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ERISA is a friend of mineEpisodes
Episodes of ERISA is a friend of mine
Mark All
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When a home’s circuitry goes bust, sometimes you have to rip into the walls to reveal the source of the problem. So too, with medical insurance. With the cost of medical care, and thus medical insurance, trending relentlessly higher, Congress d
In the ERISA world, the collision of COBRA with Medicare is about as brutally taxing mentally as an ultramarathon is physically. Lucky for Ed and Scott, Courtenay Brummer from Lockton’s Mylo division joins the show to help us understand some of
If ERISA compliance were as easy as baking a cake, the establishment of a plan document would be an essential step in the recipe before it goes in the oven. Plan documents are critical to permit proper administration of the plan and, thusly, ke
Lifestyle spending accounts, or LSAs, might be the new darling of employee benefit offerings, but this recent innovation is not without risk. Specifically, these employer-funded notional accounts, that can pay for everything from yoga classes t
At the end of last year, Congress passed a piece of legislation that addressed, among other things, new broker and consultant disclosure requirements that affect all contracts entered into or renewed Dec. 27, 2021 or after. While some disclosur
One of the most vexing aspects of benefit plan sponsorship and administration is hanging on to old records like enrollment forms, claim denials, plan documents, SPDs, ACA filings, etc. So when it comes to record retention, how long is long enou
Poison – the rock band, not the substance – reminded us that every rose has its thorns, and that's certainly true when it comes to telemedicine. Telemed brings primary care and so much more, like substance use treatment and even physical therap
Federal regulators seem to have little hesitancy in asking employer group health plan sponsors to do the near impossible. The near-impossible dream du jour requires employers to certify that their plans comply with mental health parity non-quan
With the COVID-19 delta variant on the rampage, the federal government and many private employers are ramping up vaccination campaigns. Statistics show the unvaccinated are 11 times more likely than the vaccinated to die from the virus. The fed
Hey everybody, the IRS is a little late to ARPA COBRA subsidy party, but it brought tacos! In this season-ending episode of ERISA is a friend of mine, Ed and Scott take us page-by-page through the IRS’s 41 pages of 86 FAQs on how the ARPA COBRA
More and more employers are turning to “voluntary benefits” to supplement their traditional group offerings, but what does the term voluntary benefits really mean? Aren’t all benefits “voluntary”? Join host Scott Behrens and his trusty sidekick
There's a near $3 billion pot o' gold up for grabs for employers (and their employees) who purchased Blue Cross Blue Shield (BCBS) insurance policies or used BCBS to administer claims under self-funded plans between 2008 and 2020. But before yo
Almost 75 years ago, Jackie Robinson became one of major league baseball’s greatest players, but only because he was given a chance to play. In the substantially nondiverse world of employee benefits insurance and brokerage, minority-owned busi
With all the new benefits compliance challenges employers face this year, Ed and Scott take something of a breather to revisit an old friend. Corporate wellness programs are now fully entrenched in corporate America, still operating under the v
When it rains it pours…and whoa, is it raining this year! Not since…well, ever…have benefits plan sponsors seen a year like 2021, not just in terms of the decisions they need to make and things they must do now, but also in terms of what they m
The recent American Rescue Plan (ARP) resurrected an old nemesis for employers: Employer-fronted, taxpayer-reimbursed COBRA subsidies. These subsidies, available from April through September of this year, are available to individuals who lost e
Employer group health plan sponsors are already choking on skyrocketing prescription drug costs, and now states are adding insult to injury. But wait, doesn’t ERISA’s thick shield of preemption deflect state laws that directly or even indirectl
Whoa, Nellie! What was THAT that just happened in Georgia? The Democrats — not to their surprise but to the surprise of some others — have captured the two U.S. Senate seats for Georgia in special run-off elections, and that changes everything
More and more employers are looking to provide health insurance to contractors, franchisees, agents, and employees of other inadequately related employers under a single umbrella. They continue to bump into a near 50-year-old barrier – multiple
Eight years ago, the Supreme Court barely upheld the constitutionality of the Affordable Care Act’s individual mandate, justifying the mandate’s penalty as a tax. Fast forward to 2020, and the Supreme Court is again deciding the fate of the ind
Prescription drug costs, particularly for specialty drugs, pose a significant financial threat to employer group health plans. But what if those group plans could “clip” manufacturer coupons given to plan members to reduce the plan’s payment?
It’s election day eve and healthcare remains a priority as America votes in 2020. We may not know exactly which horse will win the race, but thanks to Scott’s time on The Hill we have a pretty good idea of how health care policy could play out,
Surprise medical bills are a well-known problem within the U.S. healthcare system, but a few bad actors are playing an even more sinister trick on healthcare consumers and employer group plans. Scott and Ed welcome Jennifer Hill, Senior Clinic
More than 50 years after Title VII barred discrimination for a multitude of reasons, including sex, a new Supreme Court ruling has shed light on the scope of the prohibition on sex-based discrimination: Does it extend to a person's sexual orien
What exactly is the “lost ark” of ERISA? Ed and Scott welcome Lockton’s very own tomb raider, Jay Kirshbaum, J.D., LLM, to find out. Together they decode a recent private letter ruling (PLR) from the IRS to discover a surprise lever that may al
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