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Health & Welfare Plans Newsletter

June 26, 2024

3 New Job Opportunities 3 New Job Opportunities

 

[Guidance Overview]

IRS FAQs Highlight Opportunity to Provide Student Loan Assistance

"Section 127 compliance assistance offered in the FAQs: [1] Educational assistance programs must be in writing.... [2] Permissible educational assistance program benefits.... [3] Employers should consider amending their educational assistance programs to provide Student Loan benefits.... [4] Self-employed individuals, shareholders and owners are eligible to participate in an educational assistance program, subject to certain limitations."  MORE >>

Snell & Wilmer

[Sponsor]

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Sponsored by Lorman Educational Services

[Guidance Overview]

DOL Finalizes Rescission of Association Health Plan Rule

"Essentially, bona fide associations will only be able to take the position they are acting as an 'ERISA employer' if they can support doing so under the guidance issued by the DOL (primarily in advisory opinions) prior to the Trump DOL Rule. The earlier DOL guidance is intensely fact-specific and only allows associations to be treated as an 'employer' under limited conditions for purposes of sponsoring a single health plan that covers its employer members."  MORE >>

Groom Law Group

[Guidance Overview]

HHS Announces Cost Savings for 64 Prescription Drugs Under Medicare Rebate Program

"The drugs will have a lowered Part B coinsurance rate from July 1, 2024 -- September 30, 2024, since each drug company raised prices faster than the rate of inflation. Over 750,000 people with Medicare use these drugs annually, which treat conditions such as osteoporosis, cancer, and infections." [Also available: fact sheet]  MORE >>

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

Containing Healthcare Costs: Consider Using Narrow Networks

"Employers and carriers are now shifting to developing smaller networks that focus more on value-based healthcare. These networks are made up of providers that offer service at a reasonable cost that's well-coordinated and results in fewer readmissions, focuses on prevention and takes a conservative approach to care."  MORE >>

Corporate Synergies

Employees Are Spending Less on Benefits

"The new monthly median consumers will spend is $120 (excluding retirement savings) -- down $30 from the prior two years.... [E]mployees with higher incomes, those who are married with dependent children, younger workers, and workers who are already enrolled are more likely to spend more on their workplace benefits. For example, enrolled employees are willing to spend a median of $150 per month on benefits, versus $100 for employees who are offered benefits but are not enrolled."  MORE >>

LIMRA

Washington State Study: PBMs Are Driving Up Prescription Costs

"For a subset of matched claims between the plan sponsors and the pharmacies, the average plan sponsor (employer) costs were approximately $165,000 higher than the reimbursement provided to pharmacies. Plan sponsor (employer) costs increased by 30% while commercial pharmacy reimbursement decreased by 3% between 2020-2023. PBM-affiliated mail-order pharmacies had prescription markups that were more than three times higher than the markups at retail pharmacies." [Also available: detailed study results]  MORE >>

Washington State Pharmacy Association [WSPA]

Benefits Consultants See Growing Interest in Pharmacy Spend, GLP-1 Drugs, AI and Navigation Platforms

"Three in five consultants, or 61%, said they are spending more time this year advising clients on the costs of prescription drugs ... [D]espite the popularity of [GLP-1] drugs, less than one in three consultants, or 31%, are recommending expanded coverage. Nearly half, or 47%, are recommending both increases and decreases in coverage, depending on the client."  MORE >>

MedCity News

The Burden of Health Insurance Premiums on Small Business

"Over the last five years, nonemployer health insurance premiums payments have increased by 19 percent, and employer payments have increased by 33 percent, implying compound annual growth rates of 3.5 percent and 5.9 percent, respectively.  ... Health insurance premiums are an increasing share of operating expenses for nonemployer businesses, but tax credits could be moderating premium growth for some. Health insurance premiums comprise a larger share of compensation costs for employer businesses with lower revenues."  MORE >>

JPMorganChase

Connecticut Insurance Department Is Reviewing Annual Health Plan Rate Increases

"Insurers are seeking an average increase of 8.3% on 2025 individual plans and 11.9% on small group policies. The proposed hikes are lower than what was requested the last two years, but similar to those sought in 2021."  MORE >>

CTMirror

DC Universal Paid Leave Program: FY2025 Budget Includes Employer Payroll Tax Increase

"[T]he Council's revised budget increased the amount from 0.62% to 0.75%, generating an estimated $76.1 million in revenue in FY25. Rather than depositing this increase into the Universal Paid Leave Fund for future program expenses, the Council's revised budget would redirect this money into the District's General Fund to be spent on other, unrelated programs."  MORE >>

ArentFox Schiff LLP

Benefits in General

[Official Guidance]

IRS Disaster Relief Notice FL-2024-06, for Taxpayers in Florida

"[I]ndividuals and businesses in Florida that were affected by severe storms, straight-line winds, and tornadoes that began on May 10, 2024 ... now have until Nov. 1, 2024, to file various federal individual and business tax returns and make tax payments.... [I]ndividuals and households that reside or have a business in: Baker, Gadsden, Hamilton, Lafayette, Leon, Liberty, Madison, Suwannee, Taylor, and Wakulla counties qualify for tax relief."  MORE >>

Internal Revenue Service [IRS]

[Official Guidance]

IRS Disaster Relief Notice OK-2024-02, for Taxpayers in Oklahoma

"[I]ndividuals and businesses in Oklahoma that were affected by severe storms, straight-line winds, tornadoes, and flooding that began on May 19, 2024 ... now have until Nov. 1, 2024, to file various federal individual and business tax returns and make tax payments.... [I]ndividuals and households that reside or have a business in: Blaine, Caddo, Cluster, Delaware, Jackson, Mayes, Muskogee, and Rogers counties qualify for tax relief."  MORE >>

Internal Revenue Service [IRS]

Employee Benefits Jobs

View job as Defined Benefit Combo Cash Balance Compliance Consultant for Loren D.  Stark Company (LDSCO)

Defined Benefit Combo Cash Balance Compliance Consultant

Loren D. Stark Company (LDSCO)

Remote

View job as Defined Benefit Combo Cash Balance Compliance Consultant for Loren D.  Stark Company (LDSCO)

View job as Lead Retirement Consultant for Veratis Advisors

Lead Retirement Consultant

Veratis Advisors

Cary NC

View job as Lead Retirement Consultant for Veratis Advisors

View job as Wealth Management Retirement Plans Officer for Hilltop Bank

Wealth Management Retirement Plans Officer

Hilltop Bank

Casper WY / CO / ID / NE

View job as Wealth Management Retirement Plans Officer for Hilltop Bank

Press Releases

SageView Collaborates with Transamerica to Launch Integrity Pooled Solutions

SageView Advisory Group

Webcasts and Conferences
(Health & Welfare Plans)

ERISA at 50: How We Got Here and Where Employee Benefits Law is Headed

RECORDED

Worldwide Employee Benefits Network [WEB]

A New Wave of ERISA Class Actions? Some Employer/Fiduciary Implications of Lewandowski v. Johnson & Johnson

RECORDED

Ropes & Gray

Last Issue's Most Popular Items

Fifth Circuit Reverses Nationwide Injunction in Challenge to ACA Preventive Care Mandate

Thomson Reuters Practical Law

IRS and Treasury Release Guidance on Educational Assistance Programs

Miller Johnson

Preventive-Services Coverage Mandate for ACA Plans Remains Intact Following Appeals Court Ruling

Healthcare Financial Management Association [HFMA]; free registration required

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

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