When Is a Dependent Child Considered to Be Age 26 for Purposes of Terminating Group Health Plan Coverage?
QUESTION: Our company sponsors a group health plan that offers coverage to eligible employees and dependent children. We understand that …
First Circuit Rejects ACA Section 1557 Challenge to Plan’s Weight-Loss Drug Exclusion
Whittemore v. Cigna Health & Life Ins. Co., 2026 WL 777418 (1st Cir. 2026) The First Circuit has affirmed the …
DOL Removes 2024 Investment Advice Fiduciary Regulations to Implement Court Rulings
DOL Final Rule: Retirement Security Rule: Definition of an Investment Advice Fiduciary: Notice of Court Vacatur, 29 CFR Part 2510, …
Plan’s Dialysis Carve-Out Withstands HIPAA Nondiscrimination Challenge
A federal trial court has issued what could be the final decision in a long-running dispute between a large dialysis …
What Are Our Company’s Obligations to a Former Employee Receiving COBRA Coverage Who Has Been Called to Active Duty in the Uniformed Services?
QUESTION: A former employee who left our company a year ago has been receiving COBRA coverage under our major medical …
Can a Qualified Educational Assistance Program Be Used to Repay Employees’ Student Loans?
QUESTION: Many of our company’s employees have student loans. Could we help them repay those loans using a qualified educational …
HHS Issues Updated Model Notices of Privacy Practices and Announces Part 2 Enforcement Program
Model Notices of Privacy Practices; Office for Civil Rights Announces Civil Enforcement Program for Confidentiality of Substance Use Disorder Patient …
Are There Transparency Requirements for Provider Directories?
QUESTION: We’ve heard that our group health plan’s provider directories are subject to federal transparency requirements. What are they? ANSWER: A group …
Must a Plan Provide Extended COBRA Coverage Because of a Spouse’s Disability?
QUESTION: A recently terminated employee has elected COBRA for himself, his spouse, and his children. He notified us within a …
What Is an Eligible Rollover Distribution?
QUESTION: Our company sponsors a 401(k) plan. As we review the plan’s rollover procedures, we want to confirm our understanding …