Month: October 2019

Best Practices in Administering Benefit Claims – Dealing with Benefit Assignments

This week, we take a look at a plan term that has been the subject of frequent dispute in health and welfare benefits claim litigation—interpretation of plan provisions prohibiting a participant’s right to assign benefits to healthcare providers. Out-of-network medical providers commonly require patients to sign documents that purport to assign their rights to plan …

Benefits Newsletter 10/29/19

In This Issue: New Jersey Individual Mandate Requires State Filings in March 2020 New California Law Imposes FSA Notice Requirements Comparison of Proposals to Control Drug Prices Best Practices in Administering Benefit Claims: Dealing with Benefit Assignments Open Enrollment Period is Coming: New Premium Data CMS Adjusting COBRA Premiums for Midyear Increase in Insurance Premiums …

“Open” Might Not Mean Open: How FMLA May Affect a Position’s Availability

Does a position that a company is holding for an employee out on FMLA leave an “open position” as contemplated by the Americans with Disabilities Act? In Maxwell v. Washington County (PDF), a Mississippi federal district court said the short answer is “no.” Background The FMLA requires a covered employer to return an eligible employee …

HR Newsletter 10/22/19

In This Issue: NLRB Invalidates Mandatory Arbitration Agreement That Contains No Exceptions for Filing Administrative Charges OSHA Updates on Distracted Driving in Employment and in the Workplace The New Overtime Rule: What Retail Employers Need to Know “Open” Might Not Mean Open: How FMLA May Affect a Position’s Availability Effective Rules of Etiquette for RIF’s …

When Must a Non-Grandfather Group Health Plan Comply with Changes to Preventative Health Services Requirement?

Question: Our company sponsors a calendar-year, non-grandfathered major medical plan. How soon must our plan comply with changes to the recommendations or guidelines relating to the coverage of preventive health services? Answer: Plan sponsors and advisors should ensure that non-grandfathered group health plans cover all preventive services listed in the various federal recommendations and guidelines …