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Health & Welfare Plans Newsletter
November 4, 2025
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💼 3 New Job Opportunities
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[Guidance Overview]
FSA-HRA-QSEHRA-ICHRA-EBHRA-HSA — Oh My! (2026 Edition)
"[A] handy chart (updated for this year) [describes] how each of these account types varies around eligible employers; eligible employees; the need for a plan document; who can make contributions to the account; this year's contribution limits (if any); the tax benefits to
the employee and to the employer; and if investment earnings (if any) are taxed. [It also covers] funds availability to participants; any carryover provisions; portability of the account; eligible expenses to be reimbursed; substantiation requirements; and whether debit cards are available." MORE >>
Kushner & Company
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[Guidance Overview]
2026 PCORI Fee Amounts Announced
"For plan years ending January 2026 through September 2026, PCORI fees are not due until July 31, 2027. This breaks down more specifically as follows: $3.47 per covered life for plan years ending in January through September of 2025 ... $3.84 per covered life
for plan years ending in October through December of 2025 ... $3.84 per covered life for plan years ending January through September of 2026." MORE >>
AssuredPartners
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[Guidance Overview]
New Amount for PCORI Fee
"Employers with a calendar-year health plan should have procedures in place to make sure they file IRS Form 720, Quarterly Federal Excise Tax Return, and pay their PCORI fee at a rate of $3.84 per covered life on or before July 31, 2026." MORE >>
EY
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[Guidance Overview]
Dependent Care FSAs: Qualifying Individuals
"Employees can reimburse dependent care expenses through a DCFSA for their qualifying children to age 13, a disabled spouse who lives with the employee for more than half the year, and disabled tax dependents who live with the employee for more than half the year.... The OBBB
Increases the Dependent Care FSA Limit to $7,500" MORE >>
Newfront
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[Guidance Overview]
Departments Issue FAQs on Fertility Benefits
"[FAQs Part 72]
provide guidance on whether: [1] Employers can offer fertility benefits on a 'stand-alone' basis. [2] An excepted benefit health reimbursement arrangement (HRA) can reimburse out-of-pocket fertility expenses. [3] Fertility coverage under an excepted benefit affects an individual's eligibility to make or receive health savings account (HSA) contributions. [4] An excepted benefit employee assistance program
(EAP) can offer coaching and navigator services." MORE >>
WTW
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[Guidance Overview]
Changes to Delaware Paid Family Leave Starting January 1, 2026
"[A] new provision specifies that employers cannot require the use of accrued paid time off before receiving benefits from the Program.... Prior rules required employers interested in a private plan to apply for and renew their plans between September 1st and
December 1st of each year. The provisions now require the Delaware Department of Labor to accept applications for approval of an employer's private plan on a rolling basis with effective dates on the 1st of each quarter " MORE >>
Sequoia
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[Guidance Overview]
New York City Expands Paid Safe & Sick Time Benefits
"The impending amendments make a variety of substantive changes to ESSTA, including: [1] expanding reasons for use; [2] adding unpaid leave entitlement; [3] formally codifying Paid Prenatal Leave ... and [4] modifications of collective bargaining
provisions. In addition, the amendments will bring changes to the separate New York City Temporary Schedule Change Law." MORE >>
Seyfarth Shaw
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[Guidance Overview]
The One Big Beautiful Bill Act and Changes to Certain Workplace Benefits
"The OBBB Act expands the permissible use of HSA funds ... Dependent Care FSA limit increased to $7,500.... Expansion of employer childcare tax credit.... Student loan repayments as qualified educational assistance.... Workplace benefits with limits on favorable tax
treatment: Moving expenses.... Bicycle commuting reimbursements." MORE >>
Quarles & Brady LLP
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Are Benefit Managers Out of Touch on Workplace Wellness?
"While nearly all HR leaders (96%) say well-being is a top or constant consideration, just three-quarters of executive leaders (74%) and two-thirds of company owners (65%) share that same focus.... HR and benefit leaders may be leading the well-being charge, but greater alignment
with leadership and ownership is essential to embed well-being into a broader business strategy." MORE >>
Employee Benefit News [EBN]
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Employee Benefits Jobs
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Webinars, Podcasts and Conferences (Health & Welfare Plans) |
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ADA/FMLA Leave Issues
November 7, 2025 WEBINAR
GetUpEducation
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Wait, What? FMLA/ADA Cases That Make You Say, ‘Hmmm?’
November 12, 2025 WEBINAR
Frost Brown Todd LLC
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Purchasing Power Under Pressure: Employers' and Unions' Perspectives on Rising Health Care Prices and the Role of Middlemen
November 20, 2025 WEBINAR
Health Affairs
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Education: Comparing Coverdell ESAs, 529 Plans, UTMAs and UGMAs
December 9, 2025 WEBINAR
Ascensus
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Last Issue's Most Popular Items |
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Group Health Plan Preventive Care Coverage: What's New for Calendar Year Plans in 2026?
Spencer Fane
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Text of IRS Notice 2025-61: Insured and Self-Insured Health Plans Adjusted Applicable Dollar Amount for Fee Imposed by Sections 4375 and 4376 (PCORI Fee)
Internal Revenue Service [IRS]
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Health, Fringe and Leave Benefit Compliance and Policy Issues in 2026 (PDF)
Mercer
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BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.
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