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Health & Welfare Plans Newsletter

August 4, 2025

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[Guidance Overview]

The Latest Changes to Minnesota's Earned Sick and Safe Time Statute

"The main changes impact when employers can require documentation and notice for unforeseeable absences taken for a covered ESST reason. The amendments also clarify that employees may voluntarily trade shifts to cover ESST absences and that employers may advance ESST hours to employees."  MORE >>

Jackson Lewis P.C.

[Guidance Overview]

New Hampshire to Require Unpaid Childbirth Leave in 2026

"Effective Jan. 1, 2026, Granite State employers with at least 20 employees must provide employees with up to 25 hours of unpaid leave to attend medical appointments associated with childbirth, postpartum care, and their infant’s medical appointments within the first year of the child’s birth or adoption."  MORE >>

Jackson Lewis P.C.

Rising Costs Drive Health Plan Innovations

"With up to 40% of health plan spending considered waste.... zeroing in on financial efficiencies is essential.... Duplicative drugs can drive up costs unnecessarily ... Employees with a designated primary care physician (PCP) tend to manage their health more effectively.... Add 'site of service' options to self-funded plans ... Drop true out-of-network coverage while preserving exceptions for critical need. Cap high-cost categories such as dialysis and J code therapies."  MORE >>

HR Policy Association [HRPA]

Employers Ready for Higher Health Premiums as Use of Care Surges

"Employer groups and benefits consultants predict premiums will grow by around 9% on average next year....  [T]he lingering effects of the Covid-19 pandemic and the looming threat of tariffs are driving costs higher as employers simultaneously contend with the popularity of blockbuster GLP-1 drugs, surging mental health needs, and increasing cancer rates."  MORE >>

Bloomberg Law

Projected 2026 Medicare Part B and Part D Premiums

"Part B premiums are expected to rise 11.6% in 2026, nearly double the six percent jump in 2025, according to the 2025 Social Security and Medicare Trustees Report. The report projects a $206.50 monthly premium for next year, up $21.50 or 11.6% from 2025 and the largest Part B increase in dollar terms since 2022, when premiums rose by $21.60."  MORE >>

Kiplinger

[Opinion]

The Health Care System Is Broken; Prior Authorization Is a Big Part of the Problem

"Prior authorization transcends mere administrative inconvenience; it poses a clinical risk. It delays treatment, contributes to physician burnout, and erodes trust in a system already under strain.... Although the recent pledge outlines a positive direction, direction alone is insufficient.... Voluntary improvements cannot substitute for enforceable standards."  MORE >>

RAND Corporation

Benefits in General

Fiduciary Update, August 2025

"Forfeitures cases proceed with mixed results & DOL weighs in.... Health insurer's alleged overcharges with 'flip logic' approach revived.... Incomplete email leaves employer responsible for lapsed $663,000 life insurance payout."  MORE >>

CAPTRUST

Press Releases

EdgeCo Holdings Completes Acquisition of Axios Advisory Group, Ltd. to Join Its AmericanTCS Business Unit

EdgeCo Holdings

Julie Cameron, EA, MAAA, Joins Cheiron as a Consulting Actuary.

Cheiron

Last Issue's Most Popular Items

Much Ado About Nothing: Employee Benefits Provisions of the One Big Beautiful Bill Act

Spencer Fane

Trump Demands Pharma Companies Slash Drug Prices in Next 60 Days

The Hill

District Court Vacates HIPAA Reproductive Health Rule

Slevin & Hart, P.C.

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

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