Jun. 6, 2025. "Instructions for Recipient: You are receiving this Form 1095-C because your employer is an Applicable Large Employer subject to the employer shared responsibility provisions in the [ACA]. This Form 1095-C includes information about the health insurance coverage offered to you by your employer." [Also available: Draft of 2025 Form 1094-C: Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns]  MORE >>

"Going forward, employers with operations in New York City will need to assess both the existing New York State Paid Prenatal Leave entitlement and the New York City paid prenatal leave content in the amended Rules to determine their compliance requirements. The amended ESSTA Rules' paid prenatal leave amendments touch ... the amount of paid prenatal leave, written policy requirements, balance notification, documentation, employee notice, increments of use, coordination with other leaves, recordkeeping, and potential penalties."  MORE >>

"As amended, [the HWFA will] exclude individual owner-operators, independent contractors, individuals who are employed in agricultural employment of a seasonal or other temporary nature, and individuals under 16 years of age.... The HWFA no longer includes a private cause of action. Instead, the Nebraska [DOL] is responsible for enforcement of the law."  MORE >>

"[T]he Seventh Circuit noted that, the medical certification was only the doctor’s “best estimate” of the employee’s condition and its potential impact. Thus, it determined that a reasonable jury could find that the employer had violated its FMLA obligations because it knew that she would need intermittent leave for morning sickness from her pregnancy." Davis v. Illinois Dept. of Human Serv., No. 22-2118 (7th Cir. May 14, 2025)]   MORE >>

"Rhode Island Attorney General Peter Neronha [has sued] the Big Three pharmacy benefit managers ... alleging that they unfairly and deceptively increase the costs of prescription drugs. The complaint said the defendants -- CVS Caremark, Express Scripts Inc., and OptumRx and their affiliated group purchasing organizations -- were deceiving consumers by claiming to save them costs while actually profiting from price increases." [Rhode Island v. CaremarkPCS Health LLC, No. PC-2025-02760 (Providence Cty. Sup. Ct. complaint filed May 27, 2025)]  MORE >>

"The health plan that covers some 750,000 current and former state employees and their families has hit a stone wall in negotiations with its pharmacy benefit manager, CVS Caremark, and is pondering legal action against the company ...  The company owes the state tens of millions of dollars and is trying to rewrite their contract to get out of having to pay it back, State Treasurer Brad Briner claimed[.]"  MORE >>

"Choosing between a self-funded and fully insured employee medical benefits plan is a strategic decision that impacts your bottom line and your team. Fully insured plans offer simplicity and predictability. Self-funded plans offer flexibility and potential savings but come with more responsibility."  MORE >>

"Aronowitz said in the [June 5 Senate HELP Committee hearing] that reduced litigation with clearer regulatory guidance would enable plan sponsors to offer better benefits to their participants. His call for greater regulatory guidance included emerging areas such as mental health parity; inclusion of private equity and cryptocurrencies in plan investment lineups; and the consideration of environmental, social and governance factors when selecting retirement plan investments."  MORE >>