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Health & Welfare Plans Newsletter

April 1, 2024

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[Guidance Overview]

RxDC Reporting Deadline Reminder

"Although the statutory deadline for RxDC Reporting for the 2023 calendar year is June 1, 2024, most insurers, TPAs, and PBMs are willing to file on the plan sponsor's behalf if their internal process is followed and certain deadlines are met.... [P]lans that carved out Rx coverage through a third-party PBM during 2023 may have additional responsibilities (or help), dependent upon the PBM's particular approach."  MORE >>

AssuredPartners

[Guidance Overview]

Administration Finalizes Limits on Junk Health Plans

"[T]he regulations: [1] Finalize a proposed revision of the federal definition of STLDI to mean a policy with an end date of 3 months; [2] Finalize proposed requirements that issuers of STLDI and hospital and fixed indemnity policies provide updated and prominent disclosures to consumers; and [3] Do not finalize proposals relating to the regulation and tax treatment of hospital and fixed indemnity insurance."  MORE >>

Health Affairs Forefront

[Guidance Overview]

The 'F' in FSA Does Not Stand for 'Food'

"Some companies are mistakenly claiming that doctors' notes based on self-reported health information 'can convert non-medical food, wellness and exercise expenses into medical expenses.' It is not so. The mere presence of a doctor's note does not magically turn otherwise general health expenses into proper medical expenses."  MORE >>

HUB International

Hospitals Blame Insurers for Not Helping Enough After Crippling Cyberattack

"Hospitals are still struggling to get paid even as the damage from last month's Change Healthcare cyberattack is slowly remediated -- and they are pointing the finger at insurers. Thirty to 40 percent of claims continue to be denied, compared with 5 percent before the attack[.]"  MORE >>

POLITICO Pro; subscription required

Things to Know About Health Care Cyberattacks

"Ransomware attacks ... affected 46 hospital systems last year, up from 25 in 2022 ... Hackers have also taken down companies that provide services such as medical transcription and billing in recent years.... [H]ospital mortality rises in the aftermath of an attack. Scheduled surgeries are canceled, and ambulances are sometimes rerouted to other hospitals even in emergencies because the cyberattack has disrupted electronic communications or medical records and other systems."  MORE >>

New York Times; subscription required

Managing Paid Leave Complexities to Gain a Competitive Edge

"Employers consistently demonstrate a commitment to their employees' wellbeing by effectively managing both paid leave and unpaid leave, including adhering to legal requirements. But strategic leave management is more than a compliance issue.... [It] can translate into a significant competitive advantage, enhancing employee satisfaction and driving organizational success."  MORE >>

Gallagher

Ensuring Your Severance Agreements Are Lawful

"[A recent[ prosecution and settlement makes it clear that the NLRB is serious about enforcing McLaren Macomb ... Employers should review their standard settlement and severance agreements ... and decide whether revisions to their standard agreements is appropriate. Employers should also consider whether it makes sense to notify former employees who signed agreements with provisions in violation of McLaren Macomb that these provisions will not be enforced." [McLaren Macomb, 372 NLRB No. 58 (Feb. 21, 2023)]  MORE >>

CDF Labor Law LLP

The Benefits Employees Want in 2024

"[C]omprehensive extended health coverage ... consistently ranks near the top of the list ... [O]ffering paid time off demonstrates a company's commitment to employee well-being, work-life balance, and mental health support.... 42 percent of employees have either started to look for or plan on looking for a new career in the first six months of the year.... Clearly delineating your company's benefit package in job postings serves as a powerful attractant for top talent."  MORE >>

Inc.

ACA Health Insurance Plans Are Being Switched Without Enrollees' Ok

"Unauthorized enrollment or plan-switching is emerging as a serious challenge for the ACA ... Brokers say the ease with which rogue agents can get into policyholder accounts in the 32 states served by the federal marketplace plays a major role in the problem ... [A]rmed with only a person's name, date of birth, and state, a licensed agent can access a policyholder's coverage through the federal exchange or its direct enrollment platforms."  MORE >>

National Public Radio [NPR]

Employee Benefits Jobs

View job as Retirement Plan Administrator for CPS Inc.

Retirement Plan Administrator

CPS Inc.

Remote

Press Releases

Social Security to Raise the Representative Fee Cap to Help with Claiming Benefits

Social Security Administration

IRALOGIX Teams Up with Shlomo Benartzi and PensionPlus to Offer Personalized Retirement Spending Solution

IRALOGIX

Webcasts and Conferences
(Health & Welfare Plans)

Gender Affirming Benefits and Group Health Plans,

April 4, 2024 WEBINAR

ERIC [ERISA Industry Committee]

Last Issue's Most Popular Items

Special Enrollment Periods (SEP) Reference Chart (PDF)

Center on Budget and Policy Priorities

IRS Updates Its Priority Guidance Plan

Haynes and Boone, LLP

Litigation Update on Selected State Benefit and Leave Laws

Mercer

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

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