It’s Not Too Late: EBIA Advanced Conference Will Cover the New Final Association Health Plan Regulations and More!

EBIA Newsletter June 21, 2018

From late-breaking news such as the final AHP regulations, to difficult expense reimbursement, election change, and nondiscrimination questions, the EBIA Advanced Cafeteria Plans and Benefits Conference has it all. Join us in Seattle, July 10–12, 2018, and bring plenty of questions for our top-notch speakers—we’ve added extra Q&A time this year. And we’ve extended our … Read More

Appellate Court Rules Insurers Not Entitled to Payments Under Risk Corridors Program

EBIA Newsletter June 21, 2018

Moda Health Plan v. U.S., 2018 WL 2976278 (Fed. Cir. 2018) Available at A three-judge panel majority of the U.S. Court of Appeals, Federal Circuit, has reversed the decision of the Court of Federal Claims, ruling on both statutory and contract grounds that a health insurer is not entitled to … Read More

Court Rules That Employee Was Fired for Improperly Accessing HIPAA Records, Not Age Discrimination

EBIA Newsletter June 21, 2018

Terrell v. Main Line Health, Inc., 2018 WL 2462005 (E.D. Pa. 2018) Available at A federal court has dismissed a hospital secretary’s age discrimination claims, rejecting assertions that the stated reason for her termination—violation of her employer’s HIPAA policies—was a mere pretext. The secretary twice accessed a database containing protected … Read More

Can We Use a “Sampling” Approach to Reviewing Claims Under Our Flexible Spending Arrangements?

EBIA Newsletter June 21, 2018

QUESTION: Do we need to review every claim that is submitted under our cafeteria plan’s health FSA and DCAP before providing reimbursement? We do this now, but we could save time and administrative costs by automatically reimbursing claims for very small dollar amounts without review, or by reviewing only a sample of the claims incurred … Read More

The EBIA Advanced Conference: It’s One-Stop Shopping for the Latest on HRAs and HSAs, Association Health Plans, Code Section 4980H Penalty Assessments, and More!

EBIA Newsletter June 14, 2018

Join us in Seattle, July 10–12, 2018, for the EBIA Advanced Cafeteria Plans and Benefits Conference. Our outstanding panel of speakers will tackle topics including HIPAA security best practices, Medicare implications for employer plans, recent and ongoing wellness program litigation, ERISA’s outdated electronic-delivery safe harbor, and our annual Q&A panel on … Read More