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Health & Welfare Plans Newsletter

April 9, 2024

2 New Job Opportunities 2 New Job Opportunities

 

[Guidance Overview]

Inflation Reduction Act Will Impact Health Plans Seeking Creditable Coverage Starting in 2025

"In 2025, the IRA will significantly increase the richness of the defined standard benefit, raising the minimum standard for being creditable....The actuarial value of the reference plan will increase by 5% to 14% (additive increase of 3% to 8%) from 2024 to 2025. Benefit designs that are not creditable or were borderline creditable for the 2024 plan year are likely to be non-creditable for the 2025 plan year without some benefit enhancement."  MORE >>

Milliman

[Guidance Overview]

Mental Health Parity Update: Key Developments in 2023

"2023 saw three key developments affecting Mental Health Parity: [1] the tri-agencies tasked with enforcing that law issued extensive proposed regulations with respect to duties of plan fiduciaries under the Mental Health Parity and Addition Equity Act of 2008; [2] the [DOL] issued its second report to Congress regarding its enforcement activities; and [3] the courts continued to interpret and apply the law to specific cases."  MORE >>

Boutwell Fay LLP

[Guidance Overview]

San Francisco HCSO and FCO Annual Report Due by May 3 (PDF)

"San Francisco requires covered employers to make minimum healthcare expenditures on behalf of their San Francisco employees and to comply with certain requirements regarding the use of arrest and conviction records in hiring and other employment decisions. Covered employers must report each year on compliance with both of these requirements. The next report for 2023 is due by May 3."  MORE >>

Buck

Don't Overlook These Stop-Loss Insurance Contract Points

"Choosing stop-loss insurance isn't as simple as just choosing a policy. The terms of your first stop-loss insurance contract establish a precedent with carriers, so it's important to get them right.... [Q]uestions to keep in mind. [1] How much risk are we willing to take on? ... [2] What are our contract terms, and will we have coverage gaps? ... [3] What is our exit strategy?"  MORE >>

Corporate Synergies

Why Workplace Well-Being Is Critical Now More Than Ever

"There is no 'one size fits all' plan when it comes to creating a positive environment in the workplace. However, there are a few scalable items organizations should consider. This includes open communication, looking at wellness holistically and evaluating resources and benefits."  MORE >>

HR Daily Advisor

[Sponsor]

2024 Onsite Employee Health Clinics Forum (June 27 - 28, 2024; Chicago, IL)

Leading Strategies to Build & Expand Worksite Clinics: Reduce Medical Expenses, Ensure/Maintain a Competitive Benefits Strategy and Achieve a High-Performing & Healthy Workforce

Sponsored by World Conference Forum

How HR Teams Can Revamp PTO Policies to Meet Employees' Financial Needs

"Financial anxiety among employees has become a major driver of workplace stress and poor performance, which will continue to be the case in 2024. Companies have all the resources they need to address this anxiety, improving employees' well-being and ensuring they're fully engaged at work."  MORE >>

HR Daily Advisor

[Opinion]

The Billing Syndicate: Exposing America's Healthcare Cartel

"The out-of-network or RBP without caps savings scheme is akin to a leaky roof repair service that charges based on potential rather than actual damage. They bill you on how much water could have gotten in. In a more just system, such practices would be unthinkable. Yet, in healthcare, they are not only accepted but normalized. While some players in the out-of-network negotiation or RBP sphere do place a per-claim cap on their fees, others operate with virtually no limits, raising questions about ethics and fairness in healthcare billing."  MORE >>

Craig Gottwals, via Substack; free registration may be required

Benefits in General

Shifts in Benefit Allocations Among U.S. Employers 2000-2020

"Between 2000 and 2020, two dominant trends in core benefits emerged: Active healthcare costs more than tripled, well surpassing pay increases, driving up total benefit values over the past 20 years. Retirement programs, including DB pensions and retiree medical plans, were significantly scaled back, replaced by less generous account-based programs."  MORE >>

Willis Towers Watson

Employee Benefits Jobs

View job as Defined Contribution Account Manager for Nova 401(k) Associates

Defined Contribution Account Manager

Nova 401(k) Associates

Remote

View job as Defined Contribution Account Manager for Nova 401(k) Associates

View job as TPA Retirement Plan Consultant for EPIC RPS (TPA/DPS)

TPA Retirement Plan Consultant

EPIC RPS (TPA/DPS)

Remote

View job as TPA Retirement Plan Consultant for EPIC RPS (TPA/DPS)

Selected New Discussions

Employer Incentives for Health Plan Offering

"Company X sells health coverage to employer consumers and would like to partner with company Y, which is not engaged in the sale of health plan or other benefits/insurance products, to incentivize employer consumers to purchase a group health policy from Company X. Essentially, if employers purchase a group health policy, they would receive a nominal discount on services from Company Y. I am familiar with incentives in other contexts, but this is new. Curious about limitations regarding this kind of promotion and incentive program."

BenefitsLink Message Boards

Extended Enrollment Period for 125 Plan

"Is it possible for a plan to provide for both the 30 day retro initial election window and for those who do not make a time election also offer an extended enrollment period for up to, say, an additional 30 days to initially enroll on a prospective basis? Put another way, the plan would provide a 60 day initial enrollment window with those diligent EEs electing to enroll within 30 days of DOH retro coverage to DOH. The rules do not say if this is allowed or if use of the retro option excludes the prospective option. Of course, any such provision would be applicable to all new hires so there should be no discrimination issues involved."

BenefitsLink Message Boards

Press Releases

Pontera Builds Out DC Partnerships Unit with Trio of Experienced Hires

Pontera

Alliant Retirement Consulting Named Top DC Advisor for Multi-Office Firms for Fourth Consecutive Year

Alliant Insurance Services

Business Group on Health Recognizes United Airlines with Helen Darling Award for Excellence in Health Care Value and Innovation

Business Group on Health

Business Group on Health Recognizes 54 Companies with Best Employers: Excellence in Health and Well-Being Award

Business Group on Health

WTW's Engage Platform Adds Generative AI Feature to Improve the Employee Experience

WTW

Webcasts and Conferences
(Health & Welfare Plans)

Healthcare Pricing on Trial: The Case for Reference-Based Pricing

RECORDED

Benefit Revolution

Last Issue's Most Popular Items

The Elephant in the Room: Mental Health and the Workplace (PDF)

Buck

Strategies to Reduce Employer Healthcare Costs in 2024

Employee Benefit News; free registration required

Rising Complaints of Unauthorized Obamacare Plan-Switching and Sign-Ups Trigger Concern

KFF Health News

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

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