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Health & Welfare Plans Newsletter

August 13, 2024

4 New Job Opportunities 4 New Job Opportunities

 

[Official Guidance]

Draft of 2024 Instructions for IRS Form 7206: Self-Employed Health Insurance Deduction (PDF)

Aug. 12, 2024. "Use Form 7206 to determine any amount of the self-employed health insurance deduction you may be able to report on Schedule 1 (Form 1040), line 17. You may be able to deduct the amount you paid for medical and dental insurance and qualified long-term care insurance for yourself, your spouse, and your dependents"  MORE >>

Internal Revenue Service [IRS]

[Guidance Overview]

Do You Have San Francisco-Based Employees? Health Care Expenditures May Be Required

"The HCSO requires employers to make certain health care expenditures on behalf of their San Francisco-based employees. To the surprise of many employers, the HCSO also applies to remote workers even if the employer has no other presence in or connection to the City of San Francisco."  MORE >>

Littler

New Lawsuit Threatens ACA's Employer Shared Responsibility Provisions

"On June 28, 2024, a janitorial service company in Texas filed a lawsuit challenging regulations issued by the Centers for Medicare & Medicaid Services (CMS) and penalties assessed related to the implementation of the [ACA's] (ACA) employer shared responsibility provisions. ... This article will provide background on how the employer shared responsibility provisions work, summarize the new lawsuit brought in Texas, and consider how legal and policy challenges could affect the implementation of these provisions." [Faulk Co., Inc. v. HHS, No. 24-0609 (N.D. Tex. complaint filed Jun. 28, 2024)]  MORE >>

Health Affairs Forefront

Pharmacy Industry Groups Ask Supreme Court to Overturn Oklahoma PBM Ruling

"According to the pharmacy industry groups, PBMs ... fail to drive down patient costs and abuse their market power to benefit only themselves. They claim that the three major PBMs  ... have consolidated most of the market power and wealth, driven small pharmacies out of business, and increased medication costs. The pharmacy industry groups suggest that PBMs have inflicted the worst damage in rural America, such as in many parts of Oklahoma, thus leading to this law's passage." [PCMA v. Mulready, No. 22-6074 (10th Cir. Aug. 15, 2023; cert pet. filed May 10, 2024, No. 23-1213)]  MORE >>

Hall Benefits Law

Health Plan Costs: The Next Wave of ERISA Litigation?

"ERISA fee litigation may now be shifting from retirement savings and benefits to healthcare-related benefits ... [The authors] anticipate that plaintiffs' counsel ... will leverage publicly available information regarding fees paid by health plans -- some of which is now available as a result of relatively new disclosure requirements -- when developing ERISA breach of fiduciary duty and prohibited transaction claims related to health plans."  MORE >>

Kevin M. LaCroix via The D&O Diary

[Sponsor]

2024 National Telehealth & Virtual Care Summit

September 23-24, 2024; New Orleans, LA. Key Strategies to Revolutionize & Transform Healthcare Delivery, Optimize Quality Patient Care & Outcomes, Increase Accessibility, Enhance Data Analytics, and Reduce Costs!

Sponsored by World Conference Forum

Empowering Employees to Make Better Health Plan Decisions

"Providing a range of health plan choices during annual health enrollment in the U.S. creates a more competitive marketplace, reducing costs for both employers and plan members. A competitive annual enrollment also helps employees select a plan that best meets both their needs and their family's needs, which can vary from year to year. More carriers and health plan choices require additional guidance tools to help employees select the plan that's right for them."  MORE >>

Aon Hewitt

78% of Employees Would Switch Jobs for Better Benefits

"More than two-thirds of employees surveyed said healthcare benefits are second only to salary when considering a job offer, and 78% said they would find a new job if their benefits package was inadequate.... [M]ost workers (68% at small companies, 64% at large) find the plans offered are better than they expected for a company of that size.... Millennials are especially concerned about how inadequate benefits could allow external factors to impact productivity. At small companies, 79% fear a productivity decline, as do 80% at larger companies."  MORE >>

Intuit QuickBooks and Allstate Health Solutions

Expanded Indications and Future Outlook for GLP-1 Medications

"GLP-1 medications, originally developed for type 2 diabetes management, are being studied for a variety of potential future uses beyond their current indications.... [S]everal challenges may create an obstacle to increased coverage. The current high cost of GLP-1 medications presents a financial burden for insurers. Additionally, an ongoing debate regarding obesity vs. diabetes persists with some insurers potentially hesitating to cover GLP-1 medications solely for weight loss[.]"  MORE >>

