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Health & Welfare Plans Newsletter

July 7, 2025

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[Guidance Overview]

Benefit Changes in OBBBA (One Big Beautiful Bill Act)

"[1] Telehealth before meeting a High Deductible Health Plan's (HDHP) deductible ... [2] Dependent care FSA limit raised starting in 2026 ... [3] Bronze and catastrophic exchange-based plans are now eligible as HDHPs ... [4] Tax-free student loan repayment assistance."  MORE >>

Kushner & Company

[Guidance Overview]

New York City Implements New Prenatal Leave Policy, Notice and Paystub Requirements for Employers

"[T]he policy must include a statement that the employer will not require employees to provide details about the medical condition that led the employee to use prenatal leave and that it will keep any information it does receive about the employee's use of prenatal leave confidential.... New York City has also updated the Notice of Employee Rights that must be provided to all employees.... Employers must provide certain information concerning prenatal leave on employee wage statements, but only during weeks when prenatal leave is used."  MORE >>

Fox Rothschild LLP

[Guidance Overview]

Alaska's New Paid Sick Leave Law Takes Effect

"Employers must provide notice to employees of their rights under the Act no later than July 31, 2025.... The Act requires all employers in Alaska to provide paid sick leave to their employees, regardless of whether the employee's role is full-time or part-time.... [1] Paid sick leave accrual rates.... [2] Yearly minimums and existing PTO policies.... [3] Protected uses of paid sick leave.... [4] Restrictions on requiring documentation ... [5] No requirement to pay out unused paid sick leave; [6] Carryover required.... [7] No retaliation."  MORE >>

Schwabe, Williamson & Wyatt, P.C.

Seventh Circuit Provides Lessons for Employers on FMLA Certifications and Requiring the Use of Paid Leave

"A Seventh Circuit opinion warns employers against strictly relying on health care provider certifications for FMLA leave when they possess additional information about an employee's health condition. Employees who fail to comply with paid leave substitution policies are still entitled to unpaid FMLA leave. Employers may want to review their paid leave substitution policies to ensure compliance with FMLA regulations and avoid potential legal issues." [Davis v. Illinois Dept. of Human Serv., No. 22-2118 (7th Cir. May 14, 2025)]   MORE >>

Ogletree Deakins

Is My Group Health Plan Covered by State PBM Reporting Laws?

"[A]ll 50 states have laws that regulate PBMs in some way, but all are unique.... [Most] have the same primary goals of reducing governmental waste and addressing the rising cost of drugs.... [M]any states have started implementing laws that have either a direct reference to self-insured plans or, even when silent on whether they apply to self-insured plans, still have a direct effect on the actions of the plan administrators."  MORE >>

Bricker Graydon

Healthcare and Welfare Plans Reach a Tipping Point

"We’ve arrived at the point when a string of regulatory maneuvers largely unnoticed by employers have grown significant enough to bring about a bigger, more significant change. What can plan fiduciaries, therefore, do to lessen the rising risks?"  MORE >>

Roland Criss

The Personal Touch: How Voluntary Benefits Can Boost Retention

"[D]ata, AI and expert analysis enable the design of a targeted voluntary benefits plan that supports the company's core healthcare strategy, addresses affordability and boosts employee retention.... [W]hen it comes to offering voluntary options, personalization is the secret to success."  MORE >>

Gallagher

Health Spillovers: The Broad Impact of Spousal Health Shocks

"[The authors] estimate the causal effect of experiencing a health shock within a couple on the health of the initially unaffected partner.... [F]indings reveal a significant deterioration in the partner's health outlook ... [which] is broad in scope, encompassing higher risk of infections, accidents, and digestive and cardiovascular conditions [and] is accompanied by substantial increases in stress, anxiety and depression for both men and women, as well as sleep disorders for women. These effects are not driven by a heavy caregiving load, financial distress or worsening of health behaviors.... [T]he adverse outcomes persist despite suggestive positive changes[.]"  MORE >>

National Bureau of Economic Research [NBER]; purchase may be required for full document

[Opinion]

American Benefits Council Comments to CMS on Prescription Drug Machine-Readable File Requirement in the Transparency in Coverage Final Rule

12 pages. "[The Council offers] comments that apply to the prescription drug MRF disclosure requirement specifically while also outlining additional recommendations -- beyond the questions posed in the RFI -- to increase transparency with the goal of providing access to appropriate pricing information to make informed decisions with the intent to understand and address the cost of health care for employers and working families."  MORE >>

American Benefits Council

Benefits in General

[Guidance Overview]

One Big Beautiful Bill: The Benefits Provisions (PDF)

14-page chart summarizes House and Senate proposals, along with final provisions and effective dates.  MORE >>

Groom Law Group

Employee Benefits Jobs

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Sr. Retirement Plan Consultant

Compass

Remote / Stratham NH / Hybrid

View job as Sr. Retirement Plan Consultant for Compass

Press Releases

Cohen & Buckmann Welcomes Sherrone Torres, Executive Compensation Attorney

Cohen & Buckmann P.C.

Webcasts and Conferences
(Health & Welfare Plans)

Mental Health Parity Rules and Requirements for Plan Sponsors and Administrators

September 23, 2025 WEBINAR

Strafford

Benefits Administration Workshop

October 24, 2025 in AR

SWBA [SouthWest Benefits Association]

Thunderstruck: Electrifying Employee Benefits -- SWBA 51st Annual Conference

May 6, 2026 in OK

SWBA [SouthWest Benefits Association]

Last Issue's Most Popular Items

How the One Big Beautiful Bill Affects Employee Benefits

Newfront

Merger or Acquisition Health and Welfare Plan Checklist

Keenan & Associates

Text of IRS Notice 2025-36: Eliminating Unnecessary IRS Internal Revenue Bulletin Guidance (PDF)

Internal Revenue Service [IRS]

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

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