Welfare Benefit Plan ERISA News
December 2015

 
Bold Predictions About the Future of the Benefits Business (Opinion)
Joe Markland, an industry expert on HR and benefits technology, recently made the following predictions about the future of employee benefits: "[1] HRIS/Benefits Technologies without Payroll will become obsolete.... [2] The majority of employers with fewer than 100 employees will look for a single-source technology and services solution in the future.... [3] There will be dozens of Zenefits-like companies in the market within 6 months.... [4] Small group health insurance commissions will be 50% of what they are today by 2017.... [5] Employers will be out of the health risk business within 3-5 years.... [6] Most health insurance will be individually purchased within 3-5 years.... [7] Provider systems will dominate the health insurance market in 5-10 years." (Joe Markland)
ACA's Automatic Enrollment Provision Repealed
The President recently signed legislation repealing health care reform's automatic enrollment requirement. As background, health care reform required employers that were subject to the FLSA, that had more than 200 full-time employees, and that had one or more health benefit plans to automatically enroll new full-time employees in one of the employer's group health plans and to continue the enrollment of current employees. No effective date had been specified, and later agency guidance had indicated that employers were not required to comply until final regulations were issued. Final regulations were not issued before repeal; therefore, employers were never required to comply with this provision.

ERISA Procedures for Disability Claims
to Get an ACA Makeover

"The Employee Benefits Security Agency (EBSA) of the DOL plans to publish new claims procedures...for adjudicating disability benefits.... Procedures would need to be designed to ensure independence and impartiality of the persons making the decision.... Denial notices would be required to provide a full discussion of the basis for denial and the standards behind the decision.... Claimants would need to be given access to their entire claim file and permitted to present evidence and testimony during the review process." (Jackson Lewis)
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© 2017 ERISAPros, LLC, All rights reserved. Information on ERISAPros' website, its newsletter, “News & Views,” and its blog, “ERISA Wonk,” is published as a general informational source. Information and articles are general in nature and are not intended to constitute legal or tax advice in any particular matter. Blog posts and comments reflect the personal views of their respective authors - not those of ERISAPros. Transmission of this information does not create an attorney-client relationship. ERISAPros, LLC is not a law firm and is not giving legal or tax advice. It does not warrant and is not responsible for errors or omissions in the content on its website or in its newsletters. ERISA is a complicated and confusing law. Summary Plan Descriptions (SPDs), Wrap Plan Documents, and Form 5500s require review and updating by qualified ERISA compliance professionals.

 

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