Tag: benefits

Handy Checklist—Avoid Wellness Program Lawsuits

Jones, who is a partner at Pillsbury Winthrop Shaw Pittman LLP in Los Angeles, offered his wellness guidance at a recent Benefits Bootcamp sponsored by BLR® and HR Hero®. Lawsuit Avoidance Checklist for Your Wellness Program Keep corporate wellness and employment decisions separate. Achievement on a health program shouldn’t be a basis for promotion, for […]

$1.3M Settlement in COBRA/ARRA Class Action Now Final

On April 23, a federal district court in Alabama gave final approval to a settlement agreement under which an employer and plan administrator will pay $1.3 million to a group of former employees who alleged they never received COBRA election or premium subsidy information after their involuntary termination of employment.  The case is Hornsby v. […]

Wellness? Sure, But Beware of Legal Pitfalls

Jones, who is a partner at Pillsbury Winthrop Shaw Pittman LLP in Los Angeles, offered his wellness guidance at a recent Benefits Bootcamp sponsored by BLR® and HR Hero®. Generally, wellness programs are healthcare options that employers offer to employees to reduce preventable illnesses. They offer obvious benefits to the employee—better health—and benefits to the […]

Updated SBC Template Requires Coverage & Value

Employer-sponsored health plans and insurers are required to make two changes to the summary of benefits and coverage, which must be distributed to all health plan participants under health reform. They must add statements of whether their coverage: (1) provides minimum essential coverage; and (2) meets the minimum value requirements. The specific language to be […]

Perks, Insurance, and Atypical Benefits–How Do You Compare?

Beyond health insurance and retirement benefits (covered in previous surveys), the number one perk provided by the employers responding to our survey was paid holidays, with 91% percent of them offering it. Other highlights: Flextime is offered by 53% of respondents. About 33% relax their dress code in the summer, at least for some employees. […]

Wells Fargo Finds More Older Workers Took 401(k) Plan Loans in 4Q

Although many 401(k) plans offer participants loans, a statistic that plan sponsors don’t want to see is the number and size of those loans increasing. But some of them are seeing just that, according to Wells Fargo. A recent study by the banking company of fourth-quarter 2012 activity at the defined contribution plans it administers […]

Colorado House Passes Bill Scrutinizing and Limiting Stop-loss

On April 22, the Colorado House of Representatives passed legislation regulating stop-loss through minimum attachment points, and requiring stop-loss insurers to give the commissioner information about their self-insuring clients with 100 and fewer full-time equivalents. The bill also would give the insurance commissioner authority to unilaterally raise minimum stop-loss attachment points based on medical price […]

COBRA Extension Notice Needed Despite Awareness of Disability

Group health plan terms clearly explained that the plan administrator had to be notified of a disability determination within 60 days in order to trigger an 11-month COBRA extension; therefore, the plan administrator was justified in denying the extension when notice was received five months after the determination was issued, a federal district court in […]

Reductions in Transitional Reinsurance Fee Are Possible but Unlikely

Employers might pay less than $63 per covered life per year under health reform’s transitional reinsurance fee rules, but that would require a surplus in the fund, a U.S. Department of Labor official told an employer plan industry group on April 18 in Washington, D.C. Even though possible, such a reduction would be contingent on: […]

3rd Circuit Rejects Call to Change $3K COBRA Notice Penalty

In rejecting a qualified beneficiary’s attempt to increase a nearly $3,000 COBRA notice penalty, the 3rd U.S. Circuit Court of Appeals noted that the employer/plan administrator’s efforts to remedy the violation did not warrant any higher award. The court also rejected the individual’s request for the reimbursement of medical expenses and attorney’s fees. But in […]