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BenefitsLink Health & Welfare Plans Newsletter

April 9, 2014

Employee Benefits Jobs

Cash Balance Actuary
Trinity Pension Consultants, Inc.
in OH

Client Service Representative
Associated Pension Consultants
in CA

Regional Sales Manager
Pension Consultants, Inc
in TN

Retirement Plan Case Manager
Professional Service Firm
in FL

Relationship Manager
Trinity Pension Consultants, Inc.
in OH

Actuarial Analyst
Trinity Pension Consultants, Inc.
in OH

Senior Pension Administrator
Primark Benefits
in CA

DC Investment Specialist
T. Rowe Price
in MD

Sr Mgr, Product Management & Development
T. Rowe Price
in MD

Jr. Benefits Analyst
Directors Guild of America - Producer Pension and Health Plans
in CA

Benefits Account Manager
Progressive Benefit Solutions, A Marsh & McLennan Agency LLC company
in NC

Retirement Plan Analyst
Trinity Pension Group, LLC
in NC

Manager, Retirement Plans Administrative Services
Ameritas Life Insurance Corp.
in OH

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Webcasts and Conferences

Multi-State Taxation: What Every Payroll Professional Needs to Know
April 8, 2014 WEBCAST
(Clear Law Institute)

Complying with COBRA
April 8, 2014 WEBCAST
(Clear Law Institute)

Employee Benefits for Same-Sex Partners
April 8, 2014 WEBCAST
(Clear Law Institute)

Intermittent Leave Under FMLA
April 16, 2014 WEBCAST
(Clear Law Institute)

2014 Ethics Case Studies One
April 16, 2014 WEBCAST
(McKay Hochman Co., Inc.)

Unleash Your Own Superpowers
April 17, 2014 WEBCAST
(Women in Pensions Network)

Affordable Care Act Compliance Assistance - Part II: Notice to Employees of Coverage Options -- Recorded
April 18, 2014 WEBCAST
(Employee Benefits Security Administration (EBSA), U.S. Department of Labor)

Legislative and Regulatory Update - What's New Out of Washington, DC
April 22, 2014 in TX
(ASPPA Benefits Council of Central Texas)

Retirement Plans Trifecta
April 23, 2014 in TX
(ASPPA Benefits Council of Texas Gulf Coast)

PPA Pre-Approved Plans Workshop - Corbel and PPD Documents - Minneapolis
May 7, 2014 in MN
(SunGard Relius)

401(k) Plan Workshop 2014 - Syracuse
May 8, 2014 in NY
(SunGard Relius)

401(k) Plan Workshop 2014 - Cincinnati
May 8, 2014 in OH
(SunGard Relius)

401(k) Plan Workshop 2014 - Minneapolis
May 8, 2014 in MN
(SunGard Relius)

Realizing Greater Value: Building on Private Sector Successes
May 9, 2014 in DC
(U.S. Chamber of Commerce)

Tax Forms Workshop: 5500 and More - Syracuse
May 9, 2014 in NY
(SunGard Relius)

Tax Forms Workshop: 5500 and More - Cincinnati
May 9, 2014 in OH
(SunGard Relius)

Tax Forms Workshop: 5500 and More - Minneapolis
May 9, 2014 in MN
(SunGard Relius)

Navigating the ADA Interactive Process
May 13, 2014 WEBCAST
(Clear Law Institute)

Health FSAs and HRAs After Health Care Reform
May 30, 2014 WEBCAST
(Lorman Education Services)

Performance-Based Executive Compensation: Governance and Litigation Considerations for Employers, Directors, Institutional Investors and Their Counsel
June 25, 2014 WEBCAST
(Practising Law Institute)

Western Benefits Conference
July 27, 2014 in NV
(American Society of Pension Professionals & Actuaries (ASPPA))

2014 NAGDCA Annual Meeting
September 14, 2014 in TX
(National Association of Government Defined Contribution Administrators)

View All Webcasts and Conferences


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Hand-picked links to the web's best news articles,
official guidance, jobs, webcasts and more.
[Guidance Overview]

Final 2015 Letter to Issuers in the Federally-Facilitated Marketplace: Access and Non-Discrimination Considerations
"The final letter indicates that CMS will conduct reasonable access reviews, but depending on whether actual network membership does or does not have to be submitted, it is not clear how these reviews will proceed or the standards that the agency will use.... CMS clarifies in the final letter that the agency will limit its oversight to cost sharing design aspects of qualified health plans sold in the exchange Marketplace and will not consider limitations and exclusions, discriminatory benefit definitions, or discriminatory definitions of key over-arching terminology such as the plan's medical necessity definition[.]" (Health Reform GPS)


[Advert.]

