 2022. These rates apply to electric and hybrid-electric automobiles, as well as gasoline- and diesel-powered vehicles, the IRS announced."  MORE >>

Society for Human Resource Management [SHRM]; membership may be required to view article

Benefits in General

What to Keep on Your Radar and Some Predictions for 2023

"The deadline for SECURE Act and CARES Act amendments was extended.... There is still no final word on mandatory arbitration of ERISA claims ... Fee disclosure for welfare plans -- similar to the disclosures required for pension plans -- is required.... A new health plan transparency requirement to provide internet-based price comparison tools comes into effect in 2023.... We should expect to see: ... More efforts to provide coverage for workers without employer plans.... Interest and use of telehealth will increase.... Steps will be taken to protect innocent participants whose accounts are stolen due to lax cybersecurity practices."  MORE >>

Cohen & Buckmann, P.C.

Employee Benefits Jobs

View job as Senior Retirement Analyst
            for Dunbar, Bender & Zapf, Inc.

Senior Retirement Analyst

Dunbar, Bender & Zapf, Inc.

Remote / Pittsburgh PA

View job as Senior Retirement Analyst for Dunbar, Bender & Zapf, Inc.

Press Releases

Attorney Andrew Oringer Joins The Wagner Law Group

The Wagner Law Group P.C.

Webcasts and Conferences
(Health & Welfare Plans)

‘An Arm and a Leg’: The Year in Review, From Prenatal Testing to Insulin Pricing


Kaiser Family Foundation

Last Issue's Most Popular Items

Top Employee Benefits Trends for 2023 (Some Will Surprise You!)


Last-Minute Reprieve for HSA-Compatible Telehealth Benefits

Ballard Spahr LLP

District Court Finds TPA's Benefits Denial of Gender Affirming Care Violated ACA's Nondiscrimination Rules

Thomson Reuters Practical Law

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

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