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Supreme Court: State regulations on PBM reimbursements to pharmacies not preempted by ERISA

Supreme Court: State regulations on PBM reimbursements to pharmacies not preempted by ERISA

by keyseradmin | Jan 18, 2021 | Compliance, Employee Benefits

By Richard S. Siegel and Jeffrey S. Swyers A recent Supreme Court decision gives states leeway to impose new regulations on pharmacy benefit managers (PBMs), even when PBMs are acting on behalf of ERISA plans. On December 10, 2020, in an 8-0 unanimous decision (with...
Regulations provide cost-sharing change flexibility for grandfathered health plans

Regulations provide cost-sharing change flexibility for grandfathered health plans

by keyseradmin | Jan 18, 2021 | Compliance, Employee Benefits

The DOL, IRS, and HHS have issued regulations to provide greater flexibility for grandfathered group health plan sponsors and insurers to make certain cost-sharing changes without causing a loss of grandfather status. Grandfathered plans are group health plans (or...
Proactive employer measures for avoiding Coronavirus-related benefits litigation

Proactive employer measures for avoiding Coronavirus-related benefits litigation

by keyseradmin | Dec 14, 2020 | Compliance, Employee Benefits, Human Resources

The COVID-19 pandemic has brought about an overwhelming number of changes for employers in the past few months, requiring them to realign their plans and policies to incorporate regulatory changes affecting employee benefits. In this environment, it’s important for...

A new role for Critical-Illness Insurance in the Coronavirus era

by keyseradmin | Oct 14, 2020 | Employee Benefits, Human Resources

  As the COVID-19 pandemic continues, employers and employees should consider the role critical-illness insurance can play in an effective employee benefits package. Traditionally, this type of supplemental coverage provides a fixed, lump sum payout in specific...

Open Enrollment Reminders: Annual Participant Notices

by keyseradmin | Oct 14, 2020 | Compliance, Employee Benefits, Human Resources

For employers operating their group health and welfare plans beginning on or after January 1, now is the time of the year to prepare for open enrollment. Typically, the focus is on evaluating the services and performance of vendors, renewing rates, and considering...
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