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Health & Welfare Plans Newsletter
June 10, 2025
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[Guidance Overview]
MHPAEA Update: Enforcement of the 2024 Final Rule Halted
"Despite the pause in litigation, the halting of any noncompliance enforcement, and the Departments’ reconsideration of the 2024 Final Rule, sponsors are not relieved from their current obligations under the 2013 final rule, including the obligation to perform a comparative
analysis." MORE >>
Maynard Nexsen
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[Guidance Overview]
A Primer on HIPAA Special Enrollment Rights
"Employees who lose their existing health insurance due to job loss, reduction in work hours, or the end of COBRA continuation coverage are eligible for special enrollment.... HIPAA requires a group health plan to provide special enrollment opportunities to certain employees who
acquire a new spouse or dependent by marriage, birth, adoption, or placement for adoption." MORE >>
Maynard Nexsen
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[Guidance Overview]
Connecticut General Assembly Expands Eligibility for CT Family Medical Leave Act and CT Paid Leave
"Effective October 1, 2025, access to the Connecticut Family Medical Leave Act (CT FMLA) and Connecticut Paid Family Medical Leave Insurance (CT Paid Leave) will be expanded to include all non-certified school employees at both public schools and nonpublic elementary and
secondary schools in Connecticut." MORE >>
Shipman & Goodwin LLP
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District Court Says HHS, EEOC Can't Require Catholics to Offer, Cover Trans Care
"A district judge has forbidden federal agencies to enforce requirements for healthcare providers and plans to deliver or cover gender-transition procedures over religious objections.... [The ruling] strikes an interpretation from the Biden administration's [HHS] to include
gender identity as part of the [ACA's] Title IX prohibition of discrimination 'on the basis of sex.' " [Catholic Benefits Assoc. v. HHS and EEOC, No. 23-0203 (D.N.D. Jun. 5, 2025)] MORE >>
FierceHealthcare
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PBM Policy and Legislative Update, Spring 2025 (PDF)
14 pages. Federal and state developments shaping the PBM landscape this season. Includes: [1] The latest federal transparency proposals and what they could mean for PBMs; [2] Key takeaways from ongoing FTC litigation; and [3] State-level legislative momentum and
emerging trends. MORE >>
Mintz
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Guiding Your Workforce Through the Impact of Rising Healthcare Costs
"To control rising costs, many employers are adopting a mix of strategies ... How you communicate these changes is just as important as what you implement.... [1] Establish clear, empathetic messaging ... [2] Communicate through the right channels ...
[3] Educate employees on their benefits ... [4] Offer support tools." MORE >>
OneDigital
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Recalibrating Employee Benefits: How Companies Are Delivering Value in a Cost-Constrained World
"With rising costs, economic instability, and employees demanding more support and personalization, organizations must transform how they think about benefits.... [This is] a story of smarter spending, sharper focus and using benefits as a strategic tool to drive engagement,
retention and purpose." MORE >>
Willis Towers Watson
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OCR's Risk Analysis Initiative: Lessons from Recent HIPAA Enforcement Actions
"The latest enforcement actions involve settlements ranging from $25,000 to $350,000 and breaches affecting between 4,304 and 585,621 individuals' ePHI.... [U]nlike the prior Risk Analysis Initiative cases that were publicized during the Biden Administration, which all
stemmed from ransomware attacks, these more recent cases reflect a broader range of security failures." MORE >>
ArentFox Schiff LLP
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Benefits in General |
[Official Guidance]
IRS Disaster Relief Announcement OK-2025-02, for Taxpayers Impacted by Wildfires and Straight-Line Winds in Oklahoma
"[I]ndividuals and businesses in parts of Oklahoma that were affected by wildfires and straight-line winds that began on March 14, 2025 ... now have until Nov. 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 Cleveland, Creek, Lincoln, Oklahoma, Pawnee, and Payne counties qualify for tax relief." MORE >>
Internal Revenue Service [IRS]
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[Official Guidance]
IRS Disaster Relief Announcement MO-2025-02, for Taxpayers Impacted by Severe Storms, Straight-Line Winds, Tornadoes, and Wildfires in Missouri
"[I]ndividuals and businesses in parts of Missouri that were affected by severe storms, straight-line winds, tornadoes, and wildfires that began on March 14, 2025 ... now have until Nov. 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 Bollinger, Butler, Callaway, Camden, Carter, Dunklin, Franklin, Howell, Iron, Jefferson, Madison, New Madrid, Oregon, Ozark, Perry, Phelps, Reynolds, Ripley, Scott, Shannon, St. Louis, Stoddard, Wayne, Webster, and Wright counties qualify for tax relief." MORE >>
Internal Revenue Service [IRS]
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Third-Party Cyber Risk: Looking at Vendors' Cybersecurity
"[1] Review daily, weekly, or monthly reports from the vendor's cybersecurity monitoring tools ... [2] Audit the vendor site and perform your own cybersecurity review and/or assessment. [3] Ask the vendor to provide annual copies of approved and objective
third-party cybersecurity assessments. [4] Contract with your own cybersecurity experts to do penetration testing against your vendor (with your vendor's knowledge that the tests are occurring, of course)." MORE >>
National Conference on Public Employee Retirement Systems [NCPERS]
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Press Releases |
bswift Announces a Powerful New Strategic Alliance with Benifex
bswift
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Webcasts and Conferences (Health & Welfare Plans) |
2024 High-Cost Claim and Injectable Drug Trends Analysis
RECORDED
Sun Life Financial
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Health Law Diagnosed: PBM Update Spring 2025
June 10, 2025 PODCAST
Mintz
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ICHRA: Rules, Requirements and Responsibilities
June 17, 2025 WEBINAR
Savoy
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Employee Benefit Plans of Tax-Exempt and Governmental Employers 2025
September 18, 2025 WEBINAR
ALI CLE [American Law Institute Continuing Legal Education]
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Last Issue's Most Popular Items |
Self-Funded vs. Fully Insured Health Plans: What Employers Need to Know
OneDigital
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Draft of 2025 IRS Form 1095-C: Employer-Provided Health Insurance Offer and Coverage (PDF)
Internal Revenue Service [IRS]
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EBSA Nominee Says He Will End 'Regulation by Litigation'
planadviser
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BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.
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