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Health & Welfare Plans Newsletter

March 24, 2025

💼  2 New Job Opportunities

 

[Guidance Overview]

Executive Order Targets Better Healthcare Price Transparency

"[EO 14221] directs the federal government to improve existing price transparency requirements, increase enforcement of price transparency requirements and identify opportunities to further empower patients with meaningful price information."  MORE >>

Segal

[Guidance Overview]

HHS Delays Effective Date of Final Rule Modifying HIPAA Retail Pharmacy Standards

"[HHS] has extended the effective date of its final rule updating electronic transaction standards for retail pharmacy transactions under [HIPAA] ... The new effective date is April 14, 2025.... If not amended by the Trump administration, the final rule will adopt updated National Council for Prescription Drug Programs (NCPDP) electronic retail pharmacy transaction standards."  MORE >>

Hall Benefits Law

[Guidance Overview]

What Is Form 5500? a Guide for Health and Welfare Plans

"[M]any employers are aware that there is a Form 5500 requirement for retirement plans each year. However, many employers don't also realize that there may be a Form 5500 requirement for health and welfare plans as well, including for medical, dental, vision, life, AD&D, disability, and any other ERISA benefit. While both requirements utilize the same IRS form, these are two separate requirements that cannot be combined under one filing."  MORE >>

HUB International

ERISA Fiduciary Obligations and Governance for Health Plans (PDF)

43 presentation slides. Topics:  [1] Transparency laws; [2]  Fiduciary breach litigation; [3] Increased regulatory attention; [4] Employer action steps.  MORE >>

NFP

Health Fitness, OCR's Risk Analysis Initiative, and the ERISA Fiduciary Duty to Select Plan Service Providers

"Cybersecurity is often a risk left to the IT department. However, doing so may leave even the most ardent IT professional ill equipped or insufficiently informed about the threats and vulnerabilities of the particular service provider. When it come to ERISA plans, this means properly assessing the threats and vulnerabilities as they relate to the aspects of plan administration being handled by the service provider."  MORE >>

Jackson Lewis

[Opinion]

Ohio Businesses Need Lower Health Care Costs, Not More Regs

"[P]revious failed attempts by the [Ohio] legislature ... missed the mark and would have added more regulations and fees on Ohio businesses, employees and all Ohioans ... Instead of mandating a subsidy from small businesses and employees to benefit independent pharmacies in the state, lawmakers should focus on the very relevant issue the business community is sounding the alarm on -- health care costs are too high."  MORE >>

Cleveland Plain Dealer

[Opinion]

Letting Patients Lead the Way to More Effective Value-Based Payment

"Policy makers, providers, and payers have failed to meaningfully engage patients in value-based care. It is clear that patients at large are unaware of, and perhaps unaffected by, the VBP initiatives to date that aimed to make our care delivery system more patient-centric. This is particularly disappointing in the face of continuous effort to engage patient advocacy organizations in developing VBP programs."  MORE >>

Health Affairs Forefront

Benefits in General

NC Treasurer Discusses New Pension Strategy, Weight-Loss Drug Coverage and More

"In an extended interview [North Carolina State Treasurer Brad Briner] talked about the health plan's recent change to a new administrator. Briner also talked about the potential for bringing popular weight-loss drugs back into the coverage plan. And he discussed Bitcoin's role in boosting returns for pension plan members -- and revealed plans for proposed legislation aimed at adding checks-and-balances for the state employees who manage the state pension plan."  MORE >>

WRAL.com

How Well Do Consumers Anticipate Retirement Healthcare, LTC Costs?

"Healthcare costs are grossly underestimated.... Rising costs and advancements in technology increase financial burden.... Investors are considering asset spend-down to qualify for Medicaid.  ... Concerns over long-term care costs are amplified among financial professionals surveyed.... Personal experience drives better preparedness."  MORE >>

InsuranceNewsNet.com

Employee Benefits Jobs

💼

Compliance Specialist II

NBS, A "Remote First" Company

Remote / Orange Park FL

View job as Compliance Specialist II for NBS, A "Remote First" Company

💼

Client Plan Manager

Pension Consultants, Inc.

Springfield MO

View job as Client Plan Manager for Pension Consultants, Inc.

Press Releases

Merit Financial Advisors Partners with Sanctuary Wealth Management and Fiduciary Services; Adds First Office in Idaho

Merit Financial Advisors

OneDigital Acquires Retirement Services Division of BayBridge Capital Group

OneDigital

Webcasts and Conferences
(Health & Welfare Plans)

Back to Basics with Compliance: Healthcare Reform

RECORDED

Gallagher

Back to Basics with Compliance: Wellness Programs

RECORDED

Gallagher

Last Issue's Most Popular Items

ERISA Preemption and State PBM Laws

Willis Towers Watson

State Laws Affecting Health Plan Compliance: Quarterly Update

Lockton

More ERISA Class Action Claims Involving Health Plans

Miller & Chevalier

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

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