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Health & Welfare Plans Newsletter

March 26, 2026

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[Guidance Overview]

ICHRA and Medicare: Rules, Coverage and Compliance Guide

"Employers offering or considering an ICHRA must understand how these arrangements interact with Medicare -- both to structure the benefit properly and to avoid exposing their organizations to compliance risk. This article provides a practical overview of how ICHRAs work alongside Medicare, the key regulatory requirements and the compliance pitfalls employers should watch for."  MORE >>

HUB International

[Guidance Overview]

What Information Do We Need to Include in Our Welfare Benefit Plan SARs? (PDF)

"DOL regulations provide model language and a basic format. In addition to the plan name, EIN, and type of welfare plan, welfare plan SARs must include the following information: [1] Funding and insurance information.... [2] Financial information.... [3] Rights to additional information."  MORE >>

Thomson Reuters / EBIA

FTC Settlement with Express Scripts Signals Major Shift in PBM Pricing

"While the FTC's lawsuit originally focused on insulin pricing practices, the settlement goes further, requiring structural changes to how Express Scripts prices drugs, manages rebates, works with pharmacies, and reports information to plan sponsors.... For employers, the agreement may signal a broader shift in the industry toward true net-cost drug pricing models, with potential implications for pharmacy benefit design, budgeting, and future PBM contracting."  MORE >>

Lockton

Liability Under Massachusetts Paid Family and Medical Leave

"Recent Massachusetts case law confirms that Massachusetts Paid Family and Medical Leave (PFML) obligations run only to the employer entity, not to individual executives or managers ... Courts have also clarified that PFML does not require continued accrual of vacation, sick time, or service credit during leave, so long as benefits earned before leave are preserved and employees are fully reinstated when they return. For organizations administering paid leave across multiple jurisdictions, these rulings highlight the need for clear and consistent policies and careful attention to state‑specific differences."  MORE >>

Littler

'Dysfunctional' Health Care Market Blamed for Skyrocketing Costs

"Affordability is the top concern among voters of all political beliefs. So how can the health care system advance and sustain affordability? Experts weighed in during the AHIP Medicare, Medicaid, Duals and Commercial Markets Forum in Washington."  MORE >>

Insurance News Net

Has the United States Bent the Health Care Cost Curve?

"The growth of health care spending in the United States seems to have permanently slowed thanks in part to technological advances making medical treatments cheaper and more effective ... The United States spent more than $5 trillion on medical care in 2024, or 18% of its gross domestic product (GDP). That's up a bit from 17.2% of GDP in 2010, but far below the 21.2% share of GDP -- nearly $1 trillion less -- forecast by government actuaries in 2010."  MORE >>

The Brookings Institution

Benefits in General

[Official Guidance]

Draft of IRS Form 8868: Application for Extension of Time to File an Exempt Organization Return or Excise Taxes Related to Employee Benefit Plans (PDF)

Rev. Dec. 2026. "You can electronically file Form 8868 to request up to a 6-month extension of time to file any of the forms listed below[.]"  MORE >>

Internal Revenue Service [IRS]

[Guidance Overview]

USPS Postmark Changes Could Affect Employee Benefit Plans

"Generally, documents sent by mail are considered timely if they are postmarked on or before the applicable due date. In the past, mail dropped off at the post office or put in a public mailbox before the final pickup time would be postmarked that same day. Under the new process, a same-day postmark is no longer certain."  MORE >>

Mercer

[Guidance Overview]

Washington State Bans All Noncompetes and Takes a Swipe at Traps, Clawbacks, and Forfeitures

"Beginning June 30, 2027, all noncompetition covenants are void and unenforceable unless they fall under an exception to the law.... The statute also takes an indirect swipe at training repayment agreement provisions (TRAPs), stay or pay provisions, and incentive clawbacks and forfeitures."  MORE >>

Littler

AI in Benefits Administration: Start With Intent

"Establishing your objectives for using AI in benefits administration may help provide clarity in choosing a benefits administration provider that can support your goals. Successful benefits administration providers will be able to cleanly connect multiple data sources to provide purposeful integration of data-driven technology and AI."  MORE >>

Benefitfocus

Employee Benefits Jobs

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Retirement Onboarding Document Specialist

The Finway Group

Remote / IA

View job as Retirement Onboarding Document Specialist for The Finway Group

Press Releases

Miller Nash Adds John C. Hughes to Boise Office

Miller Nash LLP

Business Insurance Health Releases Two Health Cost Modeling Tools for Employers

Business Insurance Health

Webinars, Podcasts and Conferences
(Health & Welfare Plans)

The FMLA: An Employers Guide to Compliance and Employee Abuse

March 30, 2026 WEBINAR

GrowWebinar

Emerging Trends in Health Plan Vendor Selection and Monitoring

April 8, 2026 in NY

Worldwide Employee Benefits Network [WEB] - New York Chapter

Last Issue's Most Popular Items

Health Plan Issues When Both Spouses Work for the Same Employer

HUB International

Another Employer Scores a Tobacco Premium Surcharge Win

Groom Law Group

Virginia Poised to Expand Provisions for Paid Sick Leave and Paid Family Medical Leave

Ogletree Deakins

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

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