Foundation Publication Search Results

These summaries were compiled from Foundation Publications Search, a database of articles, research reports and books published by the International Foundation and the International Society of Certified Employee Benefit Specialists.


Conversation With Nathalie Le Prohon.
Plans & Trusts; v36 no4 pp 8-10 Jul/Aug 2018; journal article

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Abstract : Medical data is expected to double every 73 days by 2020, and technology can help the health care industry manage that data. Natalie Le Prohon presented "Transforming Health Care for the Next Generations" at the 2018 Canadian Health and Wellness Innovations Conference.
[0201056]

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Court of Appeal Rules That Benefit Plans May Exclude Marijuana Coverage.
Rose, Jessica; Plans & Trusts; v36 no4 pp 32-33 Jul/Aug 2018; journal article

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Abstract : In a case before the Nova Scotia Court of Appeal, it was found that the Human Rights Board of Inquiry erred in its application of the prima facie test for discrimination.
[0201061]

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CRA Announces Phaseout of Health and Welfare Trusts.
Tomassini, Roberto; Heath-Rawlings, Jesse; Plans & Trusts; v36 no4 pp 30-31, 36 Jul/Aug 2018; journal article

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Abstract : The 2018 federal budget, released on February 27, 2018, included a somewhat surprising announcement regarding the phaseout of the Canada Revenue Agency (CRA) health and welfare trust (HWT) administrative policy, in favour of the employee life and health trust (ELHT) statutory rules.
[0201060]

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Denial of LTD Benefits Features Conflicting Physician Reports.
Benefits Magazine; v55 no7 pp 62, 64 Jul 2018; journal article

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Abstract : The U.S. District Court for the Southern District of New York grants the motion for summary judgment by the defendant insurance company regarding its initial decision to terminate the plaintiff's long-term disability (LTD) benefits but finds that it cannot award either party's motion for summary judgment regarding the appeal due to a genuine issue as to the material fact of the plaintiff's medical condition.
[0201045]

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Fifth Circuit Standard of Review Reconsidered for Benefit Denial Cases.
Benefits Magazine; v55 no7 pp 55, 58 Jul 2018; journal article

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Abstract : The U.S. Court of Appeals for the Fifth Circuit grants the plaintiff health care plan beneficiary's request to reconsider the 1991 court decision in Pierre v. Connecticut General Life Insurance Company, 932 F.2d 1552 (5th Cir. 1991), which created a circuit split and established a bifurcated standard of review for challenges to the denial of benefits under the Employee Retirement Income Security Act of 1974 (ERISA).
[0201041]

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Health Care Fraud Convictions Upheld.
Benefits Quarterly; v34 no3 p 57 3rd Qtr 2018; journal article

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Abstract : Convictions of health care fraud and conspiracy to engage in health care fraud affirmed.
[0201079]

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How to Plan and Design [a] Thorough Health Care Claims Audit.
Dubnansky, Matthew B.; Benefits Magazine; v55 no7 pp 48-53 Jul 2018; journal article

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Abstract : A comprehensive health care claims audit protects health plans and participants from mistakes and regulatory violations. This article outlines best practices for planning and conducting an audit.
[0201040]

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Insurance Company Allegedly Artificially Inflated Drug Costs.
Benefits Magazine; v55 no7 pp 65-66 Jul 2018; journal article

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Abstract : The District Court for the District of Connecticut grants in part and denies in part the complaint by plaintiff employee benefits plan participants alleging that their defendant health insurance provider artificially inflated prescription drug costs in violation of the terms of their health insurance policies governed by the Employee Retirement Income Security Act of 1974 (ERISA).
[0201047]

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Making Postretirement Plans and Senior Care More Effective.
Whelan, Ellen; Plans & Trusts; v36 no4 pp 18-22 Jul/Aug 2018; journal article

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Abstract : Health care resources are being stretched by slow economic growth, escalating health care costs and an aging workforce, among other factors. Now is the time for employers and plan sponsors to explore how retiree health care coverage can be made more effective through improved communications and tax-advantaged vehicles.
[0201058]

