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BenefitsLink Health & Welfare Plans Newsletter

August 15, 2011

Employee Benefits Jobs

401(k) Administrator
for Duncan Financial Group, LLC in PA

Retirement Plan Manager
for Morehead Plan Administrators in NC

Administrative Assistant
for KBA in CA

Pension Administrator
for The Benefits Consulting Group, Inc. in IL

Retirement Plan Specialist
for Reading Hospital and Medical Center in PA

Customer Service Representative
for Mutual of America in CT

Actuarial Assistant - Enrolled Actuary designation required!
for CUNA Mutual Group in WI

Internal Wholesaler - DC-IO
for Eagle Asset Management in FL

Senior Defined Benefit Data Analyst
for Prudential in CT

Pension Analyst
for BeneSys, Inc. in MI

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Webcasts and Conferences

A Frank Discussion with the Director of Employee Plans Examinations Webcast Nationwide on November 8, 2011 presented by ASPPA (American Society of Pension Professionals & Actuaries)

Rekon Road Show- San Jose in California on September 13, 2011 presented by 401k Rekon

[Official Guidance]
Text of 11th Circuit Opinion Ruling Mandated Health Insurance Unconstitutional; Other Aspects of Health Care Law Stand
304 pages; State of Florida, et al. v. U.S. Department of Health & Human Services, et al. "[T]he individual mandate exceeds Congress's enumerated commerce power and is unconstitutional. This economic mandate represents a wholly novel and potentially unbounded assertion of congressional authority: the ability to compel Americans to purchase an expensive health insurance product they have elected not to buy, and to make them re-purchase that insurance product every month for their entire lives." (The New York Times; free registration required)

Earn your CEBS (Certified Employee Benefit Specialist) Designation [Advert.]

Sponsored by IFEBP (International Foundation of Employee Benefit Plans)

CEBS is the most respected benefits designation in the industry. Co-sponsored by the International Foundation and the Wharton School, the program is an essential step for those who want to advance in the employee benefits industry. Learn More. .


[Guidance Overview]
Health Care Law Individual Mandate Ruled Unconstitutional by 11th Circuit Court of Appeals
"The court found that Congress exceeded its powers to regulate commerce when it decided to require people to buy health insurance, a provision of the health care law known as the 'individual mandate.' But the court held that while that provision was unconstitutional, the rest of the wide-ranging law could stand." (The New York Times; free registration required)
[Guidance Overview]
Conflict on PPACA's Individual Mandate Arises Among Federal Appeals Courts
"Now that two federal appeals courts have reached differing conclusions on the mandate, the issue may proceed to the Supreme Court, which begins a new term in October 2011." (E Is for ERISA)
[Guidance Overview]
Claims and Appeals Rules for Non-Grandfathered Health Plans Amended (PDF)
"Issued in response to the feedback elicited by the original July 23, 2010, interim final rules, the amendments [include] the following major changes: The decision-making deadline for urgent pre-service claims is extended from not later than 24 hours after receipt of the claim, to 72 hours. The requirement to include diagnosis and treatment codes in denial notices is replaced with the requirement to provide a statement regarding the claimant's right to obtain such information upon request." (Trucker Huss, APC)

Health Care Premium Credit Rules Proposed
"The proposed regulations are part of a 'next step' announced Friday by the Treasury Department and the Department of Health and Human Services (HHS) to establish 'affordable insurance exchanges' that under the health care acts will allow individuals and small businesses to purchase private health insurance coverage, also starting in 2014." (American Institute of Certified Public Accountants)

[Guidance Overview]
HHS Proposes Rules on Tax Credits, Health Exchanges
"HHS awarded $185 mil.lion to 13 states and the District of Columbia to help them build Affordable Insurance Exchanges and, with Treasury, posted three proposed rules that outline exactly how consumers can use the exchanges to purchase private health insurance." (BenefitsPro)

Growing Number of Employers Want You to Get Fit—or Else
"Employers are increasingly saying, 'We want you to take some responsibility, and if you don't do certain things we want you to do, you'll only be eligible for the bad [health insurance[ plan with a $3,000 deductible as opposed to the $1,000 deductible,' . . . ." (Sun-Times Media, LLC)

The High Cost of Public Employee Health Benefits
"This report explores the reasons that government-employee benefits cost more, and it makes concrete recommendations for how costs can be brought into line with those of the private sector." (Manhattan Institute for Policy Research)

Employers Adjust Retiree Drug Plans As Tax Break Ends
"The value of the tax break has been significant. 'For corporate America, this makes a world of difference,' said Michael S. Jacobs, national clinical practice leader at Buck Consultants L.L.C. in Atlanta. If a company receives a $500 per retiree subsidy for providing prescription drug coverage to a retiree, the subsidy's tax-free status makes it equivalent to $1,500, he said." (Business Insurance)

Researchers Using Activity-Monitoring Technology to Figure Out How to Keep Employees Healthier
"While many employers have introduced wellness programs to encourage workers to exercise and lose weight, few have tried to figure out ways to make office work itself less sedentary." (MIT Technology Review)



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Jeanette Hull, News Editor
David Rhett Baker, J.D., Editor and Publisher
Lois Baker, J.D., President
Holly Horton, Business Manager

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