NFP

[Opinion]

ERIC Comment Letter to California State Assembly Appropriations Committee: Proposal Regulating PBM Network Practices Raises ERISA Preemption Concerns (PDF)

"As currently drafted, SB 966 would create a range of compliance requirements for PBM services offered under health care service plans and health insurance policies.... [T]he bill expressly states, ... that 'Any activity conducted by a pharmacy benefit manager, as defined in this division, shall be construed as the business of insurance.' ... State regulators could interpret this provision to include self-insured ERISA plans, jeopardizing the plans' control over the design and administration of plan benefits and potentially sparking legal challenges."  MORE >>

The ERISA Industry Committee [ERIC]

[Opinion]

New Kentucky Law Requires $10 Dispensing Fee and Will Drive Up Health Care Costs

"SB 188 targets Pharmacy Benefit Managers ... The bill's troublesome provisions include a new mandated dispensing fee of $10 charged by pharmacies for each prescription filled. It also restricts the use of mail-order pharmacies ... What lawmakers did in passing this bill is take away Kentucky employers' ability to work directly with PBMs to design prescription drug benefits that they and their employees can afford."  MORE >>

Louisville Courier-Journal

Benefits in General

[Official Guidance]

IRS Disaster Relief Notice MN-2024-01, for Victims of Severe Storms and Flooding in Minnesota

"[I]ndividuals and businesses in Minnesota that were affected by severe storms and flooding that began on June 16, 2024 ... now have until Feb. 3, 2025 to file various federal individual and business tax returns and make tax payments.... [I]ndividuals and households that reside or have a business in Blue Earth, Carver, Cass, Cook, Cottonwood, Faribault, Fillmore, Freeborn, Goodhue, Itasca, Jackson, Lake, Le Sueur, Mower, Murray, Nicollet, Nobles, Pipestone, Rice, Rock, St. Louis, Steele, Wabasha, Waseca, and Watonwan counties qualify for tax relief."  MORE >>

Internal Revenue Service [IRS]

[Opinion]

Why a Texas Federal Court May Block the FTC's Noncompete Rule Nationwide

"[1] Vacating the Rule is the 'default' remedy. ... [2] States can take care of non-competes themselves.... [3] Equity favors nationwide relief"  MORE >>

Pierson Ferdinand LLP

Employee Benefits Jobs

View job as Retirement Plan Service Representative for DeMars Pension Consulting Services, Inc.

Retirement Plan Service Representative

DeMars Pension Consulting Services, Inc.

Overland Park KS / MO

View job as Manager, Plan Administration for PCS Retirement

Manager, Plan Administration

PCS Retirement

Remote

View job as Manager, Plan Administration for PCS Retirement
View job as Retirement Plan Sales Territory Manager for Loren D. Stark Company

Retirement Plan Sales Territory Manager

Loren D. Stark Company

Remote

View job as Retirement Plan Sales Territory Manager for Loren D. Stark Company
View job as Benefits Specialist for Adams County Government

Benefits Specialist

Adams County Government

Brighton CO / Hybrid

View job as Benefits Specialist for Adams County Government

Press Releases

PBGC Highlights Commitment to Improving Language Access on Anniversary of Executive Order 13166

PBGC [Pension Benefit Guaranty Corporation]

ShareBuilder 401k Offers Free and Discounted Set-Up to Help Businesses Start a 401(k) and Meet the Safe Harbor Deadline of October 1

Sharebuilder 401k

Milliman Launches Milliman Connect to Unify Data and Systems for Group and Worksite Insurers

Milliman

Webcasts and Conferences
(Health & Welfare Plans)

Navigating the FTC’s New Rule on Noncompetition Agreements

August 14, 2024 WEBINAR

Thompson Hine LLP

HIPAA Privacy and Security

August 21, 2024 WEBINAR

Savoy Academy

Last Issue's Most Popular Items

Drivers of 2025 Health Insurance Premium Changes (PDF)

Individual and Small Group Markets Committee, American Academy of Actuaries

Plan Sponsors: What Not To Do

Colonial Surety Company

The Impact of Rising Healthcare Costs

Willis Towers Watson

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

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