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Health & Welfare Plans Newsletter

October 24, 2023

2 New Job Opportunities 2 New Job Opportunities


[Guidance Overview]

Machine-Readable File Requirements: More Transparency-in-Coverage Work for Health Plans

"The Agencies will move forward in enforcing the posting of these files as required by the Transparency in Coverage final rule.... The Agencies predict third-party developers and other entities will download, process, and compile this data, creating more advanced price transparency tools from the [machine readable files]. This data is not designed for member or consumer usage."  MORE >>


[Guidance Overview]

IRS Releases Final Forms and Instructions for 2023 ACA Reporting (PDF)

"No major substantive changes were made to the final forms and instructions for 2023 reporting.... The 2023 instructions include information on the new electronic filing threshold for information returns required to be filed on or after Jan. 1, 2024, which has been decreased to 10 or more returns"  MORE >>

Cowden Associates, Inc.

[Guidance Overview]

IRS Increases PCORI Fees Payable in 2024

"The new PCORI fee for policy and plan years that end on or after October 1, 2023 and before October 1, 2024 is $3.22; an increase of $0.22 per covered life as compared to the PCORI fee assessed on or after October 1, 2022 and before October 1, 2023."  MORE >>

Winston & Strawn LLP

[Guidance Overview]

California Law Grants Employee Leave for Reproductive Loss

"S.B. 848 guarantees time off from work following a miscarriage or other reproductive loss. As drafted, the term 'reproductive loss event' is defined to mean a failed adoption, failed surrogacy, miscarriage, stillbirth, or unsuccessful assisted reproduction. The law does not specifically include abortion in the list of qualifying events."  MORE >>


[Guidance Overview]

New York City Safe and Sick Time Act Regs Take Effect

"NYC's Department of Consumer and Worker Protection promulgated new rules to clarify certain aspects of the ESSTA.... [1] Covered employees, accrual and usage ... [2] Notice and documentation ... [3] Notice of accrual and use on pay statements ... [4] Pay provisions ... [5] Sale of business ... [6] Penalties."  MORE >>


Inside Braidwood v. Becerra: Will Payers Waffle?

"When a U.S. District Court struck down the ACA's Preventive Services Mandate, payers vocalized support for continued coverage. Health plan and employer group appeal briefs laud preventive services but point the finger at one another for putting future no-cost coverage at risk. This back and forth highlights one of healthcare's many if/then problems and how regulatory 'sticky floors' can help."  MORE >>

HealthLeaders Media

Life Course Patterns of Prescription Drug Use in the United States

"Newborns in 2019 could be expected to take prescription drugs for roughly half their lives: 47.54 years for women and 36.84 years for men. The number of years individuals can expect to take five or more drugs increased substantially. Americans also experienced particularly dramatic increases in years spent taking statins, antihypertensives, and antidepressants. There are also important differences in prescription drug use by race and ethnicity[.]"  MORE >>

Stacey McMorrow, Linda J. Blumberg, and John Holahan, via Journal of Health Politics, Policy and Law

Benefits in General

[Guidance Overview]

Text of DOL Fact Sheet 66e: The Davis-Bacon and Related Acts – Compliance with Fringe Benefit Requirements

"The following practices may lead to violations under the DBRA, resulting in failure to pay the applicable prevailing wage rate ... [1] Misclassifying laborers and mechanics for the type of work performed; [2] Failing to obtain prior approval from the [DOL] for unfunded fringe benefit plans; [3] Failing to annualize (or incorrectly annualizing) the hourly equivalent of fringe benefit amounts ... [4] Paying hourly rates and/or fringe benefit amounts pursuant to a Collective Bargaining Agreement (CBA), where the CBA specifies rates lower than those required in the applicable wage determination; and [5] Improperly taking credit towards fringe benefit obligations for certain expenses"  MORE >>

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

Employee Benefits Jobs

View job as Retirement Plan Administrator
            for Striegel Knobloch & Co, LLC

Retirement Plan Administrator

Striegel Knobloch & Co, LLC

Remote / Bloomington IL / Hybrid

View job as Retirement Plan Administrator for Striegel Knobloch & Co, LLC

View job as Compliance Administrator II
            for Associated Pension Consultants

Compliance Administrator II

Associated Pension Consultants


View job as Compliance Administrator II for Associated Pension Consultants

Selected New Discussions

Pre-Tax Employee Premiums for Health Insurance Possible Without Cafeteria Plan?

"Can an employee share of a health insurance premium be handled on a pre-tax basis without a Cafeteria plan? Employees do not have a choice between cash and the health coverage. All must participate and the only benefits offered are covered by 213(d)."

BenefitsLink Message Boards

Press Releases

2023 PenChecks Trust ASPPA Scholarship Recipients Selected

ASPPA [American Society of Pension Professionals & Actuaries]

2023 Martin Rosenberg Academic Achievement Award Recipients Recognized

ASPPA [American Society of Pension Professionals & Actuaries]

Nevin Adams 2023 Recipient of Harry T. Eidson Founders Award:

ASPPA [American Society of Pension Professionals & Actuaries]

Executives Honored for Efforts to Improve Retirement Security

Pensions & Investments

Principal Financial Group® Chairman, President & CEO Dan Houston Recognized with the 2023 Ray Lillywhite Award by EBRI at the Defined Contribution West Conference in San Diego, CA

EBRI [Employee Benefit Research Institute]

Webcasts and Conferences
(Health & Welfare Plans)

2024 DMEC FMLA/ADA Employer Compliance Conference

March 25, 2024 in TX

Disability Management Employer Coalition [DMEC]

2024 DMEC Virtual Compliance Conference


Disability Management Employer Coalition [DMEC]

Last Issue's Most Popular Items

HHS Adjusts 2023 HIPAA, Certain ACA and MSP Monetary Penalties


How Proposed Mental Health Parity Regs Could Impact Access to Benefits


Ozempic and Wegovy Don't Cost What You Think They Do

The New York Times; subscription required

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

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