EBIA Weekly Newsletter

September Webinars: Administrative Services Agreements (ASAs), and EBIA’s Third Quarter Update for Group Health Plans


   August 30, 2018

One of our most requested webinar titles, this ASA program includes best practices and sample language—for plan sponsors and service providers! And don’t forget to close out your third quarter with our quarterly update webinar—it’s packed with insights on the latest developments affecting group health plans! For more information or to order, click on the program … Read More


Court Finds No Remedy for “Unfortunate” Denial of Life Insurance Benefits


   August 30, 2018

Dawson-Murdock v. Nat’l Counseling Grp., 2018 WL 3744020 (E.D. Va. 2018) The spouse of a deceased employee sought benefits under her husband’s employer-provided group life insurance plan. The insurer denied the claim, stating that her husband was not covered when he died—even though he had continued making premium payments—because he had switched to part-time work several … Read More


Another Court Scrutinizes Plan Exclusion for Wilderness Programs


   August 30, 2018

A.Z. v. Regence Blueshield, 2018 WL 3769810 (W.D. Wash. 2018) Another court has allowed mental health parity claims to proceed against an insurer that denied coverage for behavioral health care services provided in an outdoor residential treatment setting. An employee’s 16-year-old daughter (who had been diagnosed with depression) filed a class action lawsuit against the insurer … Read More


IRS Rules Favorably on 401(k) Contributions That Reward Student Loan Payments


   August 30, 2018

Priv. Ltr. Rul. 201833012 (May 22, 2018) Available at https://www.irs.gov/pub/irs-wd/201833012.pdf The IRS has issued a favorable private letter ruling on an employer’s proposal to reward student loan repayments with nonelective contributions to a 401(k) plan. The employer’s 401(k) plan currently provides a 5% matching contribution for elective contributions (i.e., elective deferrals, designated Roth … Read More


What Is the Difference Between a Grandfathered and a Grandmothered Health Plan?    


   August 30, 2018

QUESTION: Our company sponsors a group health plan, which is grandfathered for purposes of the Affordable Care Act. We’ve been reading about grandmothered health plans. How are these plans different from grandfathered health plans? ANSWER: “Grandfathered plans” are group health plans (or health insurance coverage) that were in existence on March 23, 2010, and have not undergone … Read More