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Health & Welfare Plans Newsletter

October 13, 2025

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💼  4 New Job Opportunities

 

[Guidance Overview]

IRS Announces 2026 Health and Welfare Plan Limits

"On October 9, 2025, the IRS issued Rev. Proc. 2025-32, which announces the 2026 indexed limits for certain health and welfare benefits. This is in addition to the limits the IRS announced in Rev. Proc. 2025-19 on May 1, 2025." [A chart shows 2025 and 2026 limits.]  MORE >>

Groom Law Group

[Guidance Overview]

Fact Sheet: Second Deal to Bring Most-Favored-Nation Pricing to American Patients

"The agreement [1] will provide every State Medicaid program in the country access to MFN drug prices on AstraZeneca products.... [2] guarantee[s] MFN prices on all new innovative medicines AstraZeneca brings to market.... [3] requires AstraZeneca to repatriate increased foreign revenue on existing products ... [4] requires AstraZeneca to offer medicines at a deep discount off the list price when selling directly to American patients."  MORE >>

Executive Office of the President

What Is an ICHRA? A Guide for Modern Employers

"Healthcare costs are rising, and traditional group plans no longer fit today's distributed workforce. This blog breaks down what an Individual Coverage Health Reimbursement Arrangement (ICHRA) is, how it works, and the key differences between ICHRAs and QSEHRAs.... [It] explores the pros and cons of this modern benefits model and how it helps employers control costs while giving employees real choice."  MORE >>

Nava

Employer-Sponsored Health Insurance 101

"Employer-sponsored health insurance (ESI) is the largest source of health coverage for non-elderly U.S. residents. ... Providing health insurance through workplaces is an efficient way of offering coverage options to working families, and the tax benefits of employer-based coverage further enhance its attractiveness. Yet, ESI often results in uneven coverage, especially for those with low wages or those working at smaller firms. "  MORE >>

Henry J. Kaiser Family Foundation

Employer Health Care Costs Will Rise in 2026: How Employees Can Prepare

"Employer sponsored health insurance plans are about to see the biggest increases in cost in 15 years ... The cost spike has become a 'call to action,' prompting 59% of employers to implement cost-cutting measures for 2026, up from 48% last year. Here's why prices are expected to increase, how employers and employees are responding, and how to prepare for a pricier year."  MORE >>

Moneywise

[Opinion]

Health Care Costs Are Rising: We Need to Reform the System

"We can't just pay hospitals more for the same level of quality and care. We need to pay them to achieve better results.... Drug makers can price their products with no regulation, and enjoy patent protections that keep lower-cost competitors out of the market....[We] need to reform this system that drives drug prices -- and health insurance premiums -- higher."  MORE >>

Tricia Keith, CEO of Blue Cross Blue Shield of Michigan, in the Detroit Free Press; subscription may be required

Benefits in General

Law Firm Faces Fine for Sharing Confidential Information with DOL

"Lawyers representing patients in a lawsuit against United Behavioral Health for insufficient mental health and substance abuse treatment coverage may face a tentative $50,000 sanction for disclosing confidential information to the [DOL].... The court ruled that the lawyers violated [a] protective order by engaging in a collective interest agreement, through which it transmitted documents to the DOL." [L.D. v. United Behavioral Health, No. 20-2254 (N.D. Calif. Oct. 7, 2025)]  MORE >>

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Employee Benefits Jobs

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Member Services Representative

DC Retirement Board

Washington DC

View job as Member Services Representative for DC Retirement Board

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Quality Review Specialist

MAP Retirement

Remote

View job as Quality Review Specialist for MAP Retirement

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Retirement Plan Administrator - Defined Contribution Plans

The Pension Design Group

Remote / Columbus OH / Hybrid

View job as Retirement Plan Administrator - Defined Contribution Plans for The Pension Design Group

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Retirement Plan Consultant/Relationship Manager

Associated Pension Consultants

Sacramento CA / Chico CA / Hybrid

View job as Retirement Plan Consultant/Relationship Manager for Associated Pension Consultants

Webinars, Podcasts and Conferences
(Health & Welfare Plans)

Employer Health Plans 2025: Year-End Compliance Checkup

ON-DEMAND WEBINAR

ALI CLE [American Law Institute Continuing Legal Education]

Last Issue's Most Popular Items

2026 Health FSA Limit Increases to $3,400

Newfront

How Much Do People with Employer Plans Spend Out-of-Pocket on Cost-Sharing?

The Peterson-Kaiser Health System Tracker

Employer May Be Liable for Silence on Benefit Provisions

The Wagner Law Group

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

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