Sixth Circuit Finds De Novo Review Is Warranted When Plan Fails to Follow Plan’s Terms
Words matter and in the case of employee benefit plans, the plan terms matter. In Laake v. Benefits Committee, Western & Southern...
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kprenatt
Sep 6, 20232 min read
Pregnant Workers Fairness Act (PWFA)
The Equal Employment Opportunity Commission (“EEOC”) recently issued proposed regulations to implement the Pregnant Workers Fairness Act...
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kprenatt
Aug 30, 20232 min read
Mental Health Parity Updates
On July 25, 2023, the Departments of Treasury, Labor and Health and Human Services (“Tri-Agencies”) issued proposed rules regarding the...
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kprenatt
Aug 23, 20231 min read
Full and Fair Review: Plans Must “Engage with and Address” Treating Providers’ Recommendations
Plan participants and beneficiaries are entitled to a full and fair review of their claims and adverse benefit determinations. As part...
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kprenatt
Aug 15, 20231 min read
Stay Vigilant: Retirement Savings Funds and Participants are Lucrative Targets
In May 2023, Retirement Clearinghouse LLC (“RCH”) announced a phishing attack that may have exposed individual retirement account...
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kprenatt
Aug 3, 20231 min read
Health Care Services Vendors Subject to Health Breach Notification Requirements - Proposed FTC Rule
The Federal Trade Commission (“FTC”) recently issued a proposal to amend its Health Breach Notification Rule (“Rule”) in light of...
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Ledbetter Parisi LLC
Jul 8, 20231 min read
Breach of Contract Claims Alleged Against Business Associate
In Aspen Am. Ins. Co. v. Blackbaud, Inc., the plaintiff health system filed suit alleging claims of negligence, negligent...
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Ledbetter Parisi LLC
Jun 30, 20231 min read
Calculating FMLA Leave- Holiday Edition
The Department of Labor (“DOL”) issued an opinion dated May 30, 2023, relating to calculating the amount of leave an employee uses when...
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kprenatt
Jun 23, 20231 min read
General Contractor’s Liability for Subcontractor’s Fringe Benefit Contributions
Earlier this year, a federal court ruled in favor of the multiemployer fund trustees’ claim for fringe benefit contributions due on...
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Ledbetter Parisi LLC
Apr 28, 20231 min read
Preventive Services Coverage Update for Non-Grandfathered Plans
Under the Patient Protection and Affordable Care Act, non-grandfathered plans are required to provide certain preventive services without...
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Ledbetter Parisi LLC
Apr 24, 20231 min read
Update on the End of the COVID-19 National and Public Health Emergency Declarations
The Departments of Labor (DOL), Health and Human Services (HHS) and the Treasury (IRS) recently issued FAQs addressing the anticipated...
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Ledbetter Parisi LLC
Apr 21, 20231 min read
IRS Answers FAQ Regarding Medical Expenses Related to Nutrition, Wellness, and General Health
Only medical expenses may be reimbursed with funds from a health savings account (HSA), a health flexible spending arrangement (FSA),...
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Ledbetter Parisi LLC
Mar 27, 20231 min read
Tracking Technology and HIPAA considerations
The Office for Civil Rights at the U.S. Department of Health and Human Services (HHS) recently issued a Bulletin reminding HIPAA covered...
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Ledbetter Parisi LLC
Mar 20, 20231 min read
Remote Witnesses for Spousal Consents
Prior to the COVID-19 pandemic, married participants were required to provide a spouse’s consent for certain retirement plan...
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Ledbetter Parisi LLC
Mar 13, 20231 min read
End of The National Emergency and Public Health Emergency Declarations Regarding COVID-19
Barring any unforeseen changes regarding COVID-19, the National Emergency and Public Health Emergency declarations for COVID-19 will end...
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Ledbetter Parisi LLC
Aug 31, 20222 min read
Guidance Issued on Birth Control Coverage
In response to President Biden’s Executive Order regarding protecting access to reproductive health care, the Departments of Health and...
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Ledbetter Parisi LLC
Aug 19, 20221 min read
IRS Extends Deadline for SECURE Act and CARES Act Amendments
The Treasury Department recently released Notice 2022-33. This notice provides extensions to the deadlines to adopt amendments related to...
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Ledbetter Parisi LLC
Aug 10, 20221 min read
HHS Proposes New Section 1557 Rules
The Department of Health and Human Services recently issued proposed regulations on Section 1557 of the Affordable Care Act. This section...
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Ledbetter Parisi LLC
Jul 26, 20221 min read
PCORI Fee Deadline Approaching
The annual PCORI fee is due July 31. The PCORI fee was implemented by the Affordable Care Act in order to provide money for the Patient...
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Ledbetter Parisi LLC
Jul 26, 20221 min read
Federal District Court Rules Exclusion of Gender Affirming Care Violates Title VII
A federal district court in North Carolina recently ruled that the state employees’ health plan must no longer deny coverage for...
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