Challenge to Use of Automated Algorithm in Benefit Decisions Allowed to Proceed
Kisting-Leung v. Cigna Corp., 2025 WL 958389 (E.D. Cal. 2025) A group of participants in different employer-sponsored health plans brought …
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Court Dismisses PBM Expenses Lawsuit, but Expresses Sympathy for Participants
Navarro v. Wells Fargo, 2025 WL 897717 (D. Minn. 2025) Available at https://www.govinfo.gov/content/pkg/USCOURTS-mnd-0_24-cv-03043/pdf/USCOURTS-mnd-0_24-cv-03043-0.pdf A group of former participants in a …
What Health Coverage Must Be Offered to Avoid or Minimize Employer Shared Responsibility Penalty Exposure?
QUESTION: We are an employer subject to Code § 4980H. In order to avoid employer shared responsibility penalties, what health …
Who Must Receive SPDs for ERISA Health and Welfare Plans?
QUESTION: We are reviewing the SPD procedures for our ERISA health and welfare plans and need some guidance. Who must …
ERISA Ruling Highlights Importance of Detailed Denial Notices
Doe v. Deloitte LLP Grp. Ins. Plan, 2025 WL 586670 (S.D.N.Y. 2025) A participant in an employer sponsored health plan …
What Self-Correction Options Are Available for 401(k) Plan Fiduciary Mistakes?
QUESTION: We understand that the DOL has added a self-correction component under the Voluntary Fiduciary Correction (VFC) Program. What errors …
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CBO, JCT Asked About Impacts of Making Health Insurance Premium Tax Credit Permanent
Ways and Means Committee Chair Jason Smith (R-MO) and House Budget Committee Chair Jodey Arrington (R-TX) have asked analysts how …
Hundreds of Nonprofits Push for Passage of Charitable Act
A coalition representing hundreds of organizations and companies in the charitable sector is urging Congress to permanently restore a charitable …
SEC Chief Accountant Paul Munter to Retire
The Securities and Exchange Commission (SEC) on January 14, 2025, said that Chief Accountant Paul Munter will retire on January …