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Health & Welfare Plans Newsletter

November 14, 2025

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💼  3 New Job Opportunities

 

[Official Guidance]

Draft of IRS Publication 503: Child and Dependent Care Expenses, for Use in Preparing 2025 Returns (PDF)

21 pages; Nov. 13, 2025. "What's New: Trump account and new Form 4547.... If the child was born after 2024 and before 2029 and meets certain other requirements, the authorized individual may also elect to receive a $1,000 pilot program contribution to the child's Trump account. Both elections can be made on Form 4547, which can be filed at the same time as the authorized individual's 2025 income tax return."  MORE >>

Internal Revenue Service [IRS]

[Guidance Overview]

New York City Council Expands Safe and Sick Leave Protections

"The amended law introduces several key changes. First, New York City employers must provide employees with 32 hours of unpaid safe/sick leave, replacing the two days that were previously available under the Temporary Schedule Change Act (TSCA). The law also expands the uses of leave under ESSTA, codifies the state's paid prenatal leave entitlement, and clarifies how collective bargaining agreements can waive certain ESSTA obligations."  MORE >>

Morgan Lewis

[Guidance Overview]

Massachusetts Paid Family and Medical Leave Program: November 2025 End-of-Year Update

"The Massachusetts Department of Family and Medical Leave (DFML) has issued its 2026 poster, individual notices, and rate sheets for the state's Paid Family and Medical Leave program. The maximum weekly benefit amount and the state average weekly wage will increase slightly going into 2026, but for the third year in a row, the total contribution rates for employers and employees will hold steady. The IRS has issued tax guidance on Paid Family and Medical Payments, [about] which the MA DFML has issued a detailed memorandum[.]"  MORE >>

Ogletree Deakins

[Guidance Overview]

Minnesota’s Upcoming Paid Leave Program Takes Effect January 1

"Starting on January 1, 2026, employees will be eligible to receive up to twelve weeks of paid medical leave and up to twelve weeks of paid family leave in a single twelve-month period, with payments based on earnings in the prior year.... The program will be run by the State of Minnesota ... [and] is funded through premiums on employee wages, which are split between the employer and employees."  MORE >>

Quarles & Brady LLP

Employer Avoids COBRA Penalties By Documenting Notification Procedures

"The court ... [noted] that the duty of notification ultimately lies with the employer, which was also the plan administrator, even if a third-party company is designated to disseminate COBRA notices, because the employer cannot unilaterally delegate its fiduciary duty to a party that has no discretionary authority and is not a fiduciary." [Casillas-Guardiola v. Bayer Puerto Rico, Inc., No. 22-1167 (D. P.R. Sep. 30, 2025)]  MORE >>

The Wagner Law Group

Plan Sponsor Takeaways from District Court's Dismissal of Tobacco Surcharge Claims

"The court reasoned that a participant who meets the wellness program criteria during the plan year under a reasonable alternative standard has the same reward as a participant who meets the criteria at the beginning of the year: the absence of a prospective surcharge. On that reading, the court held that failure to offer retroactive refunds does not itself render the program discriminatory.... The court declined to impose an exhaustion requirement, reasoning that the claims were statutory, not benefit denials." [Williams v. Bally's Management Group, LLC, No. 25-00147 (D.R.I. Nov. 4, 2025)]  MORE >>

Thompson Hine

Health Tracking Poll: Prescription Drug Costs and GLP-1 Use

"One in five (18%) adults now report having ever taken a GLP-1 agonist, including 12% who say they are currently taking this type of medication (a 6 percentage point increase from 18 months ago). Even though most GLP-1 users say their insurance covered at least some of the cost, over half (56%) of users say these drugs were difficult to afford, including one in four who say they were 'very difficult' to afford."  MORE >>

Henry J. Kaiser Family Foundation

[Opinion]

Congress Creates Yet Another Cliff for Medicare Telehealth Extensions (And We're Running Out of Metaphors)

"While this latest development is a relief, it is clear that the issues surrounding the funding of Medicare telehealth -- and telemedicine prescribing -- are not going away every time Congress kicks the proverbial can down the road.... In 2025, we know the consequences of letting the flexibilities expire -- providers do not get paid, access to quality care is diminished, and questions of retroactive payment create uncertainty."  MORE >>

Epstein Becker Green

Employee Benefits Jobs

💼

ESOP Administration Consultant

Blue Ridge Associates

Remote

View job as ESOP Administration Consultant for Blue Ridge Associates

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Retirement Plan Administration Consultant

Blue Ridge Associates

Remote

View job as Retirement Plan Administration Consultant for Blue Ridge Associates

💼

Senior Retirement Plan Specialist

Vensure Employer Solutions

Chandler AZ

View job as Senior Retirement Plan Specialist for Vensure Employer Solutions

Press Releases

Ascensus CISO, Alex Petrow, Named a 2025 Top Global CISO by Cyber Defense Magazine

Ascensus

Webinars, Podcasts and Conferences
(Health & Welfare Plans)

2025 Strategies for Leave and Accommodation Management

ON-DEMAND WEBINAR

PLI [Practising Law Institute]

Foundational Principles, Legal Nuances and Updates Related to Addressing Leaves and Accommodations

ON-DEMAND WEBINAR

PLI [Practising Law Institute]

Women’s Health at Work: Essential Employer Strategies

ON-DEMAND WEBINAR

EPIC

Before the Ball Drops: Top Employee Benefits Issues to Tackle Now

December 2, 2025 WEBINAR

Bricker Graydon

Proactively Navigating ERISA SPD Requirements for Rx Plans

December 3, 2025 WEBINAR

Employers Health

Last Issue's Most Popular Items

Do We Have to File a Gag Clause Prohibition Compliance Attestation Every Year?

Thomson Reuters / EBIA

Text of IRS Publication 5164: Test Package for Electronic Filers of ACA Information Returns (AIR), Processing Year 2026 (PDF)

Internal Revenue Service [IRS]

Final Forms and Instructions for 2025 ACA Reporting Are Available (PDF)

Thomson Reuters / EBIA

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

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