Tag Archives: Health plans

High Court Opinion Vacates 6th Cir. Ruling on Retiree Health

On Jan. 26, U.S. Supreme Court handed a victory to employers struggling to get retiree health care costs under control. A unanimous ruling in M&G Polymers USA v. Tackett, No. 13-1010 (Sup.Ct., Jan. 26, 2015), vacated the 6th U.S. Circuit…

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Implant Charges Seen as Ripe for Health Plan Cost Control

Implants — spinal fusion; as well as hip, knee and shoulder replacements — have emerged as major price problems today. Costs are up and so is utilization, which explains the cost surge health plans are undergoing for these procedures, according…

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Employees Not Helped by Slow Health Premium Growth

Employers have been shifting more premium costs to workers and increasing their deductibles. That, in addition to the fact that price growth in the health sector outpaces growth for the rest of the economy,  has resulted in a disproportionate increase…

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Rules Attempt to Streamline ACA Benefits Summary

Proposed changes to the Summary of Benefits and Coverage rules under health care reform include additions and subtractions to the SBC template, as well as clarifications on how plan sponsors and insurers may apportion the responsibility to furnish the SBC…

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ACA Transitional Relief: What Employers Ought to Know

Leading employee benefits attorneys recently discussed rules on calculating workforces and identifying to whom the employer must make an offer of coverage. Vanessa Scott, a partner with Sutherland Asbill & Brennan, Washington, D.C., and Malcolm Slee, of Counsel at the Groom…

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Cafeteria Plans Can Help Employers Avoid Pay-or-Play Penalties

Employer contributions to a Section 125 cafeteria plan can be deducted from the employee’s cost of a health plan for purposes of determining the affordability of coverage, final IRS rules on minimum essential coverage published on Nov. 26 (79 Fed….

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DOL: Cafeteria Plans and Cash Alone Fail ACA Employer Mandate

Employers cannot simply give employees extra money to buy individual health insurance — whether through health reimbursement arrangements, health flexible spending arrangements or just plain cash — and expect to avoid “shared responsibility” penalties, the IRS with the U.S. Departments…

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After Pondering King, SCOTUS Stalls on Reform Subsidies

The U.S. Supreme Court has not yet acted on a request to hear a case that seeks to eliminate health insurance premium subsidies in the states that refused to set up their own health insurance exchanges. The High Court discussed…

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Third EEOC Wellness Lawsuit Draws Industry Ire

An employer group criticized the latest legal challenge to an employee wellness program filed by the U.S. Equal Employment Opportunity Commission. The commission alleges that Honeywell International, Inc.’s biometric testing incentive for employees and their spouses violates the Americans with…

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Health Care Reform Mandates: Impending Dates

The next three months are crunch time. Employers have to get moving on several deadlines, most of them required under health care reform. Some reform rules should have taken effect in 2014, but were subject to the year-long delay instituted…

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