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Health & Welfare Plans Newsletter
April 6, 2026
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💼 2 New Job Opportunities
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How Thole's Standing Constraints Keep Shutting Down ERISA Claims
"Like defined benefit pension plans, self-funded group health plans place the residual risk of payment on the employer. While there are mechanisms to smooth or reduce some of the payment risk, the plan sponsor is ultimately responsible for ensuring that promised benefits are paid
in compliance with the terms of the plan. In both contexts, the participant's protected interest begins and ends with the employer's promise of future benefits, not the participant's preferred method of fulfillment. Participants do not suffer a concrete injury merely because they disagree with how the employer's promises are fulfilled." MORE >>
Vorys
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'Meaningful Dialogue' in Claims Adjudication After D.K. (PDF)
"When adjudicating a claim for benefits, an employee benefit plan or its administrator will understandably devote substantial attention to what the decision will be -- that is, whether to grant or deny the claim.... A failure to communicate a denial to the claimant
consistent with ERISA's requirements can lead to judicial invalidation, even if the decision to deny benefits is correct." [D.K. v. United Behavioral Health, No. 21-4088 (10th Cir. May 15, 2023; cert. denied Feb. 20, 2024, No. 23-586)] MORE >>
Hinshaw & Culbertson LLP
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Paid Sick Leave Laws Protect Employees Who Follow the Rules; This Fox News Producer Didn't
"A Fox News producer sued under the D.C. Accrued Sick and Safe Leave Act after being fired for an absence he failed to report on time. He knew the night before he'd be out, told a coworker but not his supervisor, and didn't call his boss until midday. The court held his
conduct wasn't protected. Paid sick leave laws ... condition protection on reasonable notice, and he didn't give any. Fox News won summary judgment." [Donner v. Fox News Network, LLC, No. 23-3401 (D.D.C. Mar. 30, 2026)] MORE >>
Pierson Ferdinand LLP
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Massachusetts PFMLA and the Scope of Employer-Only Liability
"In a ruling that provides important early guidance on the reach of the Massachusetts Paid Family and Medical Leave Act (PFMLA), a Suffolk Superior Court judge in the Business Litigation Session has held that the PFMLA's anti-retaliation protections apply only to
'employers' and do not extend to individual employees of a corporate employer." [Laughlin v. BinStar, Inc. (Delaware), No. 2584CV01816 (Mass. Super. Ct. Feb. 26, 2026)] MORE >>
Ogletree Deakins
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Kaiser Settlement Demonstrates DOL Commitment to Behavioral Health Parity
"A recent settlement by the Trump administration has made it clear that it intends to enforce parity compliance when it comes to proper access to mental health and substance use disorder services.... In addition to paying a $32 million settlement, Kaiser has agreed to
improve monitoring of its behavioral health network for adequacy. According to EBSA, Kaiser violated parity regulations by failing to have sufficient mental healthcare and substance abuse treatment providers in its network." MORE >>
Hall Benefits Law
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Employers Offer New Homebuying Benefit
"Foyer, a savings app that acts as a dedicated 401(k) for homeownership, is now being offered as a benefit through AI-powered platform Nayya, a tool that already supports millions of employees through their workplace benefits and financial options. Under this partnership, Foyer
helps employees move from renting to owning by saving for a down payment, improving credit, and handling the homebuying process -- all from one app." MORE >>
Employee Benefit News [EBN]; login required
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Paid Caregiving Leave Policies and an Update on Paid Parental Leave (PDF)
"This chapter reviews the evidence on the impacts of paid family leave (PFL) and paid sick leave (PSL) policies, with a focus on non-childbirth-related caregiving. [The authors] begin with an overview of the prevalence and challenges of informal caregiving in the US and
internationally, followed by a description of the current paid caregiving leave policy landscape.... [They] find that paid leave policies have successfully increased leave take-up and that PFL improves labor market outcomes for workers with caregiving responsibilities, without adversely affecting employers. There is also some suggestive evidence of improvements in caregivers' mental health." MORE >>
National Bureau of Economic Research [NBER]
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Benefits in General |
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[Guidance Overview]
Privacy of Family Offices: Hidden Benefit Plan Compliance Risks
"Family offices are understandably private, with many aspects of their operations shrouded in secrecy, including their investments, family members, ownership details and the structures designed to protect them.... Assessing which entities are part of the 'family' enables
holistic advice on the family office's obligations, including whether employee benefits must be offered and whether the benefits provided are compliant with current rules. This becomes more complex for family offices with a global scope, particularly if the original family is unfamiliar with U.S. regulations and is hesitant to allow deeper review of the broader structure." MORE >>
Cohen & Buckmann, P.C.
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Treasury Department Designates BNY as Financial Agent to Support New Trump Accounts Program
"Under this designation, BNY will manage the initial accounts and help develop the new Trump Accounts app -- a secure, user-friendly platform that will enable families to easily access and manage their accounts. As part of this process, BNY has partnered with Robinhood, which
will serve as brokerage and initial trustee for Trump Accounts. Together, these partners will support Treasury's goal of ensuring every eligible child can access a Trump Account quickly and easily." MORE >>
U.S. Department of the Treasury
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Employee Benefits Jobs
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💼
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Actuary
The Pension Source
Remote / Stuart FL / Abilene TX
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Press Releases |
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Ascensus Appoints Dan Morrison as President of Retirement
Ascensus
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Uhlmann Price Securities Bolsters Retirement Plan Services with Appointment of Matthew Barbera as Head of 401K Advisory Services
Uhlmann Price Securities
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The Retirement Advantage, Inc. (TRA)® Celebrates 30 Years of Leadership, Growth, and Partnership in the Retirement Industry
TRA [The Retirement Advantage]
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Webinars, Podcasts and Conferences (Health & Welfare Plans) |
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Trump Accounts: What We Know, What We’re Waiting For
April 14, 2026 WEBINAR
Thompson Hine LLP
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Out-of-Network ERISA Claims: Identifying Provisions Subject to Provider Challenge
April 21, 2026 WEBINAR
BARBRI
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Health Benefit Fiduciary Duties: PBM Fact vs. Fiction
April 22, 2026 WEBINAR
PLANSPONSOR
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Last Issue's Most Popular Items |
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Federal PBM Reforms Under the Consolidated Appropriations Act of 2026 (PDF)
Alliant
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Is Your Group Health Plan Ready for a Compliance Audit?
Bradley
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IRS Proposes Rules Governing Trump Accounts, Including $1,000 Federal Pilot Contributions
Ascensus
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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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