|
Health & Welfare Plans Newsletter
April 3, 2026
|
|
|
|
💼 New Job Opportunity Today
|
| |
|
[Guidance Overview]
Federal PBM Reforms Under the Consolidated Appropriations Act of 2026 (PDF)
"Plan sponsors can begin preparing for these reforms now by: [1] Reviewing existing PBM agreements to identify provisions that limit data access, restrict audit rights. or delay reporting; [2] Incorporating transparency and disclosure requirements into future PBM
contracts, especially those extending into or beyond 2029; [3] Evaluating fiduciary governance practices to ensure processes are in place for reviewing PBM reports and documenting oversight activities; [4] Assessing internal and external resources needed to analyze prescription drug data and identify cost and utilization trends." MORE >>
Alliant
|
|
Takeaways from a Recent Opinion on Assignments of Benefits in Payer Disputes
"[T]he court concluded that Abira had adequately alleged an assignment sufficient to establish ERISA standing ... [but] dismissed the ERISA claim because Abira failed to identify specific plan terms that were allegedly breached. The court rejected Abira's argument that
it lacked access to plan documents, reasoning that Abira could have obtained those documents from the patients who had executed valid assignments." [Abira Medical Laboratories LLC v. Aetna Inc., No. 24-0931 (D. Conn. Mar. 9, 2026)] MORE >>
ArentFox Schiff LLP
|
|
Is Your Group Health Plan Ready for a Compliance Audit?
"A well-structured health plan compliance audit examines plan documents, participant notices, reporting filings, and operational practices across each of the regulatory frameworks described above. The goal is not simply to identify deficiencies but to prioritize corrective steps
and build the documentation necessary to respond to regulatory inquiries confidently. Employers who have not conducted a comprehensive review in the past two to three years should consider doing so -- particularly given recent agency enforcement activity targeting employer-sponsored plans." MORE >>
Bradley
|
|
What Stands in the Way of Paid Family Leave Coming to Pennsylvania
"There's a real chance Pennsylvania lawmakers could begin requiring employers to provide paid parental and medical leave, supporters say, though there are still critical disagreements on who should carry the cost. The Democratic-controlled state House passed a paid leave bill
in late March, the first time such a policy has cleared a chamber after at least seven years of debate on the issue." MORE >>
Spotlight PA
|
|
[Opinion]
Building Multi-Year Health Insurance
"On February 11th, 2026, the Trump administration issued a proposed rule that would allow insurers to sell multi-year health insurance plans to Americans on the individual market.... Multi-year coverage potentially improves the value of insurance by making it easier for
insurers to pool high-and low-risk enrollees. But this will require careful implementation." MORE >>
Health Affairs Forefront
|
Benefits in General |
|
[Guidance Overview]
Recent Guidance for Trump Accounts: Implications for Employers and Beyond
"This legal alert provides an overview of Trump accounts, employer contributions, trustee obligations, initial and rollover contributions, investments, and state tax implications.... Although the proposed regulations and the Notice provide valuable information for employers,
the [DOL] has not yet confirmed that Trump accounts will be exempt from ERISA, similar to health savings accounts and payroll deduction IRAs." MORE >>
Eversheds Sutherland
|
|
[Guidance Overview]
IRS Proposes Rules Governing Trump Accounts, Including $1,000 Federal Pilot Contributions
"The proposed regulations would apply to tax years beginning on or after January 1, 2026, with final rules expected in early 2027.... The IRS has expressly reserved further rules governing contribution administration, investments, distributions, reporting, and employer
contribution programs. As a result, Trump accounts are authorized but not fully operational and stakeholders should expect additional regulatory detail before broader program implementation can proceed." MORE >>
Ascensus
|
|
Employee Benefits Jobs
|
|
|
|
|
Webinars, Podcasts and Conferences (Health & Welfare Plans) |
|
2026 Health and Benefits Trends: Highlights from MMA's Annual Health & Benefits Survey
April 21, 2026 WEBINAR
Worldwide Employee Benefits Network [WEB]
|
|
Health & Welfare Fiduciary Responsibility: Risks, Trends, and Practical Guidance for Employers
April 28, 2026 WEBINAR
Fisher Phillips
|
|
|
Last Issue's Most Popular Items |
|
Text of IRS Publication 5993: Sample Educational Assistance Program (PDF)
Internal Revenue Service [IRS]
|
|
Text of FAQs About Consolidated Appropriations Act, 2021 Implementation, Part 73
U.S. Department of Health and Human Services [HHS]; U.S. Department of Labor [DOL]; and U.S. Treasury Department
|
|
HHS Finalizes First-Ever HIPAA Standards for Health Care Claims Attachments Transactions and Electronic Signatures (PDF)
Thomson Reuters / EBIA
|
|
Unsubscribe |
Change Email Address
Search Past Issues |
Privacy Policy
Submit an Article |
Contact Us |
Advertise Here
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.
Links to web sites other than BenefitsLink.com and EmployeeBenefitsJobs.com are offered as a service to our readers. We are not involved in their production and are not responsible for their content.
|