Labor Report Urges Study Of A Federal Role In State Workers’ Comp Laws

By Howard Berkes & Michael Grabell, Propublica A “race to the bottom” in state workers’ compensation laws has the Labor Department calling for “exploration” of federal oversight and federal minimum benefits. Read more…
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GOP-led states reject Obama administration’s proposed limit of short-term health plans

By Virgil Dickson Republican-led states are pushing back on a federal proposal to limit the use of short-term health plans. The Obama administration aims to move more healthy people into the Affordable Care Act marketplace by limiting cheaper but less-robust coverage options. Read mor
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What’s bad for health insurers may be good for consumers

By Walecia Konrad After much speculation, it’s official: The U.S. Department of Justice announced last Thursday that it is suing to block health insurer Anthem’s proposed $48 billion acquisition of Cigna and Aetna’s proposed $34 billion acquisition of Humana. The two
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Suit filed against DOL

By Nick Thornton The Department of Labor’s (DOL) finalized fiduciary rule “exceeds the Department’s statutory authority and is arbitrary, capricious, and contrary to law,” according to a lawsuit filed against the DOL and Labor Secretary Thomas Perez in U.S. District Court for the nort
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Size Doesn’t Matter But the Regulators Do

By Adam V. Russo, Esq. (As published in Thompson Information Services’ Employer’s Guide to Self-Insuring Health Benefits)  What is the perfect size for a self-funded plan?  This is one of my favorite questions and I love to ask it at any conference at which I happen to hav
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Four Reasons Why Reference Based Pricing Could Become the Norm for Self-Insured Employer Groups

AmWINS Group, Inc. As self-insured employer groups wrestle with the requirements of the Affordable Care Act (ACA), some are tapping the potential of reference based pricing (RBP) to control costs. Expect this trend to become more common among larger self insureds, especially as proof
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DOL Teams Up with Vermont on the Latest ERISA Preemption Attack

By Mike Ferguson The practice of individual states enacting laws that arguably infringe on ERISA preemption is not new. In fact, some states have become increasingly creative in poking and prodding at the limits of this federal law, which has raised obvious concerns among those involv
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Roundup of DOMA Guidance re: Benefit Plans

Christine P. Roberts The Internal Revenue Service and Department of Labor have in recent months issued initial guidance to employers on the benefit plan consequences of the U.S. Supreme Court’s June 2013 decision in U.S. v. Windsor, 133 S.Ct. 2675 (2013), which ruled Section 3 of the
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Administration to Take Health Exchange Offline for Periods Over Weekend

By: Peter Landers WASHINGTON—The Obama administration said it would take its new health-insurance marketplace offline for several hours over the weekend after technology problems plagued consumers during the first four days of operation. Read More..
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Employers that understand proper utilization can identify the waste and inefficiency in their own employee benefit plans.

By: Sean Donnelly (from The PHia Group, LLC) Some of our client TPAs have been inquiring about methods to drive utilization. Some clients are recognizing that Plans can potentially save a great deal of money by driving Plan Participants to utilization as opposed to traditional methods
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