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Health & Welfare Plans Newsletter

December 10, 2025

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💼  2 New Job Opportunities

 

[Official Guidance]

Text of CMS FAQs on Usage of Funds in Section 1303 Segregated Accounts by Qualified Health Plan (QHP) Issuers in the Individual Market (PDF)

"The [CMS] understands that funds in many QHP issuers' Section 1303 segregated accounts holding payments received for coverage of non-Hyde abortion services have accumulated year over year ... These segregated accounts may also generate interest, further increasing the total amount accumulated. These FAQs ... and provide guidance on how QHP issuers in the individual market can use the accumulated funds in their Section 1303 segregated accounts, and the non-Hyde abortion segregated accounts in particular."  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

[Sponsor]

Accelerate Your Benefits Career

Credibility that opens doors: CEBS is the only benefits credential designed by the Wharton School of the Univ. of Pennsylvania. Set yourself apart with a credential instantly recognized for academic rigor and real-world applicability. Begin Your Enrollment Now

Sponsored by IFEBP [International Foundation of Employee Benefit Plans]

[Guidance Overview]

CMS Moves to Eliminate Long-Standing Medicare Part D Creditable Coverage Reporting Requirement for HRAs

"The Proposed Rule's exclusion of HRAs from Part D notice requirements would ease the administrative burden for employers offering HRAs and TPAs administering HRAs, but would not change the notice requirements for GHPs that directly offer prescription drug benefit coverage."  MORE >>

Groom Law Group

[Guidance Overview]

IRS HSA Guidance Answers Some Questions But Raises Others

"While [Notice 2026-5] provides some helpful clarification, it points the public to other, not very straightforward, sources for determining which telehealth services may be provided ... [It] permits an individual who does not even purchase a bronze or catastrophic plan available through an Exchange to be HSA-eligible, but again, the guidance points the public to other sources to determine whether the rules are satisfied.... [T]he guidance on direct primary care arrangements ... suggests that, except for a narrowly defined arrangement, an individual cannot participate in a direct primary care arrangement and contribute to an HSA at the same time."  MORE >>

Groom Law Group

Exceptional Usefulness and Quality icon Building a Thriving HSA Program, from Enrollment to Engagement

"Heath savings accounts (HSAs) are proving to be a way for many employers and employees to better control health care costs, thanks to their tax benefits, lower premiums, and long-term investment opportunities. Learn how to drive greater participation throughout the plan year."  MORE >>

Woodruff Sawyer

How Healthcare Shifts Will Affect Employer Costs

"Today's cost landscape cannot be separated from the pandemic's lingering effects ... Insurers and public payers infused billions into health systems to stabilize them. Those temporary lifelines now factor into renewed rate negotiations as providers seek to recover lost margins, resulting in tighter carrier underwriting and rising renewal costs for employers.... Maryland provides a clear example of how policy shifts can reshape employer health costs."  MORE >>

Corporate Synergies

How Digital Health Is Helping Employees Access Faster, More Convenient Care

"Benefits teams hold the keys to many digital health innovations, and they are uniquely positioned to help employees access faster care, more convenient provider visits, and the latest apps, all while keeping affordability in mind.... [1] AI tools for talk therapy and mental health.... [2] GLP-1 access and affordability.... [3] Telemedicine expansion."  MORE >>

HealthEquity

Voluntary Employees' Beneficiary Associations (VEBAs)

"VEBA structures differ between organizations, and by assessing key factors such as tax implications, liquidity needs, and risk tolerance, organizations can develop thoughtful investment strategies to support the long-term health of their VEBA assets."  MORE >>

NEPC

Employee Benefits Jobs

💼

Plan Administrator

DWC ERISA Consultants LLC

Remote

View job as Plan Administrator for DWC ERISA Consultants LLC

💼

Retirement Plan Consultant

MAP Retirement

Remote

View job as Retirement Plan Consultant for MAP Retirement

Press Releases

WIPN Announces 2026 Board of Directors

WIPN

WTW to Acquire Newfront, a Specialized Broker Combining Deep Expertise and Cutting-Edge Technology

WTW

Human Interest Earns J.D. Power Certification for Outstanding Customer Service Experience for Phone Support

Human Interest

ADP®'s New Save4Retirement Pooled Employer Plan Cuts Cost and Complexity

ADP

Webinars, Podcasts and Conferences
(Health & Welfare Plans)

Specialty Drugs, GLP-1s, and the New Employer Pharmacy Reality

PODCAST

Brown & Brown

ELEVATE Series: Healthcare Benefit Trends & Practices

ON-DEMAND WEBINAR

Conrad Siegel

Last Issue's Most Popular Items

Text of IRS Notice 2026-5: Expanded Availability of Health Savings Accounts Under the One, Big, Beautiful Bill Act (OBBBA) (PDF)

Internal Revenue Service [IRS]

Critical Deadline for All HIPAA Covered Entities: Update Notices of Privacy Practices Related to SUD Information

Polsinelli PC

Colorado Adds New NICU Leave Under FAMLI: What Employers Should Know

Foley & Lardner LLP

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

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