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Health & Welfare Plans Newsletter
May 1, 2026
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💼 New Job Opportunity Today
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[Guidance Overview]
DOL's New Joint Employer Standard Proposed Rule Would Unify FLSA and FMLA Compliance
"Employers near the FMLA's 50-employee threshold should reassess whether the new analysis expands the jointly employed workforce and triggers leave, notice and benefits obligations." MORE >>
Duane Morris LLP
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[Guidance Overview]
IRS Guidance on Section 127 Education Assistance Programs: 2024 vs. 2026
"Two themes emerge from the 2026 update: statutory changes tied to the OBBBA, most notably the permanent treatment of student
loan repayment assistance and future inflation indexing of the exclusion limit, and related IRS clarifications that frame those benefits in a more forward-looking and flexible way." MORE >>
Jackson Lewis P.C.
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First Circuit Rejects Another ACA Section 1557 Claim Challenging Weight-Loss Drug Exclusion (PDF)
"This decision ... may offer some reassurance to plan sponsors that have similar plan exclusions, as it holds that a broad exclusion for weight-loss drugs does not, by itself, state a claim for disability discrimination under ACA Section 1557. However, the legal
landscape is still evolving, and other courts could reach different conclusions." [Holland v. Elevance Health, Inc., No. 25-1359 (1st Cir. Mar. 27, 2026)] MORE >>
Thomson Reuters / EBIA
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Sixth Circuit Rules ERISA Preempts Portions of Tennessee's PBM Laws
"Self-funded ERISA plans in Tennessee are not required to admit any-willing-provider to their networks or to refrain from financial incentives that direct participants to preferred pharmacies. Plan sponsors retain the flexibility to design pharmacy benefit programs, including
tiered networks, cost-sharing differentials, and preferred pharmacy arrangements, without interference from the invalidated Tennessee provisions." [McKee Foods Corporation v. BFP Inc., No. 25-5416 (6th Cir. Apr. 7, 2026)] MORE >>
Krieg DeVault
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Massachusetts Court Limits PFML Liability to Employers, Shielding Individual Directors and Officers
"This ruling clarifies that even where a plaintiff adequately alleges a potential PFML violation, such claims cannot be brought against individual supervisors and board members ... [E]xecutives and managers should remain cautious and cognizant of their legal obligations
under the PFML and other employment laws.... [E]mployers should ensure that communication with employees on leave is handled only by specifically designated personnel ... and that any necessary outreach is kept to a minimum." [Laughlin v. BinStar, Inc. (Delaware),
No. 2584CV01816 (Mass. Super. Ct. Feb. 26, 2026)] MORE >>
Morgan Brown & Joy
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Cigna Will Exit ACA, Focus on 'Relentless' Push for Affordability
"The Cigna Group executives said the health insurer will exit the [ACA] individual exchange business beginning in 2027 as part of a broader effort to reshape its portfolio and focus on higher-growth segments.... [CEO Brian Evanko] cited three healthcare goals going forward,
including using artificial intelligence to drive more personalized and affordable care, part of a 'relentless drive' to find affordable treatments." MORE >>
Insurance News Net
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From Line Item to Business Asset: Making the Case for Employee Wellness
"Employee wellness programs deliver measurable ROI, but only when they're designed to address all three pillars of wellbeing: physical, mental, and financial. This guide breaks down the most common design failures that keep programs from delivering, what leadership
participation actually looks like in practice, and a three-step framework for building a wellness strategy that drives real business results." MORE >>
Nava
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[Opinion]
Transparent Healthcare Prices Won't Lower Patients' Out-of-Pocket Costs
"Most episodes of care are not analogous to ordering something in a restaurant or buying an airline ticket. Patients usually don’t know in advance which tests or procedures they wind up needing, especially in emergencies or for complex diseases and conditions. As such,
it’s unclear how much transparency would assist patients in a material way." MORE >>
Forbes; subscription may be required
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Employee Benefits Jobs
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Press Releases |
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Aflac Opens New South Portland Office to Support Maine Paid Family and Medical Leave Program
Aflac
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Webinars, Podcasts and Conferences (Health & Welfare Plans) |
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Trump Accounts: What Practitioners Need to Know
June 15, 2026 WEBINAR
ASPPA [American Society of Pension Professionals & Actuaries]
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Last Issue's Most Popular Items |
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GLP‑1s, Direct‑to‑Consumer Pricing, and the HRA Opportunity Most Employers Are Missing
Amundsen Davis
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Court Orders Health Plan Administrator, Owner to Pay More Than $1.3M to Restore Losses to Health Plans in MEWA
Employee Benefits Security Administration [EBSA], U.S. Department of Labor [DOL]
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ERISA, Wrap Documents, and 5500s: A Smorgasbord of What, How, and Why?
Lumelight
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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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