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Health & Welfare Plans Newsletter

November 6, 2023

3 New Job Opportunities 3 New Job Opportunities


[Guidance Overview]

HHS Rescinds Enforcement Safe Harbor for Prescription Drug Machine-Readable File Requirement

"Plan sponsors that have relied on the Departments' delay with respect to the prescription drug machine-readable file requirements ... and the associated delayed enforcement ... should work with their carrier or TPA to confirm compliance (in writing).... To be clear, this is a totally separate requirement from the RxDC report required under the Consolidated Appropriations Act, 2021."  MORE >>

Burnham Benefits

[Guidance Overview]

Price Comparison Transparency Tool Expanded for 2024

"Plan sponsors of fully insured health plans ... [should] obtain written confirmation that the health insurance issuer has agreed to provide the price comparison tool on their website ... Plan sponsors of self-insured ... health plans ... [should] contract with the TPA to confirm that they are providing this tool and that this responsibility is addressed in a written agreement.... Unlike fully insured plans, the legal responsibility for this tool stays with a self-insured plan even if its service provider agrees to provide the price comparison tool on [the plan sponsor's] behalf."  MORE >>

Burnham Benefits

[Guidance Overview]

Bloomington Amends Sick and Safe Time Ordinance

"Although Minnesota's Earned Sick and Safe Time mandate does not preempt related ordinances enacted in four Minnesota cities, the changes to Bloomington's Ordinance clearly align with language implemented by Minnesota's Earned Sick and Safe Time (ESST) legislation."  MORE >>

Jackson Lewis P.C.

[Guidance Overview]

Wisconsin Now Permits Collective Bargaining Negotiation of Health Care Plan Coverage for Certain Public Safety Employees

"It is yet to be seen how the City of Racine litigation will be affected by this statutory change, as the statutory change arguably conflicts with the Circuit Court's decision.... The collective bargaining law no longer prohibits negotiations over whether or not the employer will provide health care coverage.... The legislative intent statement does not indicate that the law is to be applied retroactively."  MORE >>

von Briesen & Roper, s.c.

Exceptional Usefulness and Quality icon Health Plan Fiduciary Governance: Participant Claims and Appeals, and Provider Disputes

"Plan and claims administrators should follow the plan's claims and appeals provisions to avoid inadvertently triggering complainant-friendly review standards. Minimize risk in disputes by understanding how healthcare providers can assert ERISA rights against a plan. Exercise caution when handling document requests and/or disputing plan reimbursements -- failure to properly handle these requests can result in liability."  MORE >>

Nixon Peabody LLP

A State-By-State Guide to Employee Voter Leave Laws

"Although there is no federal law that requires employers to provide their employees with time off to vote, currently, 31 states and the District of Columbia have these provisions, some of which are paid and others unpaid. For companies with a workforce spread across states, it may be beneficial to extend the same leave benefits to all employees, regardless of location."  MORE >>


Employee Benefits Jobs

View job as Distribution Team Leader
            for Nova 401(k) Associates

Distribution Team Leader

Nova 401(k) Associates


View job as Distribution Team Leader for Nova 401(k) Associates

View job as Participant Services Consultant
            for Setaway, LLC

Participant Services Consultant

Setaway, LLC

Remote / Bedford NH / CT / MA / ME / VT / Hybrid

View job as Participant Services Consultant for Setaway, LLC

View job as Retirement Plan Administrator
            for Pension Parameters, Inc.

Retirement Plan Administrator

Pension Parameters, Inc.

Matawan NJ

View job as Retirement Plan Administrator for Pension Parameters, Inc.

Press Releases

Butterfield Schechter Receives Ranking in 2024 Edition of 'Best Law Firms' by U.S. News

Butterfield Schechter LLP

Hub International Strengthens Retirement Consulting Services with Acquisition of the Assets of Renaissance Benefit Advisors Group, LLC

HUB International

Webcasts and Conferences
(Health & Welfare Plans)

How the HIPAA Security Rule Can Help Defend Against Cyber-Attacks


Office for Civil Rights [OCR], U.S. Department of Health & Human Services [HHS}

Gag Clauses & Group Health Plans: Employer Responsibilities and Requirements



Last Issue's Most Popular Items

Text of CMS FAQs: Medicare Secondary Payer and Certain Civil Money Penalties (PDF)

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

Foxx, Good Demand Transcribed Interviews After Acting Labor Secretary Fails to Respond to Request for Information

Committee on Education and the Workforce, U.S. House of Representatives

Text of CMS Final Regs: Medicare Hospital Payment System and Price Transparency Requirements

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

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

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