News 2017-08-20T09:17:05+00:00

ERISAPros News

Well Drafted Plan Document Saves Self-Insured Medical Plan Over $350,000

“A self-insured medical plan included an anti-assignment provision that prohibited a health care provider from suing on behalf of a participant. The court found the anti-assignment clause to be valid and enforceable. This case highlights the value of a well drafted plan document. Employers sponsoring self-insured plans are encouraged to […]

By | September 19th, 2017|

COBRA and Severance Agreements: A Gift or a Curse?

COBRA“If the individual is left enrolled as an active employee, fully-insured employers may risk violating the medical plan eligibility requirements in their insurance contract. Similarly, self-funded employers may violate the coverage provisions of their stop-loss agreement. Consequently, failure to offer COBRA can […]

By | September 2nd, 2017|

Updated SBC Templates Apply for 2018 Open Enrollment

“Given the current House and Senate ‘repeal and replace’ ACA legislation, many employers are wondering if they need to take the time to revise their SBCs to comply with the new template and requirements. The short answer is use of the new SBC templates is still required. Both the House-passed […]

By | August 14th, 2017|

Premiums the Big Factor in Health Plan Enrollment

“After eliminating employee premiums for all coverage tiers, HSA-eligible health plan enrollment increased from 4 percent to 25 percent among individuals with employee-only coverage and from 2 percent to 31 percent among individuals with family coverage…. Offering coverage with no payroll deduction attracted individual enrollees who were marginally healthier than […]

By | August 8th, 2017|

Economy Needs Workers, but Drug Tests Take a Toll

“Just a few miles from where President Trump addressed his blue-collar base last Tuesday night, exactly the kind of middle-class factory jobs he has vowed to bring back from overseas are going begging.

It’s not that local workers lack the skills for these positions, many of which do not even require […]

By | August 2nd, 2017|


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Watch our 2 minute introduction.

By | July 10th, 2017|

SPD Was Enforceable Despite Referencing a Nonexistent Plan Document

In litigation involving a health plan reimbursement claim, the Fifth Circuit ruled that a plan’s summary plan description (SPD) could serve as the plan’s “written instrument” under the Employee Retirement Income Security Act of 1974 (ERISA) (that is, the plan document) in the absence of a separate written instrument. The […]

By | July 3rd, 2017|
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