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Are Your EAP and Wellness Program Subject to ERISA and COBRA

WEBERISA defines an employee welfare benefit plan as a plan or program “established or maintained by an employer or by an employee organization (such as a …

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SPD Requirements

WEBAn SPD must contain all of the following information: The plan number for ERISA Form 5500 purposes, e.g., 501, 502, 503, etc. (Note—each ERISA plan should …

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NEW HRA REGULATIONS SPARK CONTROVERSY

WEBThe regulations will allow the integration of HRAs with individual health insurance coverage and also allow certain HRAs to be recognized as “excepted …

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An Employee Moving from Full-Time to Part-Time Status May …

WEB“Most employers are using the IRS’s ‘look-back’ method to determine which employees are full-time… In some cases, an employer may have to keep a part-time …

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Covered Benefits

WEBState mandated benefits, e.g., STD (if not enhanced beyond mandated benefits) Educational Assistance or Tuition Reimbursement Plans. On-site Medical …

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Employer Health Plan Requirements under CAA

WEBWhat is required? Effective January 1, 2022, plans must ensure that provider directories are current and accurate (updated at least every 90 days) and establish a …

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A Professional ERISA Compliance Services Firm

WEBA Premium-Only Plan (POP) permits employees to use pre-tax dollars for insurance premiums, leading to reduced taxable income and increased take-home pay. …

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The Camel’s Body is In the Tent

WEBA bipartisan bill called the Lower Health Care Costs Act is under discussion in the Senate Health committee. It addresses surprise medical bills, high drug prices, …

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IRS Allows New Preventive Care Options for HSA-Compatible HDHPs

WEBOn July 17, 2019, the IRS, in conjunction with the Treasury Department, issued Notice 2019-45.. This notice expands the list of preventive care items and services permitted to …

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Products & Services

WEBOur Comprehensive Insurance Documentation & Compliance Service is an all-encompassing solution tailored to address the multifaceted needs of the insurance …

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HHS Issues Report to Address Surprise Medical Billing

WEBLast week, the U.S. Department of Health and Human Services released the HHS Secretary’s Report on Addressing Surprise Billing which was required under …

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What Is A Plan Document

WEBThe plan document describes the plan’s terms and conditions related to the operation and administration of the plan. It is required for each welfare benefit plan an …

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Employers Encouraged To Review Health Plan Administrators

WEBIn Peterson v. UnitedHealth Group Inc., plaintiffs filed a class action lawsuit against United Healthcare claiming that its cross-plan offsetting practice violated ERISA. …

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Phone Call Recordings may be Requested by Claimants if They

WEBOn June 14, 2021, the U.S. Department of Labor (DOL) issued an information letter stating that ERISA claims procedures require participants to be given any …

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ERISA FAQs for Welfare Benefit Plans

WEBERISA (the Employee Retirement Income Security Act of 1974) is a federal law which deals with employee benefit plans, both qualified retirement plans (e.g., pension and profit …

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