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Health & Welfare Plans Newsletter
April 28, 2026
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[Official Guidance]
Text of CMS Key Dates for Calendar Year 2026 (PDF)
Apr. 2026. "This document summarizes key dates for calendar year 2026 regarding some activities and policies that are outlined in other documents[.]" MORE >>
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
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[Guidance Overview]
San Francisco HCSO and FCO Reporting Deadline 2026
"On April 1, 2026, the San Francisco Office of Labor Standards Enforcement began accepting 2025 Annual Reporting Form
submissions from covered employers. Compliance with the San Francisco Health Care Security Ordinance (SF HCSO) and Fair Chance Ordinance (FCO) must be reported through the online portal. The deadline for 2025 calendar year reporting is May 1, 2026." MORE >>
HUB International
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[Guidance Overview]
Virginia's New Paid Family and Medical Leave Law Is Not Just FMLA with Pay Added
"The new program will be administered by the Virginia Employment Commission, funded through payroll contributions beginning April 1, 2028, and will begin paying benefits on December 1, 2028.... Virginia's PFML program differs from its federal counterpart in who is
covered, which relationships and reasons qualify, how benefits are funded, and when job-restoration rights attach." MORE >>
Polsinelli PC
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[Guidance Overview]
Maryland FAMLI's New and Improved Website Provides Guidance for Employers
"The FAMLI Division's employer-focused resources include dedicated webpages, downloadable FAQ documents, and direct
contact information, all of which are designed to walk employers through every phase of implementation." MORE >>
Ogletree Deakins
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Provident Ordered to Pay LTD Benefits Back to 2009 After Bench Trial Excuses Claimant's 12-Year Late Notice
"[T]he Western District of New York concluded after a bench trial that the plaintiff was entitled to long-term disability benefits under an ERISA-governed policy issued by Provident Life and Casualty Insurance Company, with a disability onset date of December 31,
2009 -- even though her husband did not discover the policy and submit a claim on her behalf until September 2021." [Nabi v. Provident Life and Casualty Ins. Co., No. 23-0844 (W.D.N.Y. Apr. 27, 2026)] MORE >>
Roberts Disability Law
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What Employers Need to Know About Voluntary Benefits Litigation
"If you are an employer that takes the position that your voluntary benefits are exempt from ERISA under the voluntary benefit safe harbor, you should carefully evaluate whether your voluntary benefits satisfy all four requirements of the safe harbor. Even minor deviations can
cause a program to fall outside of the safe harbor." MORE >>
Vorys
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The True Cost of Mistakes in Benefits Administration
"Relying on disconnected systems or manual processes can contribute to administrative challenges and increased risk of error. By addressing the potential pitfalls of fragmented benefits management, organizations can take steps to modernize processes and help ensure their benefits
program effectively supports your workforce." MORE >>
Navia
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House Ways and Means Committee Hearing with Health System CEOs
Committee on Ways and Means, U.S. House of Representatives
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State AGs Urge Feds to Protect PBM Transparency Laws
"A bipartisan coalition of 45 state attorneys general ... has urged the U.S. [DOL] to ensure its proposed PBM transparency rule does not override state laws. The rule would require PBMs serving ERISA-covered plans to disclose pricing and rebate data to plan sponsors, but
states want explicit protections for their own oversight powers. The move reflects growing scrutiny of PBMs[.]" MORE >>
MSN News
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HSA Accounts See Continued Growth
"Total health savings account (HSA) assets added up to $173.8 billion at the end of 2025 across 41.7 million accounts ... This represents an increase from $146.6 billion in 2024, a 19% increase.... The total number of accounts also grew by 6% from
39.3 million at the end of 2024. Most withdrawals (78%) were made using a debit card." MORE >>
Plan Sponsor Council of America [PSCA]
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[Opinion]
Unchecked Provider Pricing Practices Are Making Health Care Unaffordable
"A variety of factors contribute to the health care affordability crisis, including the egregious price markups some hospitals and private equity-backed providers charge for routine and emergency services.... Health plans are the only part of the health care system incentivized
to help protect Americans from rapidly rising costs -- including by negotiating the lowest possible prices from providers and protecting patients from high and unexpected medical bills." MORE >>
AHIP
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Press Releases |
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Congruent Solutions and Manifest Partner to Power Connected Retirement Experiences Across CORE and Retirement Edge
Congruent
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Last Issue's Most Popular Items |
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OCR Announces HIPAA Enforcement Action Against Self-Funded Group Health Plan
Jackson Lewis P.C.
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Section 125 Plans and the Self-Employed: Rules and Limits
HUB International
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IRS Updates FAQs on Section 127 Educational Assistance Programs: What Employers Need to Know
Bryan Cave Leighton Paisner LLP
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BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.
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