Category Archives: employer-sponsored group health plans

Discussion About Prescription Drug Coverage Grows With Awareness of Opioids, Contraceptives, Spiking Prices

In the past year, legislators, employers, the media and healthcare consumers have focused on a variety of topics related to prescription drug coverage and use. The opioid epidemic sweeping the country, changes in access to contraceptives and the rising prices of prescription drugs have all contributed to a renewed interest in how insurance plans cover prescription drugs and how health care consumers use them. Continue reading

Posted in compliance, contraceptive mandate, employee benefits, employer-sponsored group health plans, health care, health care costs, health care price transparency, prescription drug prices, Supreme Court | Tagged , , , , , , , | Leave a comment

Uncertain Future for Upcoming Supreme Court Cases

With the death of Justice Scalia on February 13, the Supreme Court has been thrown off-balance. Continue reading

Posted in ACA, Affordable Care Act, employer-sponsored group health plans, ERISA, Supreme Court | Tagged , , , , , , , | Leave a comment

Professional Employment Organizations and Service Contract Act Compliance

A Professional Employment Organization (PEO) that employs and leases employees back to a prime contractor subject to the Service Contract Act (SCA) is considered a subcontractor under the provisions of SCA and therefore subject to the full compliance of The … Continue reading

Posted in compliance, employee benefits, employer-sponsored group health plans, federal contractors, fringe benefits, government contractors, Service Contract Act | Tagged , , , , | Leave a comment

EEOC Lawsuit Probes Intersection Between ADA, Wellness Programs

A new case out of the U.S. District Court for the Western District of Wisconsin tested the boundaries of the Americans with Disabilities Act (ADA) with respect to employer wellness programs. Continue reading

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Premium Increases Slow, Out-of-Pocket Expenses Rise in 2015

A Kaiser Family Foundation survey found that while premiums have only risen about 4 percent in 2015 on average, deductibles have been rising faster than total health costs—and faster than wages. On average, deductibles have risen about seven times faster than wages, which have stayed relatively flat. Continue reading

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Are You Ready for a DOL Audit of Your Employee Health Plan?

Will your employee benefit plan stand the test of a Department of Labor (DOL) audit or criminal investigation? The DOL’s Employee Benefits Security Administration closed 365 criminal investigations in fiscal 2014, representing a nearly 30 percent increase since fiscal 2010. … Continue reading

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Senators: Model Government Contractors Offer Health and Welfare Benefits

On May 15, 18 senators sent a letter to President Obama calling for changes to federal contracting to make the federal government a “model employer.” In the letter, the senators urge the president to encourage contractors to “create middle class … Continue reading

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