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Health & Welfare Plans Newsletter

January 12, 2024

10 New Job Opportunities 10 New Job Opportunities

 

[Guidance Overview]

City of Pittsburgh to Strictly Enforce Paid Sick Days Ordinance, Investigate Food Service Industry

"The Ordinance applies not only to employees who work for an employer located inside the geographic boundaries of the City of Pittsburgh, but also to employees who work in the City, even if the employer is not physically present there, so long as the employee performs work for the employer within the geographic boundaries of the City of Pittsburgh for at least 35 hours in a calendar year."  MORE >>

Jackson Lewis P.C.

Self-Funded Plan Administrators Must Meaningfully and Effectively Communicate with Plan Participants and Their Providers on Appeal of Claim Denial

"Sponsors of self-funded ERISA plans have fiduciary obligations ... to provide a full and fair review of claims and effectively and meaningfully communicate or engage with plan participants regarding claims denials. One district court recently clarified that this obligation may include the need for the plan administrator ... to engage in a dialogue with health care providers who are providing health care services to plan participants when there is a dispute over denied claims." [K.D. v. Anthem Blue Cross, No. 21-0343 (D. Utah Sep. 20, 2023)]  MORE >>

Woodruff Sawyer

Is an 'Excepted Benefit' Subject to ERISA?

"Being an excepted benefit does not automatically provide an exception from ERISA compliance. Many employers are offering what may be considered as excepted benefits, but if those benefits are providing medical care, they must comply with ERISA."  MORE >>

Willis Towers Watson

Resolving to Simplify Healthcare Benefits

"The majority of HR leaders struggle with managing nearly 50 narrowly focused healthcare point solutions.... 75% of leaders are actively seeking opportunities to consolidate their benefit offerings.... The impact of a solution on an employee's quality of life and overall health and family situation is a top priority for HR leaders, taking precedence over an ROI calculation."  MORE >>

Summus

HIPAA: Comply Now or Pay Later

"[This article considers] the potential cost and consequence of HIPAA non-compliance through the lens of recent enforcement actions by [OCR], state governments, and civil suits brought by private citizens.... The monetary costs of non-compliance are not insignificant.... Penalties are usually related to security gaps.... Recent enforcement actions drive home the consequences."  MORE >>

Buck

New York Governor Proposes Paid Prenatal Leave

"If signed into law, this would make New York the first state in the country to provide paid prenatal care leave. Governor Hochul also announced forthcoming legislation that would expand access to doula care and eliminate copays and other out of pocket costs for certain maternal and infant health care, likely impacting employee insurance coverage."  MORE >>

Reed Smith

Benefits in General

[Guidance Overview]

DOL Issues 2024 Adjusted Penalty Amounts (PDF)

"These penalties cover a wide range of benefit plan compliance failures. The DOL has discretion to impose lower penalties in some instances -- such as under programs designed to encourage Form 5500 filing -- so not all violations will result in the maximum permitted penalty."  MORE >>

Thomson Reuters / EBIA

[Guidance Overview]

DOL Rescinds and Replaces FLSA Independent Contractor Regs (PDF)

"While changes to the FLSA's independent contractor analysis may significantly impact many businesses and workers, most employee benefit plan rules determine employee status under ERISA or the Code (not the FLSA), often in conjunction with the common-law standard. It is important to properly classify workers under the appropriate set of rules -- particularly for purposes of the Code's rules regarding retirement plans, cafeteria plans, and employer shared responsibility penalties."  MORE >>

Thomson Reuters / EBIA

[Guidance Overview]

DOL Releases Independent Contractor Final Rule

"[B]usiness groups have argued the new rule only adds confusion and will result in workers improperly designated as employees when they instead are operating as independent contractors. The DOL's change of course concerning the proper standard so quickly after a different standard was announced a few years ago ... might reduce any deference courts will give to the new rule if it becomes effective."  MORE >>

Jackson Lewis P.C.

[Opinion]

2024 Policy Priorities of the ERISA Industry Committee (PDF)

17 pages. "ERIC's policy agenda is focused on improving employee wellbeing and financial security; increasing flexibility and opportunity; reducing costs and administrative burdens; and helping large employers continue to deliver uniform benefits. ERIC advocates for measures that ensure continued tax preferences for employer- sponsored benefits and exclusive federal regulation of nationwide benefits plans through ERISA preemption."  MORE >>

The ERISA Industry Committee [ERIC]

Employee Benefits Jobs

View job as Retirement Plan Corrections/ Implementation Specialist for Fiduciary Outsourcing LLC

Retirement Plan Corrections/ Implementation Specialist

Fiduciary Outsourcing LLC

Phoenix AZ / Hybrid

View job as Retirement Plan Corrections/ Implementation Specialist for Fiduciary Outsourcing LLC

View job as Sales & Marketing Representative for DATAIR Employee Benefit Systems, Inc.

Sales & Marketing Representative

DATAIR Employee Benefit Systems, Inc.

Remote / Westmont IL

View job as Sales & Marketing Representative for DATAIR Employee Benefit Systems, Inc.

View job as Senior Retirement Plan Administrator for Envoy Financial

Senior Retirement Plan Administrator

Envoy Financial

Colorado Springs CO / Hybrid

View job as Senior Retirement Plan Administrator for Envoy Financial

View job as Junior Associate - Employee Benefits & Executive Compensation for Maynard Nexsen

Junior Associate - Employee Benefits & Executive Compensation

Maynard Nexsen

AL / CA / DC / FL / GA / IA / NC / NY / SC / TN / TX / Hybrid

View job as Junior Associate - Employee Benefits & Executive Compensation for Maynard Nexsen

View job as Retirement Plan Administrator for Wolters Kluwer / ftwilliam.com

Retirement Plan Administrator

Wolters Kluwer / ftwilliam.com

Remote

View job as Retirement Plan Administrator for Wolters Kluwer / ftwilliam.com

View job as Regional Plan Consultant (Sales), Pacific Northwest US Territory for The Retirement Advantage, Inc.

Regional Plan Consultant (Sales), Pacific Northwest US Territory

The Retirement Advantage, Inc.

Remote

View job as Regional Plan Consultant (Sales), Pacific Northwest US Territory for The Retirement Advantage, Inc.

View job as Actuarial Manager for Ascensus

Actuarial Manager

Ascensus

Remote

View job as Actuarial Manager for Ascensus

View job as Senior Implementations Associate for Vestwell

Senior Implementations Associate

Vestwell

Remote / FL / IL / MA / MN / NY / PA / TX / Hybrid

View job as Senior Implementations Associate for Vestwell

View job as Senior Specialist, Plan Design for Vestwell

Senior Specialist, Plan Design

Vestwell

Remote / FL / IL / MA / MN / NY / PA / TX / Hybrid

View job as Senior Specialist, Plan Design for Vestwell

View job as Retirement Plan Consultant for The MandMarblestone Group, llc

Retirement Plan Consultant

The MandMarblestone Group, llc

Remote

View job as Retirement Plan Consultant for The MandMarblestone Group, llc

Last Issue's Most Popular Items

DOL Increases Civil Money Penalties for 2024

Thomson Reuters Practical Law

Dispelling Cybersecurity Myths for Benefit Plans

International Foundation of Employee Benefit Plans [IFEBP]

New Rule on Independent Contractor Classification Will Have Profound Impact on Businesses

Holland & Knight

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

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