EBIA Weekly Newsletter

An EBIA Webinar Based on Your Key Challenges!

   January 18, 2018

Don’t miss this opportunity! Our January 25 webinar will be devoted to attendee questions (submitted in advance and live via WebEx) on group health plan challenges, plus a “Washington Update” segment on recent and anticipated developments. And registration is now open for 2018 EBIA Seminars! For more information or to register, please click on the … Read More

HHS Reports Mental Health Parity Enforcement Efforts, Including Cases Involving Opioid and Autism Treatment

   January 18, 2018

Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) Enforcement Report (December 2017) Available at https://www.cms.gov/CCIIO/Resources/Forms-Reports-and-Other-Resources/Downloads/HHS-2008-MHPAEA-Enforcement-Period.pdf HHS has issued a mental health parity enforcement report describing six cases it closed in 2016 and 2017. As the report explains, HHS’s enforcement authority with respect to the federal mental health parity requirements … Read More

Court Upholds Plan’s Denial of “Medically Unnecessary” Residential Mental Health Treatment

   January 18, 2018

Peter B. v. Premera Blue Cross, 2017 WL 4843550 (W.D. Wash. 2017) An employer-sponsored group health plan refused to pay for continued residential mental health treatment for an employee’s minor son, stating that the residential treatment did not meet the plan’s medical necessity requirement. The employee exhausted all internal and external review procedures and sued, … Read More

Where Is an Employee’s “Home” for Travel Expense Reimbursement Purposes?

   January 18, 2018

QUESTION: The nature of our company’s business is changing, and some of our employees will soon be traveling much more frequently. Some may no longer have an office, and some may be traveling year-round. We understand that these changes could affect our ability to reimburse employees on a tax-free basis for their travel expenses by … Read More

Kick Off 2018 With EBIA Learning!

   January 11, 2018

Start 2018 with the first installment of our new “Learning the Ropes” webinar series! We’ll also tackle your biggest group health plan challenges—including an update on recent guidance. And we’re busy updating EBIA seminars, including a new course on wellness program design and administration. Use the link below to register now with a special early … Read More