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Health & Welfare Plans Newsletter
October 1, 2025
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💼 New Job Opportunity Today
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[Official Guidance]
Text of WHD Opinion Letter FMLA2025-02-A: Calculating FMLA Leave Available to Certain Law Enforcement Employees (PDF)
"This letter responds to your request for an opinion concerning how to calculate the number of hours of [FMLA] leave available to correctional law enforcement employees who work a fixed 'Pitman Schedule' requiring 12-hour shifts over a 2-week cycle that includes mandatory
overtime.... [An] employer seeking to calculate the hourly equivalent of FMLA leave available to an employee should do so based on the employee's actual, normally scheduled workweek.... [A]dditional voluntary hours that the employee may work should not be counted in his or her FMLA entitlement calculation." MORE >>
Wage and Hour Division [WHD], U.S. Department of Labor [DOL]
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[Guidance Overview]
Fact Sheet on First Deal to Bring Most-Favored-Nation Pricing to American Patients
"The agreement will provide every State Medicaid program in the country access to MFN drug prices on Pfizer products ... The agreement ensures foreign nations can no longer use price controls to freeride on American innovation by guaranteeing MFN prices on all new innovative
medicines Pfizer brings to market.... The agreement requires Pfizer to offer medicines at a deep discount off the list price when selling directly to American patients." MORE >>
Executive Office of the President
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[Guidance Overview]
Plan Coverage of GLP-1s: What Must Plan Sponsors Consider?
"With the ever-expanding list of plan design options for covering GLP-1s, it is important to keep in mind how federal laws may impact plan design and administration of GLP-1 coverage.... ACA and Essential Health Benefits ... HIPAA nondiscrimination ... ADA
compliance ... Disability discrimination." MORE >>
Trucker Huss
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[Guidance Overview]
New York City Expands Safe and Sick Leave Requirements: What Employers Need to Know
"The amendments, approved on September 25, will soon broaden the reasons employees can use sick leave, introduce a new 32-hour bank of unpaid leave, and eliminate obligations under the Temporary Schedule Change Act in light of the expanded sick leave
requirements." MORE >>
Fisher Phillips
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[Guidance Overview]
Nebraska DOL Issues Guidance on New Paid Sick Time Law
"Nebraska's Healthy Families and Workplaces Act (HFWA), as amended by Legislative Bill 415 (effective September 3, 2025), requires most private employers with eleven or more employees to provide earned paid sick time (PST) beginning October 1, 2025.... The Nebraska Department of Labor has issued a guidance
document and a set of frequently asked questions (FAQs) that provide guidance and clarification for the law." MORE >>
Ogletree Deakins
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[Sponsor]
2026 Onsite Employee Health & Wellness Centers Summit
January 15-16, 2026 • Caesars Palace Hotel • Las Vegas, NV. Leading strategies to build & expand onsite health & wellness centers: reduce medical expenses, ensure/maintain a competitive benefits strategy and achieve a high-performing & healthy workforce.
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District Court: Arkansas Mandate of Health Plan Reporting Is Not Preempted by ERISA
Troutman Pepper Locke
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White House Announces TrumpRx, a Direct-to-Consumer Site for Prescription Drugs
"The White House announced Tuesday it was rolling out a direct-to-consumer website where individuals can buy prescription medications at discounted prices rather than through insurance.... It's unclear whether the website would be limited to Medicaid patients. The White
House said ... that "virtually all drugs" will be available discounted on the site." MORE >>
FierceHealthcare
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Employer-Sponsored Health Benefits: Considering Self-Funding (PDF)
"Although fully insured plans provide simplicity and predictability, self-funding offers employers more flexibility and potential cost savings but with added risk and responsibility. This paper provides an overview of self-funding mechanics, risks, and planning considerations and
sets the stage for future installments in a series that will dive into more advanced topics." MORE >>
Wakely Consulting Group
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[Opinion]
Combining Premium Tax Credits and Health Reimbursement Accounts for Small Businesses
"[The authors] propose a way to connect premium tax credits with health reimbursement arrangements for small businesses that have long struggled to offer health benefits. It would blend the competing health tax proposals -- tax-preferred accounts and credits -- through
changes to qualified small employer health reimbursement arrangements (QSEHRAs).... This proposal would harmonize premium tax credits and tax-preferred accounts while maximizing small business workers' tax benefits and choices." MORE >>
Health Affairs Forefront
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Benefits in General |
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[Guidance Overview]
IRS 2025-2026 Priority Guidance Plan (PDF)
19 pages; includes [1] One, Big, Beautiful Bill Act implementation; [2] Deregulation and burden reduction; [3] Digital assets; and [4] SECURE 2.0 Act and other guidance. MORE >>
Internal Revenue Service [IRS]
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2025 Workplace Benefits Report: Shining a Light on Employee Wellness in Uncertain Times (PDF)
30 pages. "While employees want help with their broader financial goals, some employers remain focused on traditional benefits alone -- like retirement plans and health insurance. Financial wellness programs, equity awards, debt assistance, caregiver support and encouraging
work/life balance can retain employee loyalty and attract top talent." MORE >>
Bank of America Merrill Lynch
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[Opinion]
The Supreme Court Prohibits ERISA
"The [Cunningham v. Cornell] ruling is badly mistaken. Because the definition of 'party in interest' includes every plan fiduciary, the Court's decision allows lawsuits for all transactions involving a plan's receipt of services, even the services
mandated by ERISA. On the Court's reading of the statute, ERISA both requires that fiduciaries perform specific acts and simultaneously prohibits fiduciaries from performing those same acts." [Cunningham v. Cornell Univ., No. 23-1007 (S.Ct. Apr. 17,
2025)] MORE >>
Michael Doran in Labor Law Journal, via SSRN
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Employee Benefits Jobs
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Press Releases |
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Champion Health CLO Emily Langdon Selected for The Best Lawyers in America(R) in ERISA Law
Champion Health, Inc.
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Last Issue's Most Popular Items |
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Nondiscrimination Testing and the Dependent Care FSA Contribution Increase
HealthEquity
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Text of DOL Plan for the Continuation of Limited Activities During a Lapse in Appropriations (PDF)
U.S. Department of Labor [DOL]
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How Employers Negate Their FMLA Rights
HR Daily Advisor
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BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.
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