‘Top performer’ demoted week after requesting leave to care for sick husband advances FMLA claim

Demoted after a long and positive tenure with her town employer, and months after being rated a top performer and a “joy to work with,” but only one week after requesting intermittent FMLA leave to care for her cancer-ridden husband, the employee, who ultimately resigned in lieu of termination, can take her FMLA retaliation claim […]

Colorado Division of Insurance releases preliminary 2019 health insurance information

The Colorado Division of Insurance, part of the Department of Regulatory Agencies (DORA), has released preliminary information for proposed health plans and premiums for 2019 for individuals and small groups. Colorado consumers can file formal comments on these plans through August 3. 2018 companies return for 2019. The same seven companies that offered on-exchange, individual […]

Building data capacity for patient-centered outcome research, 2017 report issued

An annual report providing project descriptions for each of the HHS Office of the Secretary Patient-Centered Outcomes Research Trust Fund (OS-PCORTF) portfolio’s 21 projects that were active in calendar year 2017 has been issued by its administering entity, the Office of the Assistant Secretary for Planning and Evaluation (ASPE). Each project description in the report […]

House approves bipartisan health care-related tax packages

The House has cleared two bipartisan health care-related tax packages. The packages, combining several bills, aim to expand health savings accounts (HSAs) and the health insurance premium tax credit, as well as delay the so-called “health insurance tax,” among other things. HSAs. The Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Bill […]

North Dakota Insurance Commissioner issues bulletin supporting treatments for autism spectrum disorder

North Dakota Insurance Commissioner Jon Godfread has issued a Bulletin to all North Dakota health insurance carriers providing coverage for Autism Spectrum Disorder notifying them that treatments for autism cannot be excluded from an insurance policy. “With this Bulletin, children diagnosed with autism in North Dakota will now have greater access to quality treatment for […]

Report details possible effects after individual mandate penalty eliminated

When the elimination of financial penalties associated with failing to comply with the individual mandate goes into effect in 2019, the RAND Corporation (RAND) estimates a decline in coverage between 2.8 million and 13 million. In more than half of the possible scenarios studied by RAND, eliminating the penalty resulted in an increase in the […]

ERIC comments on HHS prescription drug blueprint

In May 2018, the Trump Administration released a blueprint for lowering U.S. prescription drug prices, entitled “American Patients First.” The plan included proposals to create incentives for decreasing prices and reducing consumer out-of-pocket costs. It also included a request for information (RFI) from stakeholders. The ERISA Industry Committee (ERIC) has submitted comments in response to […]

HSA participants are savvy consumers

According to recent research from Alegeus, health savings account (HSA) participants are more fluent in health and financial concepts, more focused on cost and value, savvier spenders, and more disciplined about saving than participants in more traditional health care plans. The 2018 Alegeus HSA Participant Profile noted that the premise of health care consumerism is […]

Senate subcommittee explores paid family leave

At a recent Senate Finance Subcommittee on Social Security, Pensions, and Family Policy hearing, Senate members and other stakeholders examined the importance of paid family leave for American workers. Subcommittee members stressed that there is bipartisan support for paid family leave. Two main strategies were debated: implementing the FAMILY Act (H.R. 947) and using temporary […]

Facility manager’s transfer to different location following HWE complaints didn’t violate FMLA

A manager at an Illinois Secretary of State’s Department of Motor Vehicles (DMV) facility, who was told after returning from FMLA leave that he was being transferred following complaints that he was creating a hostile environment, failed to defeat summary judgment on his FMLA interference and retaliation claims since he was never denied leave, the […]