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Health & Welfare Plans Newsletter
February 6, 2026
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💼 3 New Job Opportunities
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[Official Guidance]
White House Fact Sheet: TrumpRx Website Launched to Bring Lower Drug Prices to American Patients
"Through the website, patients will be able to access large discounts on many of the most popular and highest-priced medicines in the country, paying prices in line with the lowest paid by other developed nations (known as the most-favored-nation, or MFN,
price)." MORE >>
Executive Office of the President
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[Guidance Overview]
PBM Reform: The Intersection of Legislation and Regulation
"[T]he government funding bill that was signed into law on February 3, 2026 ... contains three reforms that apply to Medicare Part D and two that apply to commercial PBMs.... DOL issued a proposed rule on January 29, 2026, to require commercial PBMs to report on several transparency measures to plan fiduciaries of self-insured group health plans subject to [ERISA]." MORE >>
McDermott+
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[Guidance Overview]
Employer Best Practices for FMLA Compliance
"[1] Determine if you are a covered employer.... [2] Recognize eligibility and qualifying reasons for leave.... [3] Understand the requirements.... [4] Know when you can require employees to provide certification for leave requests.... [5] Notify
employees of their rights.... [6] Communicate clearly." MORE >>
Wage and Hour Division [WHD], U.S. Department of Labor [DOL]
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[Guidance Overview]
DOL Clarifies How to Track an Employee's FMLA Leave Use During a School Closure of Less Than One Week
"[W]hen a school closes for part of a week during which an employee uses less than one full week of leave pursuant to the FMLA, the period when the school was closed must not be counted as FMLA leave, unless the employee was scheduled and expected to work during the period and
did not.... Conversely, when school is closed for part of a week during which an employee is slated to use a full week of FMLA leave, the entire week may be counted as FMLA leave." MORE >>
Bond, Schoeneck & King
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[Guidance Overview]
Fertility Benefits by State: What Insurance Covers IVF and Where Coverage Is Mandated
"This guide explains what fertility benefits typically include, how state mandates work, and what insurance covers IVF depending on plan type. It also includes an A-Z list of fertility insurance mandates across all 50 states." MORE >>
Nava
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[Guidance Overview]
New Year's Resolution for Oregon Employers: Compliance with Newly Updated Paid Leave Oregon Regs
"Under the previous version of the Rules, employees were required to provide 24 hours' notice before taking each day of intermittent PLO leave. OED removed this notice requirement, explaining that the PLO statute does not currently give OED authority to establish it.
Requirements for when employees must notify employers of changes to leave dates were also removed for the same reason. Removal of these provisions creates challenges for employers attempting to plan for an employee's use of PLO leave." MORE >>
Ballard Spahr via JDSupra
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PBM Reform Takes Center Stage
"The [FTC] announced a landmark settlement with Express Scripts (ESI) following allegations that the PBM's rebate‑driven formulary practices contributed to artificially inflated insulin list prices and higher out‑of‑pocket costs for patients. The settlement requires ESI to
implement significant reforms aimed at increasing transparency, reducing member cost‑sharing, and shifting away from pricing models that prioritize high‑list‑price drugs.... The settlement is currently in a 30‑day public comment period." MORE >>
Bolton
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Are Employers Ready to Stomach Employees’ Growing Appetite for GLP-1s?
"[T]here are a variety of creative options for employers who want to provide access to GLP-1 drugs prescribed for weight loss but who also want to contain costs. But, as with any benefits program, each employer must carefully consider the associated risks with these options and
ensure they can be tailored to suit the employer's individual needs. These options include health reimbursement accounts and health flexible spending accounts." MORE >>
Boutwell Fay LLP
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[Opinion]
TrumpRx: When Government Tries to Build a Market
"The problem isn't the DTC model. It's the assumption that the federal government needs to run it.... If the administration wants to expand direct-to-consumer drug purchasing, the most effective role it can play is not to build a federal platform but to eliminate policy
barriers that hinder private actors from competing, innovating, and lowering prices on their own." MORE >>
Cato Institute
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Benefits in General |
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[Guidance Overview]
Trump Accounts: A New Player in the Employee Benefits Lineup
"Perhaps the biggest open question: Will Trump Accounts be subject to ERISA? ... [Until] guidance arrives, employers face uncertainty about fiduciary obligations, reporting requirements, and administrative burdens.... Early adopters like the major financial institutions have
the resources and expertise to navigate ambiguity. For most employers, waiting for final regulations and ERISA guidance before committing may be the prudent path." MORE >>
Amundsen Davis
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Bipartisan Bill Introduced to Simplify Form 5500 Reporting
"HR 7362, the Form 5500 Filing Simplification Act ... would extend the deadline for filing the form by almost three
months.... This effectively would mean that the deadline for calendar-year plans to file the Form 5500 would be Oct. 15, not the current July 31." MORE >>
American Retirement Association [ARA]
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The Benefits of Flexible Work Arrangements
"Nearly 70% of remote and hybrid workers say their work-life balance has improved over the past year, with a similar share reporting lower work-related stress compared with office-based work. Job confidence remains strong as well: 75% of workers feel secure in their roles, and
close to 80% report high job satisfaction." MORE >>
Employee Benefit News [EBN]; login required
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Employee Benefits Jobs
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Press Releases |
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Grooms Benefits Named Top Employee Benefits Consultant by Mployer Advisor
Grooms Benefits
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Webinars, Podcasts and Conferences (Health & Welfare Plans) |
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Rethinking Benefits Funding as a Risk Management Strategy
March 5, 2026 WEBINAR
EPIC
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Last Issue's Most Popular Items |
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ERISA Amended to Expand Oversight of Entities That Provide PBM Services
Miller & Chevalier
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A Double Dose of PBM Reform: What Employers Should Know About the New Federal Law and Proposed DOL Rules
Lockton
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Second Tobacco Premium Surcharge Case Dismissed
Groom Law Group
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Copyright 2026 BenefitsLink.com, Inc. All materials contained in this newsletter are protected by United States copyright law and may not be reproduced, distributed, transmitted, displayed, published or broadcast without the prior written permission of BenefitsLink.com, Inc., or in the case of third party materials, the owner of those materials. You may not alter or remove any trademark, copyright or other notices from copies of the content.
BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.
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