Tag: benefits

OSHA Rules Flesh out Health Reform’s Whistleblower Provisions

Employers that retaliate against employees for reporting violations of certain health reform requirements could be subject to government investigations and hearings, as well as damages that include back pay awards and compensatory damages, under interim final rules issued Feb. 22 by the U.S. Department of Labor’s Occupational Safety and Health Administration. The rules flesh out […]

New Reform Rules Guaranteeing Better Access May Result in Higher Costs

Final health insurance market reform rules issued Feb. 22 could result in higher health premiums, a major association of health insurers predicted, even though the policy goal is make health insurance more dependable and valuable for consumers. The final rules issued by the U.S. Department of Health and Human Services are designed to ensure that […]

Plan Participants Again Sue Fidelity for Alleged ‘Self-Dealing’

Current and former 401(k) plan participants have sued Fidelity Investments on behalf of thousands of other plan participants and retirees to recoup account losses they say resulted from “self-dealing” by the huge asset manager. The case is worth plan sponsors’ attention because it closely resembles a widely watched 2012 ruling against Fidelity, Tussey v. ABB […]

Reform’s Essential Health Benefit Rule Clarifies Employer Plan Obligations

Health reform’s final essential health benefits rule makes it clear that self-insured and large group health plans do not need to comply with limits on growth in employee cost-sharing, offer all 10 categories of essential health benefits, or meet actuarial minimums like small-group and individual policies. However, the regime explained in the rule is still […]

Feds Focus on Cost-Sharing, Preventive Services in Latest Reform FAQs

Along with newly issued health reform rules finalizing essential health benefits provisions comes a new series of FAQs from the U.S. departments of Labor, Health and Human Services and Treasury. This guidance addresses specific questions raised about the scope of reform’s cost-sharing and preventive services provisions, and provides some transition relief for large group and self-insured […]

ACA May Push Employers to Strengthen Wellness Programs

Your wellness program may get way more important under the Affordable Care Act (ACA), says Morris, a member of the firm Epstein Becker Green in its Washington, D.C., office who specializes in benefits. There are already many benefits to wellness programs, but Morris is convinced they will become even more crucial as the ACA unfolds […]

3 steps to effective HRIS system implementation

HRIS systems can be critical in managing employee data. An HRIS – human resource information system – is an integrated system providing information to be used by HR and management in decision making. HRIS typically use one or more interrelated databases to track employee info. In order to get the most out of HRIS systems, […]

Wellness ROI Irresistible—$6 for Every $1 Invested

Furthermore, Morris adds, your wellness program may get way more important under the Affordable Care Act. Morris, who specializes in benefits, is a member of the firm Epstein Becker Green in its Washington, D.C., office. Wellness Is Popular, But Hard to Define A recent survey found that 70.3 percent of 539 employer respondents reported offering […]

Medicare Payment Does Not Trump Plan Exclusion: Specialty Rx Denial Stands

A federal district court blocked an effort to force an ERISA health plan to pay secondary for an expensive specialty drug that was excluded from coverage because it wasn’t filled at an in-network provider as required by plan terms. The U.S. District Court for Northern Illinois rejected the plaintiff‘s argument that whenever Medicare covered a […]

18 Questions for Comp Managers in 2013

Here are the questions Neelman asks clients to help them complete their planning for 2013. Neelman is a principal and senior consultant with Compensation Resources, Inc. in Upper Saddle River, New Jersey. Who are your best employees? Which employees truly impact your success? What employees can you least afford to lose? What are your strategies […]