Tag: benefits

Not Again: SIIA Refutes ‘Misinformation’ About Self-funding

It’s like the Hollywood movie Groundhog Day all over again. The Self Insurance Institute of America (SIIA) wakes up and has to face the same “anti-self-funding” arguments about adverse selection, insolvency and inferior benefits that it refuted last year … the year before … and the year before that. Again in damage-control mode, this time the […]

Small Employer Self-funding Must ‘Stop’: NAIC Adviser Touts Stop-loss Limits

Employers that want to self-fund their health benefits (and the vendors and attorneys who want to serve them) have yet another (as they see it) unreasonable opponent to self-insuring health benefits. An adviser to the National Association of Insurance Commissioners has told NAIC that it should amend its model stop-loss coverage law to prohibit the […]

TRICARE Suffers Texas-sized Data Breach

Stop me if you’ve heard this one — a car is burglarized, and hardware goes missing that turns out to have sensitive personal data on thousands of beneficiaries, employees, patients and customers. Same old story — but in the millions this time. Medical information on nearly 5 million military clinic and hospital patients was on backup […]

Gross Misconduct—Can You Deny COBRA?

Gross Misconduct Means No COBRA, But … Termination for gross misconduct is not a qualifying event under COBRA, so COBRA continuation coverage does not have to be offered to an employee and his or her spouse and dependent children if the employee was terminated for gross misconduct. Unfortunately, the term “gross misconduct” is not defined […]

What’s New in Incentive Compensation? Let’s Find Out

Incentive comp is certainly on the front burner these days as companies struggle with strapped budgets and weary employees. It’s not getting easier for comp professionals. But what’s happening in the real world? Who’s paying what to whom? Let’s find out. Please participate in this brief survey and we’ll determine just what employers are offering […]

Special Foods? Hearing Aid Repairs? Now They’re Deductible

If a plan participant needs a special diet that costs more than an ordinary, everyday diet, or had to have a hearing aid repaired, he or she can deduct those expenses. Specially Prepared Foods In Information Letter 2011-0035, the IRS said that if an individual consumes a special diet for medical reasons, the amount by […]

DOL Clarifies E-Delivery of Participant Fee Disclosures

It’s important to disclose information through ERISA-required documents properly: it can be a plan administrator’s last line of defense if participants allege that they suffered losses because they didn’t know their rights or important plan terms. That obligation has  grown in response to the financial scandals of the last decade (Enron, WorldCom, mortgage-leveraged bonds, etc.). […]

Is My Local Salary Survey an Anti-Trust Violation?

If I call colleagues in other companies to see what they are paying, am I creating a Sherman Anti-Trust Act violation? It’s likely, but there are safe harbor provisions, says Bottos, Vice President of Compensation at data provider Kenexa. Her suggestions came at a recent webinar sponsored by the company. What’s the Practice in the […]

Top 5 Health Reform Issues Employers Should Focus on Today

It has now been almost a year since health care reform was first enacted. The first year involved many compliance challenges, not the least of which was keeping up with the many pieces of guidance issued by DOL, IRS and HHS. Plans had to expand coverage (more dependents, fewer dollar limits, no more questions about […]