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Health & Welfare Plans Newsletter
August 18, 2025
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💼 5 New Job Opportunities
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[Guidance Overview]
Illinois Leads the Charge in Military Leave by Adopting Paid Funeral Honors Detail Leave
"The new law benefits qualified employees of Illinois employers with more than 50 employees and took immediate effect ... The Amendment limits the benefit to those who are qualified to participate in a 'Funeral Honors Detail,' an honor guard detail provided for the
funeral of any veteran in compliance with federal regulations." MORE >>
Epstein Becker Green
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[Guidance Overview]
Telehealth and 'In-Person Visits': Tracking Federal and State Updates to Pandemic Era Telehealth Exceptions
"With the PHE-era federal waivers expected to end on December 31, 2025, and state laws increasingly diverging from these PHE-era exceptions, the legal framework for telehealth and tele-prescribing is entering a period of rapid change and heightened
complexity." MORE >>
Sheppard Mullin
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[Guidance Overview]
OBBBA Makes Tax-Free Student Loan Reimbursements Permanent
"The provision was set to expire on Dec. 31, 2025, but employers can now make the benefit a permanent part of their educational assistance programs." MORE >>
Mercer
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District Court Upholds MetLife's Denial of Life Insurance Benefits Where Coverage Lapsed Despite Continued Premium Payments
"[T]he court found that MetLife reasonably determined that Troy's coverage terminated six months after he ceased active work, as defined by the plan. The court emphasized that Cleveland-Cliffs' support of the claim did not bind MetLife or override its policy
interpretation.... [T]he court found no evidence that MetLife was even aware that Troy's coverage had lapsed, as Cleveland-Cliffs had continued paying premiums and apparently misinterpreted the policy. Without notice of the lapse, no duty to notify of conversion rights had yet been triggered on MetLife's part." [New v. Metropolitan Life Insurance Company, No. 24-0212 (S.D. W.Va. Aug. 7, 2025)] MORE >>
Roberts Disability Law
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Armed with Pricing Data, Employers May Confront Legal Burden
"Since 2022, health plans have been required to release machine-readable files disclosing negotiated rates of healthcare services with providers. Hospitals are also required to release the costs of shoppable services. Data analytics firm Trilliant Health ingested UnitedHealthcare
and Aetna transparency files from February to April 2025 to create a new report. Now, those massive swaths of information are slowly becoming more actionable for employers[.]" MORE >>
FierceHealthcare
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Social Defaults and Plan Choice: Spousal Following in Medicare Plan Choice
"[The authors] study how couples in the Medicare Part D program choose an insurance plan. Over 70 percent of enrollees choose the same plan as their spouse. Even among those with differing healthcare needs, well over half do so. Discrete-choice models suggest beneficiaries
value being on the same plan as their spouse at over a thousand dollars per year.... Joint plan choice contributes modestly to overall overspending, but increases costs substantially for the couples with different cost-minimizing plans." MORE >>
National Bureau of Economic Research [NBER]; purchase required
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[Opinion]
Electronic Health Record Market Consolidation and Implications for Cybersecurity
"Over the past decade, the electronic health record (EHR) market has become increasingly consolidated, with the majority of care delivery organizations now using one of two vendors ... This consolidation creates a 'single-point-of-failure' tail risk for
cybersecurity ... Given that reversing consolidation is unlikely due to high EHR switching costs, it is critical that policymakers establish safeguards that ensure robust protections for patients' sensitive data.... Sustained investment in regulatory oversight and continued partnerships between policymakers, care delivery organizations, and EHR vendors are essential to contain the catastrophic risk involved from this ongoing market
consolidation." MORE >>
Health Affairs Scholar
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[Opinion]
Rollback of Rules for Mental Health Coverage Could Lead More Americans to Go Without Care
"[F]ederal employees, policy experts and front-line workers warn that suspending the rules and cutting enforcement funding ... could mean longer waits for help when patients challenge insurance decisions, fewer investigations of insurers and employer health plans over
possible violations of federal mental health protections, and more people going without care they're legally entitled to." MORE >>
ProPublica
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Employee Benefits Jobs
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Press Releases |
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McDonald Hopkins Welcomes Back Attorney Lisa S. Lauer to Its Executive Compensation and Corporate Governance Team
McDonald Hopkins
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The Employee Ownership Expansion Network Welcomes Former Department of Labor Assistant Secretary, Lisa M. Gomez, to Its Board of Directors
Employee Ownership Expansion Network [EOX]
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Webinars, Podcasts and Conferences (Health & Welfare Plans) |
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Food as Medicine
September 16, 2025 WEBINAR
Brown & Brown
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Last Issue's Most Popular Items |
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DOL Regulatory Agenda, Spring 2025
Employee Benefits Security Administration [EBSA], U.S. Department of Labor [DOL]
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Managing Compounded GLP-1 Medications: A Pharmacist's Guide for Employers
Sequoia
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IRS Regulatory Agenda, Spring 2025
Internal Revenue Service [IRS], U.S. Department of the Treasury
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Copyright 2025 BenefitsLink.com, Inc. All materials contained in this newsletter are protected by United States copyright law and may not be reproduced, distributed, transmitted, displayed, published or broadcast without the prior written permission of BenefitsLink.com, Inc., or in the case of third party materials, the owner of those materials. You may not alter or remove any trademark, copyright or other notices from copies of the content.
BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.
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