Eating Disorders and Information Requests under the MHPAEA

in Health Benefits, Welfare Benefits

On June 16, a new FAQ was released and additional steps were taken towards increasing disclosures to participants with respect to mental health/substance abuse benefits.  The FAQ confirms that eating disorders are a mental health condition and, therefore, the treatment of eating disorders is a mental health benefit under MHPAEA.  The Departments also requested comments on whether additional clarification is needed on how MHPAEA applies to this treatment.

Perhaps of more consequence to plan...Continue Reading

The Fiduciary Rule – Bark or Whimper?

in Qualified Plans, Retirement Plans

The Fiduciary Rule will become applicable on June 9, causing registered investment advisers, broker dealers, and certain other service providers to retirement plans and IRAs to become subject to the standards of conduct required of ERISA fiduciaries and the prohibited transaction rules of ERISA and the Internal Revenue Code (Code) with respect to investment advice provided to 401(k), pension, or other plans subject to Title I of ERISA (ERISA Plans) and their participants, as well as IRA...Continue Reading

Ninth Circuit Issues Shocking Opinion Concerning Health Care Provider ERISA Claims

in Court Cases, Health Benefits

The Ninth Circuit Court of Appeals is not known for being employer-friendly.  So, when the Ninth Circuit issued its latest opinion on health care provider ERISA claims, most thought it would be against employer-sponsored health plans.  But, in a shocking opinion, the Ninth Circuit dealt health care providers a serious (and possibly fatal) blow to their recent crusade to use ERISA to pursue claims for reimbursement against employer-sponsored health plans.

In DB Healthcare v. Blue Cross Blue...Continue Reading