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Health & Welfare Plans Newsletter

September 15, 2025

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💼  3 New Job Opportunities

 

[Guidance Overview]

Growing Number of States Grant Safe Leave for Crime Victims

"New state laws in Alaska, California, Connecticut, Delaware, and Washington require employers to give employees time off after being the target of a violent crime. The safe leave laws apply to victims of violent crimes, such as domestic violence, rape, and sexual assault. Employees typically can use safe leave to obtain medical care, seek psychological counseling, access social services, procure legal services, participate in legal proceedings, or secure safe housing."  MORE >>

Ogletree Deakins

Denial of Gender-Affirming Care Does Not Qualify as Sex Discrimination, Eleventh Circuit Holds

"This decision directly departed from the court's 2-1 ruling by a three-member panel in 2024, which held that such an exclusion was, on its face, a form of sex discrimination prohibited by Title VII of the Civil Rights Act of 1964. It also conflicted with other recent federal court opinions that have construed the exclusion of gender affirming care as unlawful." [Lange v. Houston County, Georgia, No. 22-13626 (11th Cir. Sep. 9, 2025)]  MORE >>

Littler

Proactive Care Could Unlock Billions in Savings for the U.S. Healthcare System

"Strategic investments in disease prevention, early detection, and other proactive measures could save the U.S. health care system up to $2.2 trillion a year by 2040 -- more than $7,000 per person ... These investments could also help save Medicare more than $500 billion a year on medical and prescription drug claims, strengthen the program's long-term financial outlook, and expand the number of years beneficiaries live in good health.... [L]owering Medicare spending in this way could delay potential insolvency and ease the need for benefit reductions or tax increases to maintain the program as it currently exists."  MORE >>

Deloitte Center for Health Solutions

Alternative Plan Designs Offer Opportunity for Affordable Care

"As healthcare costs continue to rise ... 41% of employers are considering or planning to adopt alternative plan design features, a number expected to grow to 87% by 2027. Broad networks offer flexibility but often come with wide variability in cost and quality, leaving employees to navigate a complex system. Alternative plan designs ... aim to simplify the experience by guiding members to high-value providers through lower out-of-pocket costs and greater price transparency."  MORE >>

Willis Towers Watson

How Rx Headwinds Are Reshaping Plan Design

"Health plan fiduciaries must recognize the escalating cost environment and act decisively to demonstrate compliance with fiduciary responsibilities. A two-phased strategy can help create cost-effective, employee-focused health plans while addressing unnecessary claims costs that benefit the employer and employees alike. Phase one focuses on immediate 2026 plan design, while phase two requires bold restructuring of provider and PBM contracts for long-term savings."  MORE >>

Employee Benefit News [EBN]

GLP-1 Coverage Trends and Market Developments

"57% of employers cover GLPs for weight loss (up 5% points from 2024) 15% of employers are either considering removing coverage (9%) or have done so in the past year (6%). Three-quarters (78%) would cover if costs were lower. These data points reflect growing interest, tempered by cost concerns, as employers weigh the value and sustainability of GLP-1 coverage."  MORE >>

Willis Towers Watson

2025 EBRI Employee Mental Health Survey

"[This survey] explored workers’ experiences with both physical and mental health care to better understand their behaviors and attitudes toward health care generally and mental health care more specifically. The survey also explored access to care and patterns of health care use."  MORE >>

Employee Benefit Research Institute [EBRI]

Benefits in General

[Guidance Overview]

Upcoming Key Compliance Deadlines and Reminders for Fourth Quarter 2025

"This period includes several important dates related to health and welfare plans, and timely action and accurate documentation are vital to maintaining compliance and avoiding potential penalties.... [This] fourth quarter guide is categorized by federal and state deadlines in chronological order, with additional notice requirements due at open enrollment."  MORE >>

Lockton

AI in HR: It's Not About Technology

"AI tech itself isn't the end goal -- better outcomes are. And AI is only one tool ... High-tech has to meet up with high-touch.... Personalization must be redefined to meet people 'in the moment.' ... Remove friction from the benefits experience."  MORE >>

Alight Solutions

Women Who Earn More Are Less Satisfied With Their Benefits (PDF)

"Creating programs for benefits education and financial literacy based on employee segments such as gender, life stage and income can help companies attract and retain female workers. Employers should consider leveraging AI to develop targeted resources. Doing so would lighten the burden on HR and save businesses from having to significantly alter their benefits packages."  MORE >>

The Standard

Employee Benefits Jobs

💼

Retirement Plan Relationship Manager

The Finway Group

Remote

View job as Retirement Plan Relationship Manager for The Finway Group

💼

Deputy Associate General Counsel for Program Enforcement (CMSD)

Centers for Medicare & Medicaid Services [CMS]

DC

View job as Deputy Associate General Counsel for Program Enforcement (CMSD) for Centers for Medicare & Medicaid Services [CMS]

💼

Retirement Plan Onboarding Coordinator

The Finway Group

Remote / West Des Moines IA

View job as Retirement Plan Onboarding Coordinator for The Finway Group

Press Releases

Unique Collaboration Between The Standard and BenefitEd Enables Employers to Help Their Employees Manage the Cost of Education

The Standard

Webinars, Podcasts and Conferences
(Health & Welfare Plans)

In That Case: United States v. Skrmetti

PODCAST

WilmerHale

Benefits Administration Workshop - Dallas

April 9, 2026 in AR

SWBA [SouthWest Benefits Association]

Last Issue's Most Popular Items

The HIPAA Security Risk Assessment Made Easy

Groom Law Group

Illinois Employers Must Expand Dependent Coverage to Parents and Stepparents for Fully Insured Health Plans in 2026

Fisher Phillips

High-Cost Claims: Rising Concern for Employer Health Plans

Willis Towers Watson

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

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