TOPIC: Emergent Issues Surrounding New Group Health Plan Reporting Requirements
7:45 a.m. Announcements
Missy Peifer, SHRMA President
8:00 a.m. - 9:00 a.m. Program
Julie Selesnick
Senior Counsel, Berger Montague
Description/Course Overview: The Consolidated Appropriations Act of 2021 (CAA) went into effect December 27th of 2021 and is one of the single biggest changes to employer responsibility regarding Health & Welfare plans in 50 years. These changes are all a result of a push to give employers the tools they need to properly monitor their plan service providers, placing similar scrutiny on health plans that the DOL had on 401k plans over a decade ago and the ramifications and exposure to risk are just as severe. The requirements, while hefty, are ultimately good for health plans, the people they are meant to serve, and are a path forward to eventually lowering healthcare costs while improving access. They have the potential to be a real win-win for employers and employees. Attend the course to learn more about what the requirements are and what actions employers need to take to ensure they meet all reporting and other requirements under ERISA (and non-ERISA governmental) health plans. Particular focus on gag clause removal, 408(b)(2)(B) disclosures, and Rx reporting.
Learning/Course Objectives:
- Assist HR professionals and others tasked with administering their employer’s health plan to act on their fiduciary duty as a plan sponsor/plan administrator
- Address how to respond to service provider noncompliance and any prohibited transactions that may result
- Use the new laws and rules to lower costs and increase value in their employer-sponsored health plan
Presenter Name and Bio:
Julie S. Selesnick is Senior Counsel at Berger Montague and a member of the firm’s Healthcare and Benefits Law Group and the Employee Benefits & ERISA Group, where she represents the interests of employees, retirees, plan sponsors, plan participants, and beneficiaries in employee benefit and ERISA cases in the district court and on appeal. Ms. Selesnick’s practice is focused on health care, where she brings more than a decade of insurance coverage experience to good use focusing on the behaviors of insurance carrier TPAs that exercise fiduciary duties under ERISA-covered health plans and counseling employers and other plan sponsors on provisions in their administrative service agreements that might cause them to unwittingly violate ERISA or other employee benefit laws. Since the passage of the Consolidated Appropriations Act of 2021 and various transparency in coverage rules, Ms. Selesnick also negotiates access to plan claims data on behalf of plans and their service providers and counsels plans on issues related to impermissible gag clauses and service provider compensation disclosures. Ms. Selesnick is also focused on other legal violations related to patient health care under various federal statutes and state consumer statutes to help everyday Americans bring down the out-of-control health care costs they face.
Ms. Selesnick is an accomplished writer and has written numerous legal and non-legal articles and blog posts. She has also contributed to ERISA Litigation textbooks and cumulative supplements, and written materials for use in healthcare litigation conferences, and speaks at a wide variety of conferences for legal professionals and healthcare benefits professionals on ERISA and other legal considerations governing group health plans.
This session has been submitted for recertification credits with SHRM and HRCI. Chapter members in good standing with their dues and non-members that have paid the nominal fee will receive these credits if in attendance for a minimum of 50 minutes of the program.
Login information for the Zoom session will be sent to you after registration is complete. Payments for non-members will be verified before confirming registration and sending zoom link. Payment instructions will be included in Invoice.