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No Lifetime Health Benefits if CBA Unambiguously Limits Duration.
Benefits Quarterly; v34 no3 pp 51-52 3rd Qtr 2018; journal article

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Abstract : Retirees are not entitled to lifetime health benefits since the limited duration of these benefits was defined unambiguously by the governing collective bargaining agreement (CBA).
[0201073]

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Perspectives on the Opioid Crisis in the Workplace.
Gaal, John S.; Benefits Magazine; v55 no7 pp 28-33 Jul 2018; journal article

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Abstract : John S. Gaal, Ed.D., director of training and workforce development for the St. Louis-Kansas City Carpenters Regional Council, has spent two years researching the opioid crisis while he has seen its impact on the construction industry. Gaal offers his own perspective on the matter and interviews four experts who participated in International Foundation panel discussions on opioids to get their views on how the opioid crisis started and efforts to treat and prevent the spread of opioid use disorder (OUD).
[0201037]

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Phased Retirement: A Solution for Employers and Employees?
Rappaport, Anna M.; Benefits Magazine; v55 no7 pp 14-20 Jul 2018; journal article

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Abstract : Phased Retirement Programs can help employers fill a need for talent and experience while improving retirement outcomes for employees. The author describes options employers may consider for such programs along with some of the associated challenges.
[0201035]

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Plaintiffs Unlikely to Succeed in Case Involving Retiree Health Care Benefits.
Benefits Magazine; v55 no7 pp 56, 59 Jul 2018; journal article

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Abstract : The U.S. Court of Appeals for the Sixth Circuit reverses a district court decision to grant the plaintiff retirees' motion for a preliminary injunction enjoining their defendant employer from terminating retiree health care benefits.
[0201042]

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Responding to Insights From Listening to Retirees Aged 85 and Over.
Rappaport, Anna M.; Benefits Quarterly; v34 no3 pp 20-29 3rd Qtr 2018; journal article

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Abstract : Society of Actuaries (SOA) research includes in-depth interviews with individuals aged 85 and over (2017), focus groups with individuals retired 15 years or longer (2015), in-depth interviews with caregivers of individuals retired 15 years or longer (2015) and focus groups with relatively recent retirees (2013). The interviews with retirees aged 85 and over and the research with individuals retired 15 years or longer offer perspective on how people are doing, what they have done in retirement and what they are planning to do. In addition, SOA has conducted postretirement risk surveys of preretirees and retirees every two years since 2001. Integrating results from these studies can help identify opportunities for employers to support employees and retirees in their planning efforts. The emphasis of this article is on issues other than saving and investing. Quotes from the focus groups and interviews bring some issues into real-life focus.
[0201068]

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Revisiting the CLASS Act: LTC Insurance as an Employee Benefit.
Kozak, Barry; Benefits Quarterly; v34 no3 pp 33-37 3rd Qtr 2018; journal article

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Abstract : Financing ever-increasing long-term care (LTC) costs as the population ages has become a major issue for individuals and policy makers. Purchasing LTC insurance while young and healthy seems to be an obvious solution, but the LTC insurance market has not become robust. In 2010, Congress experimented with allowing employers to offer LTC insurance as an employee benefit, but politics won out in the battle of the statutory constraints within the Community Living Assistance Services and Support (CLASS) Act versus the ability of the Secretary of Health and Human Services to issue regulations that were actuarially sound. This article opines that Congress should revisit and reintroduce the CLASS Act, whether in its original form or, with some hindsight, in an improved form. This would allow employers to become the “caretakers” in the LTC universe by assisting their otherwise young and healthy employees in securing at least a floor LTC insurance coverage amount and by educating those same employees about LTC in general.
[0201070]

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Rising to the Challenge: What Employers Can Do to Support Caregiver Employees.
Sherman, Candice; Benefits Quarterly; v34 no3 pp 8-11 3rd Qtr 2018; journal article

