|
3 New Job Opportunities
|
|
[Official Guidance]
Text of OPM Final Regs: Establishment of the Postal Service Health Benefits Program
"This rule finalizes an interim final rule that established the Postal Service Health Benefits (PSHB) Program for Postal Service employees, Postal Service annuitants, and their eligible family members, pursuant to the Postal Service Reform Act of 2022. This Program will include
health benefits plans available to United States Postal Service employees, Postal Service annuitants, and their eligible family members starting January 1, 2025." MORE >>
U.S. Office of Personnel Management [OPM]
|
[Guidance Overview]
CRS Legal Sidebar: The Scope of ACA Section 1557: 'Health Program or Activity'
"This Legal Sidebar explores the potential scope of the 2024 Section 1557 rule with respect to HHS's definition of 'health program or activity,' which the statute does not define, and discusses how the new rule differs from previous interpretations of that term.
In addition to the Department's position, federal courts have also begun interpreting Section 1557's scope; this Sidebar discusses a few of those cases. The Sidebar concludes by offering several considerations for the 118th Congress, especially given the possibility of continued litigation surrounding the rule and its potential to impact the availability of and coverage for health care services." [LBS11160 May 6,
2024] MORE >>
Congressional Research Service [CRS]
|
[Guidance Overview]
Illinois Finalizes Regs Interpreting Paid Leave for All Workers Act
"The final regulations affirm a broad carveout for existing policies that provide 40 hours of paid leave (or a prorated equivalent) to be used for any reason. They also confirm that setting a carryover cap for the paid leave bank is permitted." MORE >>
Littler
|
[Guidance Overview]
Chicago Finalizes Interpretive Rules in Advance of July 1, 2024, Effective Date of New Paid Leave and Paid Sick Leave Ordinance
"The final rules confirm that carryover of unused Paid Sick Leave is required, even when frontloading. They also address the circumstances under which employers can deny an employee's request for Paid Leave. The rules do not provide any direction to employers as to how to
calculate the 90-day lookback rate of pay contemplated by the Ordinance for certain non-exempt employees." MORE >>
Littler
|
Cyber Resilience After the Change Healthcare Breach
"In the aftermath of the Change Healthcare breach, healthcare entities should heed cybersecurity recommendations from regulatory bodies to prevent future attacks and mitigate post-attack enforcement actions.... Not only will alignment with agency recommendations prevent or deter
future attacks, but it could likely mitigate the severity of enforcement actions imposed by such agencies in the aftermath of an attack." MORE >>
Fenwick & West LLP
|
50-State Survey of Telehealth Insurance Laws
"More organizations are implementing and expanding robust virtual care programs to supplement their traditional in-person offerings.... More states changed their laws to prohibiting exclusive telehealth platform arrangements, increasing competition among software companies and
allowing individual clinics and hospitals to make decisions based on what works for them and their patients. There has been progress with payment parity -- reimbursing providers at the same rate for telehealth as in-person, but there is still a way to go." MORE >>
Foley & Lardner LLP
|
CRS Report: No Surprises Act Independent Dispute Resolution (IDR) Process Data Analysis for the First Half of 2023 (PDF)
20 pages. "On February 15, 2024, the Departments of Health and Human Services, Labor, and the Treasury released the first two public-use files (PUFs), which contain data from the first two quarters of IDR operations in calendar year 2023. The Departments also published
certain federal IDR supplemental tables that summarize the relevant data to provide additional transparency. This report provides an overview and analysis of the data contained in the PUFs and supplemental tables." [R48058 May 2, 2024] MORE >>
Congressional Research Service [CRS]
|
'Deny, Deny, Deny!' That's How a Staff Doctor at Cigna Says She Was Told to Review Claims
"Cigna had used a productivity dashboard for years, but by 2019, these metrics began playing a more prominent role in the company's evaluations of medical directors, Day said. Now, making a fast decision seemed more important than making the right decision, she said. In
February 2019 emails to her managers, Day openly questioned this system." MORE >>
BenefitsPro; free registration required
|
Benefits in General |
IRS Publication 5709: How to Create a Written Information Security Plan for Data Safety (PDF)
"Having a [written information security plan (WISP)] protects businesses and clients while providing a blueprint of action in the event of a security incident. In addition, a WISP can help if other events occur that can seriously disrupt a tax professional's ability to
conduct normal business, including fire, flood, tornado, earthquake and theft. The Security Summit developed a plain language sample plan that tax pros can use for guidance in making their own WISP. The sample plan is available on the IRS website]." MORE >>
Internal Revenue Service [IRS]
|
ERISA Exceptions: Understanding Government and Church Plans
"While the exceptions for government and church plans serve important policy objectives, they also present challenges and potential consequences." MORE >>
DeBofsky Law
|
Employee Benefits Jobs
|
|
|
|
|
Selected New Discussions |
Guidance on Short-Term Relocation (or Extended Travel) vs Change of Residence as a Qualifying Life Event?
"Is there any guidance on the difference between a true change in residence and extended travel (i.e., length of time)? In February of this year Employee submitted an election change form to remove spouse from health coverage due to spouse's move out of the country. 6 weeks
later Employee requested to add spouse back to health coverage due to spouse's move back into the US. Employee has now requested to remove spouse from health coverage again due to spouse's move out of the country again. The Employer thinks the spouse travels back and forth to the couple's home country a few times a year for 6 weeks at a time. Are these qualifying life events?"
BenefitsLink Message Boards
|
I Had an HSA and Spouse Enrolled in FSA
"I have an individual HDHP & have been contributing to an HSA. I am not covered under my spouse's medical plan (only dental and vision) and in 2020 my husband enrolled in an FSA. It is a general purpose FSA because it can be used for doctors visits. I'm just finding
out now that it's an issue and would have made me ineligible to contribute to my HSA. Since this has gone on for 4 years, how do we correct this error and what are the penalties?"
BenefitsLink Message Boards
|
Specifying HRA Maximum Dollar Amount
"For HRAs that reimburse employees for premiums, is it acceptable to specify the maximum dollar amount as follows: 'the amount of premiums that the employee incurs during the coverage period,' or does have to be an actual dollar amount?"
BenefitsLink Message Boards
|
|
Webcasts and Conferences (Health & Welfare Plans) |
The Future of Benefits HR & Finance Forum
May 22, 2024 in NY
Corporate Synergies
|
|
Last Issue's Most Popular Items |
HHS Finalizes Changes with Respect to Strengthening the Privacy of Reproductive Health Care Information Under HIPAA
Ropes & Gray LLP
|
Ban on Non-Competition Agreements: What Employers Need to Know and Do Now
The Wagner Law Group
|
Flexible Spending Accounts, 2022: Forfeitures on the Rise
Employee Benefit Research Institute [EBRI]
|
Unsubscribe |
Change Email Address
Search Past Issues |
Privacy Policy
Submit an Article |
Contact Us |
Advertise Here
Copyright 2024 BenefitsLink.com, Inc. All materials contained in this newsletter are protected by United States copyright law and may not be reproduced, distributed, transmitted, displayed, published or broadcast without the prior written permission of BenefitsLink.com, Inc., or in the case of third party materials, the owner of those materials. You may not alter or remove any trademark, copyright or other notices from copies of the content.
BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.
Links to web sites other than BenefitsLink.com and EmployeeBenefitsJobs.com are offered as a service to our readers. We are not involved in their production and are not responsible for their content.
|