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Apr 17
1 min

Supreme Court to Again Consider Affordable Care Act

In early March, the Supreme Court announced that it will again hear arguments regarding the constitutionality of the Affordable Care Act....

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Ledbetter Parisi LLC

Feb 29
1 min

Defining “Medically Necessary”

While health plans must provide medical benefits in accordance with a multitude of federal laws such as the Affordable Care Act, Mental H...

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Ledbetter Parisi LLC

Feb 16
1 min

PBGC Approves Pension Plan Merger

The Pension Benefit Guaranty Corporation (PBGC) announced in January that it has approved a facilitated merger of two multiemployer pensi...

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Ledbetter Parisi LLC

Jan 28
1 min

Congress Bails Out Coal Miner Pensions

In mid-December, Congress passed and President Trump signed the Bipartisan American Miners Act, a bill intended to rescue the multiemploy...

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Ledbetter Parisi LLC

Jan 14
1 min

Costs Continue to Rise in 2019, for Both Private Health Plans and Participants

Private health insurance costs have skyrocketed this decade. The Kaiser Family Foundation recently reported that private health insurance...

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Ledbetter Parisi LLC

Jan 1
1 min

PBGC Releases Dire Annual Report

The Pension Benefit Guaranty Corporation (PBGC) recently released its Fiscal Year 2019 Annual Report. The PBGC acts as an insurer and gua...

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Ledbetter Parisi LLC

Dec 30, 2019
1 min

Cigna Introduces Gene Therapy Payment Program

Many health plans are struggling over the decision to cover gene therapies, a type of medical procedure which treats diseases by manipula...

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Ledbetter Parisi LLC

Dec 25, 2019
1 min

Wellness Benefits to Consider

More and more health plans are providing low- or no-cost wellness benefits. While this may be an upfront cost to plans, it often reflects...

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Ledbetter Parisi LLC

Dec 18, 2019
1 min

DOL Updates SBC Guidelines

In November 2019, the DOL issued new templates and instructions for completing Summaries of Benefits and Coverage (SBCs). As a reminder, ...

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Ledbetter Parisi LLC

Dec 11, 2019
1 min

Inadequate Cyber Security Leads to Theft of Retirement Account

The cyber security of health plan information is often at the forefront of many plan sponsors’ minds because of the strict requirements o...

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Ledbetter Parisi LLC

Dec 1, 2019
1 min

Plan Penalized $41,140 for Failing to Furnish Documents

ERISA requires that, in response to a request from a participant or beneficiary, a plan must furnish certain documents within 30 days. Th...

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Ledbetter Parisi LLC

Nov 21, 2019
1 min

Proposed Rule on Electronic Delivery of Retirement Materials

In response to an executive order directing the agency to lighten regulatory burdens on retirement plans, the Department of Labor (DOL) p...

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Ledbetter Parisi LLC

Oct 31, 2019
1 min

EBSA Reorganization Suggests More Uniformity

The Employee Benefits Security Administration (EBSA) is the agency under the Department of Labor that administers, regulates, and enforce...

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Ledbetter Parisi LLC

Oct 17, 2019
1 min

Complicated SPD May Violate ERISA

In a recent case from the Second Circuit, the court took a look at a health plan’s combined Plan Document/SPD and determined it failed to...

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Ledbetter Parisi LLC

Oct 7, 2019
2 min

Deficient COBRA Election Notices

COBRA is the federal law that requires employees and beneficiaries to have the opportunity to continue health benefits after experiencing...

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Ledbetter Parisi LLC

Sep 26, 2019
1 min

Fewer Spouses Covered by Health Plans

Many health plans, on the constant endeavor to reduce the costs of health benefits, are discouraging spouses from enrolling in their plan...

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Ledbetter Parisi LLC

Sep 16, 2019
1 min

Gross Misconduct Under COBRA

Health plans subject to COBRA must offer COBRA continuation coverage when certain events occur that trigger a participant to lose coverag...

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Ledbetter Parisi LLC

Sep 9, 2019
1 min

Pension Litigation Over Actuarial Assumptions

Two law firms have recently filed a total of nine class action lawsuits arguing that certain pension plans are miscalculating optional fo...

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Ledbetter Parisi LLC

Aug 28, 2019
1 min

House Passes the Rehabilitation for Multiemployer Pensions Act

In late July, the House passed the Rehabilitation for Multiemployer Pensions Act, also known as the Butch Lewis Act, in a 264-169 vote. S...

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Ledbetter Parisi LLC

Aug 15, 2019
1 min

California Federal Court Declares Independent Medical Reviewer a Fiduciary

ERISA holds plan fiduciaries to incredibly high standards— fiduciaries must act in the exclusive interest of the participants, and for th...

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