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Health & Welfare Plans Newsletter

February 17, 2025

4 New Job Opportunities 4 New Job Opportunities

 

[Guidance Overview]

Exceptional Usefulness and Quality icon Navigating the Latest Mental Health Parity Rules: Preparing for 2025 and 2026 (PDF)

"[P]lans should ensure that their comparative analyses and fiduciary certification(s) are completed in the near term. Additionally, while the relevant data evaluation requirements don't take effect until 2026, meeting these requirements may require establishing new processes for data collection and measurement. These processes may take time to develop and implement and should be in place long enough in advance of the requirements taking effect that sufficient data will be available for analysis."  MORE >>

Milliman

[Guidance Overview]

DOL Clarifies Cybersecurity Obligations for Health Plans: What Plan Sponsors Need to Know

"Practical steps for compliance: [1] Evaluate vendor cybersecurity practices ... [2] Strengthen contracts ... [3] Conduct independent annual cybersecurity audits ... [4] Educate plan participants ... [5] Monitor and document oversight activities ... [6] Implement required cybersecurity controls ... [7] Conduct annual penetration testing."  MORE >>

Withum Smith+Brown, PC

[Guidance Overview]

HHS Proposes Beefed-Up HIPAA Security Rule, But Prognosis Uncertain

"[The authors] provide a background of the current rules, highlights of the new Proposed Rule, [their] predictions on whether the Proposed Rule will move forward under the Trump Administration, and what HIPAA covered entities and business associates should be considering now."  MORE >>

Groom Law Group

[Guidance Overview]

Health and Welfare Benefits Monthly Update (PDF)

40 pages. Topics: [1] Changes to employer reporting requirements under the ACA; [2] New year brings new tri-agency FAQs about gag clause prohibitions and attestations, No Surprises Act; [3] Health plan impact of HHS's proposed HIPAA Security Rule update.  MORE >>

Alston & Bird

District Court: Lawsuit Over UnitedHealth Use of AI Will Continue

"[P]laintiffs [claim] that UnitedHealth relies on an algorithm to deny rehabilitation care to seriously ill patients, even as UnitedHealth is aware that the algorithm has 'a 90% error rate.' ... The class-action lawsuit was filed by past patients or their heirs who had a UnitedHealthcare Medicare Advantage plan." [Estate of Lokken v. UnitedHealth Group, Inc., No. 23-3514 (D. Minn. Feb. 13, 2025)]  MORE >>

InsuranceNewsNet.com

[Sponsor]

2025 CCA Healthcare Meeting | Virtual | April 1 & 3

Earn up to 12 CE hours at this 2-day, virtual meeting! Presenters will address issues facing employers & consultants, outline opportunities for savings & improvements, and offer solutions. Professionalism webinar included. Learn more.

Sponsored by Conference of Consulting Actuaries [CCA]

Group Health Coverage Alternatives for Small Employers

19 pages. "For small employers, there are, broadly speaking, three commonly encountered alternative approaches that have gained traction in the marketplace.... This Special Report examines and explains these options available to, and the obstacles routinely encountered by, small employers as they seek to make affordable health insurance coverage available to employees and their families."  MORE >>

McDermott Will & Emery

Top Wellbeing Benefits Trends for 2025

"Companies are addressing the demand for GLP-1 drugs ... Helping employees understand their benefits ... Employers turn to family care solutions and LSA's to support their RTO strategy ... Mental health continues to be a priority, but employers are unsure about AI."  MORE >>

Sequoia

2025 Employee Benefits Market Outlook

"[I]ncreasing health care costs are again anticipated to reshape organizational approaches to managing employer-sponsored health care plans ... [F]or 2025, employers aren't just focusing on compensation and are increasingly recognizing the need to emphasize employee wellness.... [F]ollowing the 2024 election and the return of the Trump administration, employers are keeping their eyes out for imminent changes to the health care system."  MORE >>

Bolton

Benefits in General

[Guidance Overview]

Recently Issued Regulations That Will Take Effect in 2025 and 2026

"Prior to the end of the Biden administration, a number of proposed and final regulations were issued that impact retirement and welfare benefit plans. The final regulations are effective in 2025, and the proposed regulations, if finalized, would be effective in 2026.... [1] New relief on ACA employer mandate penalties.... [2] IRS anticipates a delay in applicability date for future SECURE 2.0 required minimum distribution regulations.... [3] IRS proposes regulations on SECURE 2.0 Act catch-up provisions."  MORE >>

Baker Donelson

Employee Benefits Jobs

View job as Plan Compliance Representative - Defined Contribution Specialist for Navia

Plan Compliance Representative - Defined Contribution Specialist

Navia

Remote / Fresno CA

View job as Plan Compliance Representative - Defined Contribution Specialist for Navia
View job as Employee Benefits Attorney for Kaufman & Canoles

Employee Benefits Attorney

Kaufman & Canoles

Richmond VA / Norfolk VA / Virginia Beach VA / Williamsburg VA / Newport News VA / Raleigh NC

View job as Employee Benefits Attorney for Kaufman & Canoles
View job as Director of Employee Benefits & Pensions Department for International Union, UAW

Director of Employee Benefits & Pensions Department

International Union, UAW

Detroit MI

View job as Director of Employee Benefits & Pensions Department for International Union, UAW
View job as Plan Compliance Representative - Defined Contribution Specialist for Navia

Plan Compliance Representative - Defined Contribution Specialist

Navia

Remote / Wilmington OH

View job as Plan Compliance Representative - Defined Contribution Specialist for Navia

Selected New Discussions

HSA/Cafeteria Plan Design Question

"Company currently has a HDHP and HSA for all employees after 90 days (company contributes max amount each year -- very $ to them with employee population of lower paid hourly getting medical benefits often exceeding their pay). Company wishes to change to funding HSA through a cafeteria plan. Then, no comparability testing of HSA and only 125 testing applies. At the same time, Company wants to narrow eligibility to apply a year lookback period to limit plan participation to full-time employees (those with on average 130 hours per month over a 12-month measurement period). Is this ok? Still ok if in addition, different contribution bands are established for hourly and salaried employees?"

BenefitsLink Message Boards

Press Releases

ASC Partners with PensionPro to Exponentially Enhance Efficiencies for TPAs

ASC

Strongpoint Partners Announces Partnership with Actuaries Unlimited

Strongpoint Partners

MultiPlan Enters New Era and Unveils New Brand, Claritev, Reflecting Company’s Transformation and Mission to Support the Healthcare Continuum

Claritev

Last Issue's Most Popular Items

White House Issues Executive Order on Gender-Affirming Care

Winston & Strawn LLP

Lawsuit and Tri-Agency Report Shake Up Mental Health Parity

Seyfarth

The HSA Contribution Rules, Part 2

Newfront

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

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