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Health & Welfare Plans Newsletter
April 1, 2026
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💼 10 New Job Opportunities
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[Guidance Overview]
FMLA and ADA Compliance Keys for Employers
"[1] FMLA and ADA overlap but serve different purposes ... [2] Why the ADA interactive process is required for accommodation requests ... [3] Rigid leave policies can create ADA liability ... [4] Why documentation is critical for FMLA and ADA
compliance ... [5] When to err on the side of caution under FMLA and ADA." MORE >>
Constangy, Brooks, Smith & Prophete, LLP
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[Guidance Overview]
San Francisco HCSO Employer Annual Reporting Form Due May 1
"The San Francisco Office of Labor Standards Enforcement (OLSE) has opened the Health Care Security Ordinance (HCSO) Employer
Annual Reporting Form (ARF) website. All covered employers must submit the required reporting on the 2025 calendar year by May 1, 2026. Employers required to complete the reporting will find many useful resources on the ARF website, including instructions, previews, an educational
webinar with slides, FAQs, and the reporting form itself." MORE >>
Newfront
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Insurer's Own Evidence Dooms Benefit Termination
"[T]he court applied de novo review after finding that First Reliance Standard committed multiple non-inadvertent violations of the [DOL's] claims-procedure regulation ... in processing Booth's internal appeal. The court found that Booth was Totally Disabled under
the policy's 'any occupation' standard, and that the insurer's own vocational evidence -- not just the claimant's -- established that she could not perform any occupation her education, training, or experience would reasonably allow." [Booth v. First Reliance Standard Life Ins. Co., No. 24-3927 (S.D.N.Y. Mar. 30, 2026)] MORE >>
Roberts Disability Law
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District Court Favors Employee in Determining Extent of LTD Benefits Reinstatement
"[The District Court] ruled that when the administrator of a long-term disability (LTD) plan abused its discretion in denying LTD benefits, the employee was entitled to a retroactive reinstatement of benefits from the time his benefits were terminated through the date of the
court’s decision." [Ehrlich v. Hartford Life & Accident Ins. Co., No. 20-2284 (N.D. Calif. Mar. 28, 2025)] MORE >>
The Wagner Law Group
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PBM Reform Was a Start; Now Make Health Plan Claims Transparent
"In the commercial market, drug spending is substantial. Yet hospital and facility services account for the largest share of medical expenditures—and therefore represent the greatest financial exposure for self-insured employers. Understanding why requires a closer look at
how these employer plans work." MORE >>
Newsweek
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Why Employers Should Embrace ERISA Coverage of Their Severance Plans
"ERISA coverage provides for many advantages, and the related compliance requirements are not particularly onerous. This article discusses what causes a severance plan to be subject to ERISA, the consequences that result, and the advantages of ERISA coverage." MORE >>
Trucker Huss
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West Virginia Tackles Prior Authorization
"West Virginia’s Public Employees Insurance Agency enrolls nearly 215,000 people — state workers, as well as their spouses and dependents. The new law, which will take effect June 10, will allow plan members who have been approved for a course of treatment to pursue
an alternative, medically appropriate treatment of equal or lesser value without the need for another approval from the state-based health plan." MORE >>
NBC News
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Delaware Paid Leave Deadline Hits for Employer Reports
"Employers in Delaware with 10 or more eligible employees must submit required hours and wage reports to the [DOL] by the end of a 90-day grace period on Tuesday, March 31, in order for workers to receive benefits through the state's Paid Leave program, which began
Jan. 1.... [A]bout 6,000 employers in Delaware fit that requirement and noted the reports are quarterly for all of 2025 and are typically due 30 days after the end of each quarter." MORE >>
WDEL
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[Opinion]
Analysis Reveals 'Staggering' and 'Alarming' Consequences of Provider-Driven Abuse of the No Surprises Act
"Dispute volume in the first half of 2025 more than doubled from the same period in 2024 -- driven largely by a small number of private equity-backed providers and IDR middlemen effectively rigging the system to extract payouts that can be 'three to nine times in-network
rates' ... This provider-driven abuse of the No Surprises Act contributes to higher premium costs, fueling the health care affordability crisis impacting every American." MORE >>
AHIP
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[Opinion]
The New Ideas Conundrum in Health Policy
"Democrats are casting about for new health reform ideas in the hope that they can gain traction in the run-up to 2028 and be enacted afterward.... There are at least three equally important big priorities Democrats will be thinking about that are in themselves challenging
and, in a world of limited dollars and political capital, will be in tension." MORE >>
Henry J. Kaiser Family Foundation
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Benefits in General |
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Regulators Ponder Increasing Complexities of Life Insurance and Annuity Illustrations
"The path to changes to rules governing life insurance and annuity illustrations is sure to be a long one.... The new Life Insurance and Annuities Illustrations Working Group, established by the National Association of Insurance Commissioners, held its second call to discuss the
11 comment letters it received ... Regulators highlighted examples of annuity illustrations suggesting annual returns between 10% and 27%, prompting questions about whether consumers are receiving an accurate picture of potential performance at the point of sale." MORE >>
Insurance News Net
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[Opinion]
Reasserting ERISA's Private Enforcement Design: A Rebuttal to EBSA's 'Frivolous Litigation' Narrative
"Recent statements by the EBSA leadership and Assistant DOL Secretary, Daniel Aronowitz, frame ERISA litigation as abusive,' 'frivolous,' and in need of increased structural restrictions.... This position ... is inconsistent with ERISA's statutory design,
controlling Supreme court precedent, and the legislative history of ERISA itself. Properly understood, ERISA depends upon participant-driven litigation as a primary enforcement mechanism.... [E]fforts to restrict access to the courts undermine -- not further -- ERISA's core purposes." MORE >>
The Prudent Investment Adviser Rules
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Employee Benefits Jobs
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Press Releases |
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The Cerrado Group Announces SetAway, LLC as Newest Member Firm
SetAway, LLC
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Participation in TIAA’s Lifetime Income Solutions Accelerates as Plan Sponsors Embrace Annuity-Embedded Defaults
TIAA
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Webinars, Podcasts and Conferences (Health & Welfare Plans) |
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Health Benefit Fiduciary Duties: Data-Driven Decisions – Let’s talk payment integrity
April 15, 2026 WEBINAR
PLANSPONSOR
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Advancements in Women's Health: Advancements and Trends in Women's Workplace Benefits
April 16, 2026 in GA
Worldwide Employee Benefits Network [WEB] - Atlanta Chapter
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Last Issue's Most Popular Items |
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IRS Provides Initial Guidance Regarding Trump Accounts (PDF)
The Wagner Law Group
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U.S. Health Care Coverage and Spending
Congressional Research Service [CRS]
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The FTC-Express Scripts Settlement: Separating Signal from Noise in PBM Reform
Gallagher
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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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