New federal guidance addresses pandemic-related extended deadlines for electing COBRA health care continuation coverage and for filing health plan claims and appeals, for instance, but some warn the new relief will be administratively burdensome for employers and plan administrators.
The Biden administration is reviewing Trump administration final regulations with an eye toward replacing many that address employer-sponsored health and retirement plans, and has frozen all proposed regulations pending their review.
A Supreme Court ruling that allows individual states to enact laws regulating pharmacy benefit managers’ (PBMs’) prices for prescription drugs will require health plans covering employers in multiple states to comply with different drug pricing rules from state to state.
The IRS is raising the fee that health insurers or self-insured health plan sponsors will pay in 2021 to fund the federal Patient-Centered Outcomes Research Institute (PCORI) trust fund. The annual fee, calculated based on the number of plan enrollees during the preceding year, is due to the IRS by July 31.
The Department of Labor (DOL) has updated a tool to help large employers comply with the Mental Health Parity and Addiction Equity Act, which requires that health plan limits on mental health treatment are not more stringent than those for physical care.
Financial incentives remain pivotal to workplace wellness programs and influence program participation and outcomes, new research shows, as employers await revised rules on acceptable incentives from the Equal Employment Opportunity Commission (EEOC).