EBIA Seminars From Checkpoint Learning

EBIA Newsletter March 31, 2016

Backed by the authority of the EBIA Compliance Library, EBIA employee benefits seminars provide intermediate-level coverage of important employee benefits topics. Learn from experienced industry leaders at seminars designed for benefits professionals: human resource and benefits managers, plan sponsors, TPAs, insurance professionals, and attorneys, accountants, and government officials who deal with employee benefits. Read More

Employer Escapes ADEA Liability Through Small Employer Exception Despite Related Company’s Employees

EBIA Newsletter March 31, 2016

Bridge v. New Holland Logansport, Inc., 2016 WL 890971 (7th Cir. 2016) Available at http://media.ca7.uscourts.gov/cgi-bin/rssExec.pl?Submit=Display&Path=Y2016/D03-09/C:15-1935:J:Shah:aut:T:fnOp:N:1717479:S:0 In an employment discrimination case, the Seventh Circuit has ruled that an employer did not have the requisite 20 or more employees for it to be covered under the federal Age Discrimination in Employment … Read More

Two More OCR Resolution Agreements Highlight Importance of HIPAA Fundamentals

EBIA Newsletter March 31, 2016

Resolution Agreement: North Memorial Health Care (Undated); Resolution Agreement: Feinstein Institute for Medical Research (March 16, 2016) North Resolution Agreement North Press Release Feinstein Resolution Agreement Feinstein Press Release HHS’s Office for Civil Rights (OCR) has announced two more resolution agreements settling potential HIPAA privacy and security … Read More

Grant of Power to Decide Claims Did Not Give Discretionary Authority to Claims Administrator

EBIA Newsletter March 31, 2016

Stephanie C. v. Blue Cross Blue Shield of Mass. HMO Blue, Inc., 2016 WL 629058 (1st Cir. 2016) Available at http://media.ca1.uscourts.gov/pdf.opinions/15-1531P-01A.pdf This ruling from the First Circuit provides an example of plan language that does not clearly confer discretionary authority on a plan decisionmaker, resulting in “de novo” court … Read More

Is a Limited-Scope Dental Plan Required to Cover Dependent Children Until Age 26?

EBIA Newsletter March 31, 2016

QUESTION: Our company sponsors a self-insured major medical plan and a separate limited-scope dental plan, which qualifies as an excepted benefit. Both plans offer coverage to eligible employees and dependent children, but only the major medical plan makes coverage available until a child turns age 26. Is it permissible for our limited-scope dental plan to … Read More