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Health reimbursement arrangements that are not integrated with group health coverage will violate health reform’s prohibition on annual benefit limits, the federal government recently clarified. HRAs that are integrated with individual policies will be seen as “nonintegrated,” thereby violating the ban on annual limits, the agencies implementing health reform stated. And if employees don’t sign […]
Plan sponsors may take heart at a district court’s ruling supporting the interpretation of plan language by one of their own — but a partial dissent could spell more claims for equitable relief. The 6th U.S. Circuit Court of Appeals reversed a ruling for the plaintiff in a surviving-spousal benefits suit and supported the defined […]
[Go here for yesterday’s Q&A] How does an employer know whether the coverage it offers is “affordable”? If an employee’s share of the premium for employer-provided coverage would cost the employee more than 9.5% of that employee’s annual household income, the coverage is not considered affordable for that employee. If an employer offers multiple healthcare […]
Haas, who is vice president of Wells Fargo Pharmacy Consulting, spoke to BLR about the problem of generic drug pricing. To attack the problem, Haas and his team at Wells Fargo created a unique procurement strategy. “About 4 years ago, we listed every generic drug—and there are about 2,750 of them—by their specific identifying codes. […]
In the case of most employers, these requirements will be simple to implement, Simon says. But in the case of employers that are on the borderline of being covered or on the borderline of providing minimum essential and affordable healthcare coverage, the requirements can become very technical. Some of the questions and answers are presented […]
Who Has Access to Flex Options? In the financial services companies questioned, professional-level and non-exempt staff usually have access to the same array of both regular flexible work arrangements (including flextime, telework, compressed workweeks, and part time) and occasional flexibility (shifting work hours on a daily basis or just occasionally, occasional work at home, and […]
Haas and his colleagues sought a way to get drug costs down for clients. They peered beneath the surface and didn’t like what they found. From Purely Transactional to Cost Management Pharmacy Benefits Management programs (PBMs) started out in a purely administrative role, Haas says, helping to process retail pharmacy transactions and manage prices of […]
You may access the website here: http://www.dol.gov/odep/workplaceflexibility/ How Does Your Organization Rate? Where does your organization sit on the “flex spectrum”? This Corporate Voices for Working Families graphic helps you see where you stand: The Flexibility Spectrum No Current Use of Flexibility No flexible work options currently being used ↓ Individual Accommodations Special arrangements or […]
To further accommodate religious organizations outraged over a health care reform requirement mandating the coverage of contraceptive care, three federal agencies — Treasury, Labor and Health and Human Services — jointly issued final regulations Feb. 1 that would exempt more group health plans and policies established or maintained by certain religious organizations from the requirement, […]
An employer/plan administrator that tried to make good on a COBRA administrative error got more reinforcement that its efforts greatly minimized its legal liability. The 8th U.S. Circuit Court of Appeals affirmed the fact that the aggrieved qualified beneficiary received two years of free health coverage effectively cancelled out any need to impose penalties for […]