Open enrollment season is coming soon, so now is a great time for employers to take a fresh look at their health care benefits. To help with this, Mercer has published “Top 10 Compliance Issues for 2020 Health and Fringe Benefit Planning.” Recent lawsuits can also inform employers about how to design benefits and what to look for from providers. Employers want to lower health benefit costs, and strategies to do so already exist, according to Dave Chase, co-founder of Health Rosetta. Employers also need to prepare their communications and education materials. Lively, a health savings account (HSA) platform for employers and individuals, found many employees do not understand their health care benefits, which could prevent them from selecting the best plan to fit them and to not use their benefits properly. This could lead to higher costs for both employers and employees. This edition of PLANSPONSOR Weekend is designed to help plan sponsors as they review their health benefit offerings.
The lawsuit says the so-called “incentive” Yale offers for participating in the wellness program are in fact a “penalty” that violates non-participants’ right, and it notes that the Equal Employment Opportunity Commission (EEOC) withdrew the incentive portions of its wellness program rules.Read more >
An appellate court decision and an amicus brief filed in the case by the Department of Labor (DOL) emphasize plan sponsors’ duty to monitor what health plan providers or third-party administrators (TPAs) are doing.Read more >
Employers can lower their health benefits spend, as well as costs for employees, by moving away from preferred provider organizations (PPOs), utilizing value-based care and using benefits consultants instead of traditional brokers.Read more >
The IRS has issued guidance allowing high-deductible health plans (HDHPs) with health savings accounts (HSAs) to cover specified medications and services used to treat chronic diseases prior to meeting the plan deductible.Read more >