Use Wrap–Tight sm online to produce ERISA wrap welfare benefit plans and SPDs.
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“HHS has announced two major settlements it has reached with covered entities to resolve alleged violations of the HIPAA Privacy and Security Rules. The terms of each settlement agreement require the covered entity to pay a multimillion dollar penalty to HHS and implement a corrective action plan.” Read the details: […]
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 […]
“The stories of an employer and a long-term disability insurer and claims fiduciary for an ERISA plan, defendants in two recent cases, ring so true. In the first case the insurer was designated as claims fiduciary for an employer’s long-term disability plan, and ended up in litigation with the least […]
“If the initial qualifying event that triggers an individual’s COBRA rights is terminating employment or reducing hours of employment, subsequent qualifying events may result in an extension of the maximum COBRA coverage period for certain qualified beneficiaries…. Note that a covered employee is not a qualified beneficiary with respect to […]
“Many incentive or bonus plans make payments or deliver stock within 2-1/2 months after the end of the year the participant became vested in order comply with the short-term deferral exception of Code Section 409A. However, some incentive plans provide for accumulations, multi-year periods, and mandatory deferrals. These plans may […]
“A string of cases in the Second Circuit Court of Appeals is putting ERISA claims administrators on notice that falling short of strict compliance with the DOL’s claims and appeal regulations may cost administrators a deferential standard of review…. Under the DOL’s final regulations governing disability benefit claims, if a […]
“Both the IRS and DOL comment that improperly completed Form 5500s will increase the probability that they may take a closer look at plan matters. This article includes a short list of considerations and questions aimed at helping plan sponsor employers avoid government investigation otherwise prompted by a ‘wrong’ answer […]
“Notwithstanding that the right to convert to an individual insurance policy had long since expired, the court crafted a remedy under ERISA that imposed a surcharge on the employer equal to the $750,000 in life insurance that the physician employee would have elected to convert to an individual policy but […]
“Maine faced similar challenges in 2011 as it sought to unwind failed experiments that pushed its market into a long-term death spiral. But by creating an invisible high-risk pool and relaxing its premium rating bands, Maine policymakers were able to cut premiums in half while still guaranteeing those with pre-existing […]