ERISAPros News

Don’t Lament, “I Could Have Done More”

Employers are often surprised to learn they are liable for ERISA statutory penalties associated with participant document requests even though they have retained an insurance company or TPA to administer their ERISA welfare benefits plans. Generally, only the Plan Administrator, as defined by ERISA, can be […]

By |January 1st, 2019|

2019 Limits for Welfare Benefit Plans

The IRS has released the 2019 inflation-adjusted limits for certain welfare benefit plans and the amounts used for discrimination testing.

The salary reduction limitation for health flexible spending account coverage for 2019 is $2,700, an increase of $50 over the amount for 2018.

The 2019 health savings account (“HSA”) limit will increase […]

By |December 1st, 2018|

Form W-2 Reporting of Employer-Sponsored Health Coverage

The ACA requires large employers to report the total cost of employer-sponsored group health coverage on employees’ W-2s, which are due to employees by January 31, 2019. Reporting the cost of health care coverage on the Form W-2 does not mean that the coverage is taxable. It is for informational purposes only […]

By |December 1st, 2018|

Health Plans Must Explain Reasonable and Customary

Lawsuits from non-network providers have been on the rise recently due to the sharp rise in their billing rates, more providers moving out-of-network, and self-insured health plans reducing reimbursement rates. One of the ways that health plans have curtailed out-of-network reimbursement rates is through reasonable and customary reductions. A health plan […]

By |November 1st, 2018|

Bipartisan Legislation to Protect Against Surprise Medical Bills

Concern over surprise medical bills—those from out-of-network physicians that patients had no role in choosing—has grown tremendously in recent years.  Some states have taken steps to mitigate this problem. However, these measures do not apply to the roughly half of Americans enrolled in self-insured health plans because ERISA precludes states from […]

By |October 1st, 2018|

The Pros and Cons of Telehealth

The term telehealth encompasses clinical diagnosis, education, management, and the monitoring of health via technology. It is not a specific service, but rather an umbrella term for a variety of strategies to enhance medical care delivery.

The greatest advantage of telehealth is ease of access. Patients can quickly and easily speak with doctors […]

By |October 1st, 2018|

Q&A on Employer Shared Responsibility Provisions Under the ACA

The IRS answers FAQs regarding The Affordable Care Act’s employer shared responsibility provisions related to:


  • Basics of the Employer Shared Responsibility Provisions
  • Employers Subject to the Employer Shared Responsibility Provisions
  • Identification of Full-Time Employees
  • Offers of Coverage
  • Affordability and Minimum Value
  • Liability for the Employer Shared Responsibility Payment
  • Calculation […]
By |September 4th, 2018|

Does Your Parental Leave Policy Pass the Smell Test?

Last year the EEOC sued cosmetics and fragrance giant Estée Lauder, claiming its parental leave policies discriminated against men. Estée Lauder provided eligible new mothers with six weeks of paid parental leave for child bonding (in addition to leave for recovery for childbirth), but it only offered new fathers two […]

By |September 4th, 2018|
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