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Health & Welfare Plans Newsletter

September 16, 2025

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💼  2 New Job Opportunities

 

[Guidance Overview]

The Future of Telehealth: Awaiting Legislative Action

"While [CMS] extended many of the flexibilities introduced during the COVID-19 Public Health Emergency (PHE) multiple times over the years, many of these policies are set to expire ... September 30, 2025 -- and others will expire on December 31, 2025. Several bills are pending ... [h]owever, to date, no long-term legislation has offered a solution to make a broad range of telehealth services a permanent benefit under Medicare."  MORE >>

Bricker Graydon

[Sponsor]

Accuracy You Can Trust. Automation You Need.

Ensure your employee benefits plans stay compliant with ftwilliam.com + EnsuredCompliance®. Automate legal reviews, updates, and notifications for POP, FSA, WRAP, HRA, and more—all in one cloud-based, integrated platform. Watch the video!

Sponsored by ftwilliam.com

[Guidance Overview]

HIPAA Privacy Notices: A How-To Guide for Plan Sponsors

"The deadline has passed for the Trump Administration to appeal the district court decision vacating the HIPAA Privacy Rule to Support Reproductive Health Care that went into effect at the end of 2024.... As a result, many group health plan sponsors will still need to revise their plan's HIPAA Notice of Privacy Practices ... [T]his 'how‑to guide' [provides] a brief overview of the Privacy Notice requirements for health plan sponsors seeking to comply with their obligations under the HIPAA Privacy Rule."  MORE >>

Reinhart Boerner Van Deuren s.c.

[Guidance Overview]

Federal Funding Cuts Impact Essential Health Plan Benefits for New Yorkers

"New York State plans to end its Section 1332 Waiver and revert to the Basic Health Program due to major federal funding cuts. Essential Plan eligibility will be limited to residents with incomes up to 200% of the Federal Poverty Level (FPL). The state is seeking comments on the proposed transition through October 10, 2025."  MORE >>

Nixon Peabody LLP

[Guidance Overview]

Missouri Joins States Expanding Health Plan Options Beyond Traditional Insurance

"On July 14, 2025, Missouri Governor Mike Kehoe signed Senate Bill 79 into law, which, among other things, allows Farm Bureau to offer health plans in Missouri to Farm Bureau members.... Proponents of Farm Bureau health plans believe the legislation fills gaps for those who would otherwise go without coverage. Critics argue these plans provide inferior healthcare coverage and lack regulatory oversight by operating outside of insurance laws."  MORE >>

Husch Blackwell

[Guidance Overview]

Is Your Business Ready for Minnesota’s New Paid Family and Medical Leave?

"Minnesota is launching a statewide Paid Family & Medical Leave (PFL) program on January 1, 2026 -- a sweeping new benefit program that will offer job-protected leave and partial wage-replacement benefits to nearly all Minnesota workers. Though benefits don't begin until 2026, employers must act now to prepare, with compliance deadlines starting as early as December 1, 2025."  MORE >>

Winthrop & Weinstine

Eleventh Circuit Says Health Plan's Gender-Affirming Surgery Exclusion Not Discriminatory on Its Face

"The Eleventh Circuit ruled that a county health insurance plan’s exclusion of gender-affirming surgery did not violate Title VII, interpreting protections for LGBTQ+ individuals narrowly. The court concluded that the plan’s policy was not facially discriminatory since it applied equally to all employees regardless of sex. A dissenting opinion argued that the ruling improperly relied on a precedent that should not apply to Title VII discrimination cases involving medical conditions that impact employees differently based on sex." [Lange v. Houston County, Georgia, No. 22-13626 (11th Cir. Sep. 9, 2025)]   MORE >>

Ogletree Deakins

Employer Health Costs to Top $17,000 Per Employee in 2026

"Aon projects a 9.5% increase in 2026, marking the third consecutive year with price hikes approaching double digits. The continued rise in chronic and high-cost conditions remains a primary driver of escalating medical costs in the United States. Prescription drug spending is also rising, driven by greater use of costly brand-name and specialty medications."  MORE >>

Treasury & Risk; login may be required

Benefits in General

DOL Has Stepped Into Morgan Stanley's Legal Battle

"For wealth advisors and RIAs, the implications of this ongoing dispute extend beyond the legal maneuvers. Deferred compensation remains a powerful retention tool across the wirehouse and brokerage landscape ... If courts or regulators were to determine that such programs fall under ERISA, it could significantly alter how firms structure advisor pay, adding compliance burdens and limiting forfeiture provisions that firms rely on to retain talent." [DOL Advisory Opinion 2025-03AO'Neill v. Morgan Stanley, No. 24-00358 (FINRA Aug. 8, 2025)]  MORE >>

WealthAdvisor

Employee Benefits Jobs

💼

Retirement Plan Administrator

Retirement Solutions Specialists

Remote / Jacksonville FL

View job as Retirement Plan Administrator for Retirement Solutions Specialists

💼

Manager of Administration

The Pension Source

Remote / Stuart FL / Abilene TX / Nashville TN / Hybrid

View job as Manager of Administration for The Pension Source

Press Releases

Congruent Solutions and LeafHouse Announce Strategic Partnership to Automate Fund Performance & Factsheets integration

Congruent

SEC Announces Four New Members of Investor Advisory Committee

Securities and Exchange Commission [SEC]

Webinars, Podcasts and Conferences
(Health & Welfare Plans)

Balancing Benefits: GLP-1s and Workforce Well-Being

PODCAST

Williams Mullen

Countdown to 2026: Change to Paid Sick Leave and Other Mandated Leave Obligations

November 5, 2025 WEBINAR

Lockton

Benefits Administration Workshop - Oklahoma City

May 13, 2026 in AR

SWBA [SouthWest Benefits Association]

Last Issue's Most Popular Items

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

Littler

Alternative Plan Designs Offer Opportunity for Affordable Care

Willis Towers Watson

Upcoming Key Compliance Deadlines and Reminders for Fourth Quarter 2025

Lockton

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

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