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Health & Welfare Plans Newsletter

December 4, 2023

2 New Job Opportunities 2 New Job Opportunities


[Official Guidance]

Text of CMS Data Dictionary: 2024 ICHRA Employer Lowest Cost Silver Plan Premium Look-Up Table (PDF)

"[CMS] publishes the Individual Coverage Health Reimbursement Arrangement (ICHRA) Employer Lowest Cost Silver Plan (LCSP) Premium Look-up Table to help stakeholders access individual market Qualified Health Plans LCSP premium data by geographic location. The ICHRA Employer LCSP Premium Look-up Table contains data from states with Federally-facilitated Exchanges and State-based Exchanges on the Federal Platform.... This data dictionary describes the variables contained in ICHRA Employer LCSP Premium Look-up Table." [Also available: 2024 ICHRA Employer Lowest Cost Silver Plan Premium Look-up Table (XLSM)]  MORE >>

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


Next-Level Health & Welfare Administration

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[Guidance Overview]

Upcoming Deadline icon Year‑end Health Plan Compliance Reminders

"By December 31, 2023, all health plan sponsors must file their first 'gag clause' attestation. By January 1, 2024, health plans must provide information about rates and cost sharing for all healthcare items and services via a publicly available online tool."  MORE >>


[Guidance Overview]

Massachusetts Paid Family and Medical Leave Program: December 2023 End-of-Year Update

"[The Massachusetts Department of Family and Medical Leave] issued its updated 2024 notices, posters, and rate sheets.... [T]he department appears to have recently begun increasing audits of employers to confirm compliance with notice requirements, and, in some cases, has issued significant fines."  MORE >>

Ogletree Deakins

Recent ERISA Litigation Highlights

"[This update] explores [1] a decision ordering an IME prior to a ruling on summary judgment motions, [2] the extent claims reporting records can be sealed, [3] the scope of ERISA preemption in the context of removal, and [4] two decisions awarding summary judgment for the defendant despite the plaintiffs having received disability benefits for several years prior."  MORE >>

Saul Ewing LLP

ERISA Plan Sponsors Are Responding to Heightened Fiduciary Risk

"[In a recent survey of employers, almost] three-fourths of respondents indicated that they have taken notice: 28% said they have recently reassessed their welfare plan oversight and fiduciary responsibilities and another 43% plan to do so in the near future.  ... [A]bout half of respondents conduct regular medical claim audits (or have one planned for 2024), which can help identify overpayments and other problems with provider reimbursement."  MORE >>



Erosion of Job-Based Insurance in Favor of Defined Contribution

"An [ACA] mechanism intended to help small companies support ACA health insurance for workers is now being used by large companies to satisfy their ACA obligation to provide insurance to employees ... They're saving money, and selling it as enhancing choice."  MORE >>

Physicians for a National Health Program [PNHP]

Employee Benefits Jobs

View job as ESOP Administrator for Apex Pension Strategies, Inc.

ESOP Administrator

Apex Pension Strategies, Inc.


View job as ESOP Administrator for Apex Pension Strategies, Inc.

View job as Implementation Specialist for Nova 401(k) Associates

Implementation Specialist

Nova 401(k) Associates


View job as Implementation Specialist for Nova 401(k) Associates

Press Releases

River and Mercantile rebrands to River Global

River and Mercantile Group [RMG]

Last Issue's Most Popular Items

Tenth Circuit Defines Elements of MHPAEA Claim

Miller & Chevalier

Text of Draft IRS Publication 503: Child and Dependent Care Expenses, for Use in Preparing 2023 Returns (PDF)

Internal Revenue Service [IRS]

Employers Grapple with Reining in Costs for GLP-1s


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BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.

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