Vehicles Drive Wacky Worker Excuses for Bad Behavior
Vehicles are driving some wacky workers’ comp stories that resulted in fraud charges for a car driver and a bike rider.
Tag: benefits
Insuring long-term disability insurance
by Richard E. Johnston In Canada, benefit plans are subject to legislation related to income tax, human rights, and employment standards. However, there is little specific regulation of benefit plans other than pension plans. A key exception is the provision of long-term disability benefits that are not funded under an insurance contract—at least for federally […]
Health Care Reform Mandates: Impending Dates
The next three months are crunch time. Employers have to get moving on several deadlines, most of them required under health care reform. Some reform rules should have taken effect in 2014, but were subject to the year-long delay instituted by the Obama administration. Health Plan Identifiers Nov. 5, 2014 is the deadline for large group […]
Will City Slickers Give You Your Next Big Idea?
Among my favorite movies is the 1991 film City Slickers. Billy Crystal plays radio ad salesman Mitch Robbins, who is having a bit of a midlife crisis. Mitch and his two best friends decide to leave New York City to spend 2 weeks on a cattle drive in the Southwest. It’s there that Mitch meets […]
Few Self-Insured Plans Will Escape Paying Reinsurance Fees
Only self-insured plans that completely self-administer claims payments and plan operations will avoid paying onerous transitional reinsurance fees. If a self-insured health plan does no more than determine eligibility, it will have to pay, according to Jeffrey Endick, an attorney with Slevin & Hart in Washington D.C. An exception exists to the onerous fee $63 per-member-per-year fee: Self-insured […]
Tech Taking Over? HRIS Trends
Most every company is looking at the HRIS. What should your system be doing? For some guidance on this trend, we turned to BLR’s recently published HR Playbook: HR’s Gameplan for the Future.
Plan Controls Respond to PBM Spreads, Generic Cost Spikes
If a pharmacy benefits manager promises a group health plan that there will be no administrative fee for drugs, it actually could be a red flag and not a cause for celebration. It could mean the PBM is “gaming the spread” or not passing rebates through to the plan. Plans can prevent this kind of […]
Don’t Wait for Permission—Take Action
It’s not uncommon for me to say, “I’d rather hire someone who will ask for forgiveness than someone who must ask for permission before taking action.” If you’re going to accomplish anything in life, you must be willing to act. And when you do, things don’t always turn out exactly as you would like. Sometimes […]
Trustee Stuck Holding Fiduciary Bag for Service Agreement Terms
Retirement plan sponsors that have agreements with service providers should be aware of a recent appellate court decision that absolved such providers of fiduciary duty — if a plan trustee exercised final control over the terms of their agreement. Background In Santomenno v. John Hancock Life Insurance Co., 2014 WL 4783665 (3rd Cir. Sept. 26, […]
Court Approves $1M Settlement in COBRA Class Action Lawsuit
A federal district court gave preliminary approval to a $1 million settlement agreement that would resolve a class action lawsuit alleging that an employer/plan administrator, in farming out its employees to clients, violated COBRA’s initial and election notice rules, as well as its premium subsidy rules. The settlement would consist of a $375,000 payout to […]