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Abstract : With growing numbers of working people providing informal care for sick or elderly relatives and friends, employers face new challenges—but also new opportunities—to support caregiver employees and, in the process, ensure a productive and stable workforce. This article addresses the difficulties employees can face when work and caregiving intersect and how employers can offer support regardless of company size or resources. Companies that wish to attract the best and brightest talent, as well as retain high-quality staff, need to offer competitive benefits. Across the corporate landscape, these have already started to include caregiving benefits.
[0201065]

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The Role of the Benefit and Appeals Committee.
Guastaferri, Kristina M.; Benefits Magazine; v55 no7 pp 34-39 Jul 2018; journal article

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Abstract : A benefit and appeals committee is tasked with the review and determination of benefit appeals for a multiemployer benefit fund. Committees endure thorough review of such appeals and help boards of trustees remain in compliance with federal claims and appeals regulations.
[0201038]

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Supporting a "Careforce."
Kelsey-Davis, Debra; Steinberg, Allen T.; Benefits Quarterly; v34 no3 pp 15-19 3rd Qtr 2018; journal article

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Abstract : Employers must now come to grips with the realization that their workforce has become a "careforce." More than one in six U.S. employees are engaged in informal caregiving for a family member, a number that trends ensure will only grow. Caregiving impacts employee absence, work performance and employee health care costs. In order to reduce these impacts, as well as attract and retain a careforce, employers must themselves enter the world of caregiving. Supporting a careforce is about much more than paid leave. This article discusses approaches employers are taking now and might take in the future as they assume the role of caretaker.
[0201067]

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Supreme Court Rules Retirees Are Not Entitled to Lifetime Health Care Benefits.
Benefits Quarterly; v34 no3 p51 3rd Qtr 2018; journal article

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Abstract : An expired collective bargaining agreement (CBA) does not create a vested right to lifetime health care benefits absent contractual language specifying such right. The so-called Yard-Man inferences cannot be used to find a CBA ambiguous such that extrinsic evidence would be allowed.
[0201072]

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Washington Update: IRS Releases Sample Notice CP220J for Applicable Large Employers.
Benefits Magazine; v55 no7 p 73 Jul 2018; journal article

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Abstract : On March 1, 2018, the Internal Revenue Service (IRS) released a sample of Notice CP220J (220J).
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What's Working: Adapting to Meet Member Needs.
Bergstrom, Kathy; Benefits Magazine; v55 no 7 pp 11-13 Jul 2018; journal article

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Abstract : Th Joint Benefit Trust (JBT) Health and Welfare Plan has adapted its wellness and health screening program to serve the shifting needs of plan members over five decades.
[0201034]

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You Asked We Answered: Health Care Flexible Spending Accounts.
Benefits Magazine; v55 no7 pp 8-9 Jul 2018; journal article

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Abstract : Jenny Lucey, CEBS, manager of reference/research services at the International Foundation, answers frequently asked questions about health care flexible spending accounts (FSAs) and Health Insurance and Portability and Accountability Act (HIPAA) special enrollment rights.
[0201032]

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15 Technology Trends That Can Elevate Your Wellness Program.
Mittag, Anna; Benefits Magazine; v55 no6 pp 26-31 Jun 2018; journal article

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Abstract : Technology such as wearables and wellness apps can boost wellness program participation and engagement. This article identifies 15 technology trends that have the potential to improve wellness programs.
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Administrator Must Consider Emotional Lability When Determining Disability Benefits.
Benefits Magazine; v55 no6 pp 70, 72 Jun 2018; journal article

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Abstract : The U.S. District Court for the Northern District of Ohio grants the appeal by the plaintiff employee benefits plan participant for the denial of long-term disability (LTD) benefits by the defendant plan administrator and instructs the defendant to provide a full and fair inquiry.
[0201012]

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Curbing the High Cost of Opioid Abuse Treatment.
Johnson, Andy; Benefits Magazine; v55 no6 pp 14-18 Jun 2018; journal article

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Abstract : As the opioid epidemic worsens, health plans are getting hit with large bills from out-of-network substance abuse treatment facilities. Plan sponsors can take steps to control these costs but must be mindful of mental health parity requirements when enacting changes.
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