Tag: benefits

Is a COBRA Notice ‘Postcard’ Too Far From the Edge of Compliance?

Postcards are designed to provide a brief message, but it will be interesting to learn if such brevity is sufficient to adequately notify an individual of COBRA continuation coverage rights — particularly when the law identifies at least 14 content requirements for COBRA election notices. In a recent court case, an employer/plan administrator faced with […]

New EFT Standards Issued for Health Plans Paying Claims

A mandatory uniform standard for health plans to pay claims electronically was adopted in rules issued Jan. 5 by the U.S. Department of Health and Human Services (HHS). The rules are designed to help health care providers match payments received with the “remittance advice” transactions that plans are already sending them under an existing HHS […]

Nearly $23K in COBRA Penalties Assessed Due to Dearth of Evidence on Notice Procedures and Breadth of Misleading Info

A recent court case highlights two crucial issues in administering COBRA continuation coverage: (1) a plan administrator has the sole legal obligation to prove compliance with COBRA’s notice rules — it cannot pass the buck to third-party administrators; and (2) lack of sufficient evidence on COBRA notice procedures can be a costly mistake. Recently, an […]

HHS Solicits Comments on Essential Health Benefits

An important component of health reform implementation is the imposition of an “essential benefits” package (of health goods and services that insurers of groups and individuals must cover). Under the Patient Protection and Affordable Care Act (PPACA), that benefit package will be de rigueur (1) for policies sold on exchanges and (2) insurers of small […]

Another Boon for Wellness Benefits: Revealing Employees’ Unanticipated Disease Risks

Employers — and employees — may find wellness benefits an even more welcome offering, a recent study suggests. A Quest Diagnostics study found that more than 1 out of 3 employees who took employer-sponsored lab-based wellness tests were unaware they were at high risk for a serious medical condition. The study, Value of Laboratory Tests […]

‘Unique Interactive Process’ for ADA Key to Appeasing EEOC

EEOC is coming after anyone not using a unique interactive process, says attorney Stacie Caraway. They want to see one-on-one engagement. Caraway, of counsel with Miller & Martin in Chattanooga, Tennessee, joined Dinita James, partner with Ford & Harrison in Phoeniz, Arizona, and moderator Charles Plumb, a partner with McAfee and Taft in Tulsa, Oklahoma, […]

Wellness Discounts of $60-$120/Month Drive High ROI

Jeppesen and Dent made their comments at the SHRM Annual Conference and Exhibition held recently in Las Vegas, Nevada. Jeppesen, who is SPHR certified, is senior VP, Human Resources of Larry H. Miller Group of Companies; Dent is a senior consultant for ACAP Health in Dallas Texas. Costs of Health Care with Wellness in Place […]

Why Do Traditional Wellness Programs Fail?

Jeppesen and Dent made their comments at the SHRM Annual Conference and Exhibition held recently in Las Vegas, Nevada. Jeppesen, who is SPHR certified, is senior VP, Human Resources, of Larry H. Miller Group of Companies; Dent is a senior consultant for ACAP Health in Dallas Texas. Has traditional wellness failed? Jeppesen notes that 71% […]

9 Plan Loan Tips from the IRS

By Lisa K Loesel. Loans against a qualified retirement plan can go wrong in a variety of ways, exposing employers and workers to taxes and penalties. But employers and workers can avoid trouble if they remain aware of key factors to prevent the worst from happening. And even if potential violations occur, there are ways […]

A Busy Year for the California Legislature; And Now Employers Must Come Up to Speed

California lawmakers stayed busy throughout the year, passing a number of new wage, hour, leave and anti-discrimination laws.  Here, in no particular order, are some of the biggies that go into effect Jan. 1: Pregnancy Disability Leave All employers with five or more employees will be required, starting Jan. 1, to continue to maintain and […]