New E-Learning Course: Medicare Basics

Sponsored by International Foundation of Employee Benefit Plans [IFEBP]

Enroll now in Medicare Basics, a self-paced e-learning course that provides employers with a comprehensive overview of Medicare benefits and explains how Medicare coordinates with existing employer-sponsored health care plans. Enroll Now!



[Guidance Overview]

Transitional Reinsurance Program Modified
"Plan sponsors can determine the financial impact from the Transitional Reinsurance fees for the 2014, 2015, and 2016 benefit years. Administrators can review their methodology for counting covered lives to determine the fees. Plans that are both self-administered and self-insured can evaluate if they are exempted from the 2015 and 2016 fees." (Cheiron)

Group Benefits and the Defined Contribution Model (PDF)
"More companies are moving toward a defined contribution (DC) benefits model in the wake of health care reform ... Employees would allocate over half of their benefits dollars to health insurance... Brokers believe employees will spend more on health care benefits, while at the same time employers will add voluntary coverage." (Prudential Group Insurance)

Court Holds Employees May Decline to Use Family and Medical Leave
"[T]he court rejected the argument that simply mentioning a FMLA-qualifying reason for an absence triggers the laws' protections and then requires an employee and employer to treat the absence as covered. Instead, the court held that an employee legally may defer using FMLA/CFRA leave, without giving rise to an impermissible waiver or denial of leave." [ Escriba v. Foster Poultry Farms, Inc. , No. 11-17608 (9th Cir. Feb. 25, 2014)] (Nixon Peabody LLP)

GFOA Publishes Best Practice on Developing a Process for Complying with the ACA
"In the [Best Practice (BP)], the [Government Finance Officers Association (GFOA)] offers guidance for state and local governments that sponsor group health plans with regard to implementing a process for monitoring federal health care requirements under the [ACA]. The BP encourages plan sponsors to establish a monitoring process that, on at least a quarterly basis, will: [1] ensure compliance with the ACA; [2] implement appropriate and cost-effective benefit options for employees and retired members; and [3] avoid financial penalties for non-compliance." (Gabriel, Roeder, Smith & Company)


[Advert.]

ACI's 5th Annual Forum on Managed Care Disputes & Litigation

Sponsored by ACI [American Conference Institute]

MCOs struggle to fight off rampant litigation centered on: antitrust violations, complex class actions, Medicare Advantage challenges and much more. Gain best practices & advanced strategies for handling the most complex litigation challenges facing MCOs.



HHS Release of Medicare Data Gives Consumers Transparency on the Medical Services Physicians Provide and How Much They Are Paid
"The new data set has information for over 880,000 distinct health care providers who collectively received $77 billion in Medicare payments in 2012, under the Medicare Part B Fee-For-Service program. With this data, it will be possible to conduct a wide range of analyses that compare 6,000 different types of services and procedures provided, as well as payments received by individual health care providers." (U.S. Department of Health and Human Services)

Slowing Health Costs Thwart Fed's Inflationary Medicine
"A welcome relief from rising health-care costs for U.S. consumers is being less warmly received at the Federal Reserve. The slowdown is frustrating the efforts of Chair Janet Yellen and her colleagues to lift inflation out of the doldrums, suggesting they will need to press on with record-low interest rates.... The cost of health-care services rose just 0.8 percent in February from a year earlier, compared with an average 2.6 percent pace in the prior 10 years. Prices of medical goods such as prescription drugs rose 2.2 percent, down from the 10-year average of 2.7 percent." (Bloomberg)

U.S. Insurers Still Expect Cuts in 2015 Medicare Payments
"U.S. health insurers said on Tuesday they still expected cuts in government reimbursements for privately managed Medicare health plans for the elderly next year even after the Obama administration rolled back the steepest reductions. The government agency that oversees Medicare said late on Monday that on average, reimbursements to insurers for private Medicare plans would rise 0.4 percent, reversing what it said was a proposed cut of 1.9 percent." (Reuters)

Sliver of Medicare Doctors Get Big Share of Payouts
"A tiny fraction of the 880,000 doctors and other health care providers who take Medicare accounted for nearly a quarter of the roughly $77 billion paid out to them under the federal program, receiving millions of dollars each in some cases in a single year, according to the most detailed data ever released in Medicare's nearly 50-year history.... While more money by far is spent for routine office visits than any other single expenditure, one of the most heavily reimbursed procedures -- costing a total of $1 billion for 143,000 patients -- is for a single treatment for an eye disorder common in the elderly." (The New York Times; subscription may be required)


[Advert.]

Get the App! BenefitsLink app for iPad, iPhone and iPod touch now available!

Sponsored by BenefitsLink

Stay up-to-date while you're on the go with the BenefitsLink App -- now available for iPad, iPhone 5, and iPod touch.



