Posts Categorized: Welfare Benefits

EEOC Issues Two Final Rules Regarding Employer Wellness Programs

in Health Benefits, Welfare Benefits, Wellness Programs

The EEOC issued two final rules today relating to wellness programs, as well as questions and answers, explaining how the ADA and Title II of GINA apply to employer wellness programs that request information from employees and their spouses.  These guidelines provide welcome direction to employers who have faced some uncertainty as to whether they could provide incentives for spouses who participate in their wellness programs and whether their wellness programs comply with the ADA. Here are links to these rules; more detailed information about the requirements of these new rules will be provided shortly. GINA Final Rules:  These FAQs… Continue Reading

Revised SBCs Finalized (for use on or after April 2017)

in Welfare Benefits

Recently, we summarized the proposed revisions to the Summary of Benefits and Coverage template.  This week, the agencies issued the final SBCs and related documents that must be used beginning on the first day of the first open enrollment period that begins on or after April 1, 2017 with respect to coverage for plan years beginning on or after that date.  In other words, for calendar year plans, these revised forms must be used during the open enrollment associated with the 2018 plan year. The final SBC template is substantially the same as the proposed form.  There are some changes… Continue Reading

Disability Claims Procedures Get an Affordable Care Act Makeover

in Welfare Benefits

In light of the volume of litigation involving claims for disability benefits, and the perceived need to improve procedural protections for workers who become disabled, the DOL is updating the disability claims and appeals procedures. Issued today, the newly proposed regulations mirror in large part the rules that are now in place for claims relating to health benefits, as revised under the Affordable Care Act for non-grandfathered health plans. The proposed rules are intended to reduce conflicts of interests by those making the disability benefit claims and appeals decisions. The hiring, compensation, and promotion of individuals adjudicating claims cannot be… Continue Reading