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Health & Welfare Plans Newsletter

January 23, 2023

3 New Job Opportunities 3 New Job Opportunities


[Guidance Overview]

Washington State Paid Family Medical Leave Program Premium Rate Increase for 2023

"Beginning on January 1, 2023, the Washington Paid Family & Medical Leave Program's 'total premium' rate rose to 0.8% from 0.6%.... Employers with 50 or more people employed will pay at least 27.24% of the total premium, which would require their employees to pay 72.76% of the total premium."  MORE >>

Jackson Lewis P.C.

[Guidance Overview]

DOL Guide for Health Care Providers: Family and Medical Leave Act Certification of a Serious Health Condition

"Health care providers can be important allies in helping employees obtain the necessary job protections afforded by the FMLA by timely and accurately completing requests for certification. This flyer outlines what health care providers need to know about FMLA and the steps they can take to make sure patients’ and family caregivers’ employment is protected during serious illness."  MORE >>

Wage and Hour Division [WHD], U.S. Department of Labor [DOL]

[Guidance Overview]

DOL Guide for Employees: How to Talk to Your Employer About Taking Time Off for Family and Medical Reasons

"This guide provides information on how to talk to your employer about taking job-protected leave for family or medical reasons under the FMLA. In this guide, you'll find information on: [1] Things to know as you think about FMLA leave; [2] When to let your employer know you might need FMLA leave; [3] Talking to your employer about FMLA leave; [4] Things you don't have to tell your employer; [5] What your employer must tell you about FMLA leave; [6] How to reach [DOL] if you need help."  MORE >>

Wage and Hour Division [WHD], U.S. Department of Labor [DOL]

[Guidance Overview]

DOL Guide for Employees: Workplace Protections for Individuals Impacted by Cancer

"If you or a loved one has cancer, workplace protections including job protected leave and protection from discrimination help ensure you can prioritize the time and care needed for recovery without worrying about job security.... In this guide, you'll find more information on: [1] Taking time off from work for cancer treatment, recovery and care; and [2] Protections against discrimination."  MORE >>

Wage and Hour Division [WHD], U.S. Department of Labor [DOL]

[Guidance Overview]

FSA Election Changes and HSA Eligibility

"Employers with FSAs and health plans that operate on different plan years may wish to consider educating employees ... In addition, when an employee has a qualifying event, employers should consider carefully whether that event allows the employee to reduce or eliminate FSA contributions. As a potential workaround, employers can offer a limited purpose FSA option to their employees. Employees moving to an HDHP may then be able to convert their general or health FSA to an HSA compatible limited purpose FSA[.]"  MORE >>

HUB International

Is Outdated Technology Undermining Your Benefits Strategy?

"[O]rganizations that fail to take advantage of tools -- such as artificial intelligence to help employees make benefits decisions, application programming interfaces (APIs) that improve the speed and accuracy of benefits transactions by integrating disparate systems, and new analytics tools to measure benefits' return on investment -- risk wasting the investments they made to attract new workers and keep existing ones on board."  MORE >>

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

The Challenges -- and Opportunities -- of Harnessing Healthcare Pricing Data

"Eventually, you may see companies use the price transparency data to create Kayak-style or Expedia-style price-comparison websites. ... You may log into your employer’s benefits app to review your insurance benefits and see the price of the services you need. This price data will start to make its way to consumers throughout 2023 in these ways; it just takes time to distill this data in the software development life cycle."  MORE >>


Private Sector Health Care Prices: Defining the Terms of the Policy Debate

"The policy debate about how to control private health care prices is obscured by an array of overlapping terms whose meanings are often confused and conflated, including: costs, prices, billing, spending, margins, and affordability. A common set of definitions can provide clarity by helping to identify which policy levers are being pulled and to assess the impact of any proposed policy change."  MORE >>

Health Affairs Forefront


Achieving Universal Health Insurance Coverage in the United States: Addressing Market Failures or Providing a Social Floor?

"[I]ncremental insurance expansions focused on addressing market failures will propagate inefficiencies and are not likely to facilitate active policy decisions that align with societal coverage goals. By instead defining a basic bundle of services that is publicly financed for all, while allowing individuals to purchase additional coverage, policymakers could both expand coverage and maintain incentives for innovation, fostering universal access to innovative care in an affordable system."  MORE >>

National Bureau of Economic Research [NBER]; purchase required for full document


Seven Burning Questions Related to Commercial Prices for Health Care Services

"[1] Do poorly set public prices distort commercial prices? ... [2] How should services be defined? ... [3] How does quality respond to changes in pricing? ... [4] How should we price new digital services? ... [5] How much spending is flowing outside of the claims system? ... [6] Are pay for performance systems worth it? ... [7] To what extent do high prices reflect higher costs of production in the U.S., and why?"  MORE >>

Health Affairs Forefront

Employee Benefits Jobs

View job as Quality Assurance Manager
            for Bates & Company

Quality Assurance Manager

Bates & Company

Remote / Winter Park FL

View job as Quality Assurance Manager for Bates & Company

View job as Executive Compensation Lawyer
            for Trucker Huss, A Professional Corporation

Executive Compensation Lawyer

Trucker Huss, A Professional Corporation

Remote / San Francisco CA

View job as Executive Compensation Lawyer for Trucker Huss, A Professional Corporation

View job as Client Service Manager
            for United 401(k) Plans, Inc.

Client Service Manager

United 401(k) Plans, Inc.


View job as Client Service Manager for United 401(k) Plans, Inc.

Press Releases

Soteria Personalized Target Date Accounts

Target Date Solutions

Centivo's 2022 Healthcare Spend Analysis Reveals 21 to 33 Percent Cost Savings for Employers


Webcasts and Conferences
(Health & Welfare Plans)

Hot Topics in the Multiemployer Benefits World



The Benefits of Employee Benefits, Part 2: Realizing Cost and Operational Efficiencies Through Benefit Plans

February 8, 2023 WEBINAR

Morgan Lewis

Last Issue's Most Popular Items

Public Health Emergency Extended Once Again: Effect on Group Health Plans


CMS Announces 600% Increase to No Surprises Act's IDR Fee

HealthLeaders Media

District Court: Health Insurer's TPA Activities Are Subject to ACA Section 1557

Thomson Reuters / EBIA

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

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