Early Drug Claims Suggest Exchange Plan Enrollees Are Sicker Than Average
"[An] analysis of the first two months of claims data shows the new enrollees are more likely to use expensive specialty drugs to treat conditions like HIV/AIDS and hepatitis C than those with job-based insurance. The sample of claims data -- considered a preliminary look at whether new enrollees are sicker-than-average -- also found that prescriptions for treating pain, seizures and depression are also proportionally higher in exchange plans[.]" (Kaiser Health News)

Fewer Americans Struggling With Medical Debt
"The percentage of people under age 65 who were in families having problems paying medical bills fell to 19.8% in the first 6 months of 2013 ... The same report from 2 years prior said 21.7% of people were in families struggling with medical-related debt." (MedPage Today)

[Opinion]

Health Insurance Reform Under the ACA: Rube Goldberg Survives
"The precise number of signups doesn't matter much for the functioning of the law, and there may still be many problems despite the March surge. But ... they're missing the forest for the trees. The crucial thing to understand about the Affordable Care Act is that it's a Rube Goldberg device, a complicated way to do something inherently simple. The biggest risk to reform has always been that the scheme would founder on its complexity. And now we know that this won't happen.... [G]iving everyone health insurance doesn't have to be hard; you can just do it with a government-run program." (Paul Krugman in The New York Times; subscription may be required)

[Opinion]

Here's How to Repeal the Employer Mandate and Cut the Deficit (And Then Some)
"The goal of health care reform isn't only to insure more people -- it's to make health insurance personal and inject more consumerism into the market. Mandating employers to cover workers, fining them if they don't, and then taxing them on benefit packages that will be offered by three-quarters of employers in 2029, is about as insane as it gets. As such, Obamacare reformers -- both Democrat and Republican -- have their work cut out for them, and should be looking to eliminate entirely the requirement for employer sponsored coverage." (Forbes)

Benefits in General; Executive Compensation

Aging Workforce Requires New Strategies for Employee Retention
"In a case study of the state of Missouri's Deferred Retirement Option Provision (BackDROP), [Angela Curl, assistant professor in the University of Missouri School of Social Work] concluded that states may need to restructure deferred retirement incentives to encourage more employees to remain on the job longer and minimize the disruption to government operations." (News Bureau, University of Missouri)

Spring Cleaning Series: Self-Auditing by Employee Benefit Plans
"A self-audit should, at a minimum, focus on issues of particular importance to the IRS and DOL. While the actual retirement or health plan documents and records are very important, the IRS and DOL are also expanding their retirement plan focus to the people behind the plans by looking closely at internal controls in plan operations (on the IRS side) and fiduciary training (on the DOL side). The IRS and DOL will generally pursue a more thorough audit or examination of plans with weak or unclear internal control and fiduciary structures." (Quarles & Brady LLP)

IRS Releases Revised Form W-8BEN-E
"W-8BEN-E is now six pages long and includes more than 20 new FATCA entity classification types with the corresponding FATCA certification for each type. The updated Form W-8BEN-E is designed to assist the U.S. payor with classifying a foreign payee for purposes of property applying the withholding and reporting rules for both existing U.S. withholding rules under Chapter 3 [of the Internal Revenue Code] and the FATCA-enacted withholding rules under Chapter 4." (Schneider Downs)

Proxy Season 2014 Update: Proxy Vote Injunction Lawsuits
"While the number of filed proxy injunction lawsuits appears to be dropping and one would think that the unbroken string of court decisions against plaintiffs alleging breaches of fiduciary duty with respect to proxy vote disclosures might bring an end to these types of actions, it is not clear that this will be the case, based on the number of investigations that have been launched and the number of non-public demands for settlement that have been made this year. So again this proxy season, companies, especially those submitting equity plan proposals to shareholder votes, need to continue to be vigilant[.]" (The Conference Board)

The Case for Executive Benefits Benchmarking (PDF)
"This shortcoming in benchmarking strategies occurs when benefits are left out of the Total Rewards conversation, perhaps because providers of executive benefit services, and the consultants who help companies sort through their plans, historically haven't offered analytics for measuring benefits and their outcomes as part of retirement income. Yet this oversight begs the question: 'If benefits aren't compensation, what are they?'" (Fulcrum Partners, LLC)

Rebalancing Risk in Executive Reward
"[T]he phenomenon of 'loss aversion' (people's tendency to fear loss more than they appreciate gains) ... helps to explain why an executive compensation package that carries little risk can have a higher perceived value than one where both the gains -- and the risks of not achieving those gains -- are higher. Given that employers generally want to pay for performance, their challenge is to find that sweet spot where the perceived value of the package they're offering is higher than that of the competition. The way to do this is to base the comparison on a single number: the certainty equivalent." (HayGroup)

Press Releases

Parker Brown Macaulay & Sheerin Welcomes Melanie Aska Parker Brown Macaulay & Sheerin , P.C.

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