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.


10 Tips for Responding to (and Avoiding) an IRS Letter 226-J.
Goodman, Lindsay M.; Benefits Magazine; v55 n11 pp 38-42 Nov 2018; journal article

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Abstract : Have you received a Letter 226-J from the IRS indicating that you owe a penalty under the Affordable Care Act? This article offers ten tips for how to respond as well as how to avoid receiving future notices.
[0201168]

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Benefit Trends: The Multiemployer Health Plan Landscape.
Held, Justin M.; Benefits Magazine; v55 n11 pp 10, 12 Nov 2018; journal article

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Abstract : The Multiemployer Health Plan Landscape: A Ten Year Look (2006-2015), the second annual report in a series, shows that the ratio of active to retiree participants decreased during the ten-year period, making it increasingly difficult for trustees to manage financial shortfalls for retirees.
[0201162]

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Can Telemedicine Change the Future of Health Care Delivery?
Belchetz, Brett; Plans & Trusts; v36 no6 pp 22-26 Nov/Dec 2018; journal article

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Abstract : Though in-person visits currently dominate the health care landscape, evidence shows telemedicine services are set for growth in the near future. If the industry can address challenges of access and familiarity, it could lead to less costly, more convenient access for health plan members.
[0201191]

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Caregiving in the Workplace: Implications and Solutions for Employees and Employers.
Henderson, Karen; Plans & Trusts; v36 no6 pp 8-14 Nov/Dec 2018; journal article

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Abstract : More than six million Canadians, or about 35% of the workforce, are balancing work and caregiving responsibilities. Employees should learn to plan, document, communicate and advocate, and employers can take low-cost and no-cost steps to support caregivers and potentially boost productivity at the office.
[0201189]

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Case Remanded Due to Contractual Nature and No Finding of ERISA Preemption.
Goodman, Lindsay M.; Benefits Magazine; v55 n11 p 64 Nov 2018; journal article

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Abstract : The U.S. District Court for the Southern District of Florida remands this case to state court, finding that the case was contractual in nature and not completely preempted by the Employee Retirement Income Security Act of 1974 (ERISA).
[0201180]

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Fraud Claims Against Laboratory Testing Company Can Proceed.
Goodman, Lindsay M.; Benefits Magazine; v55 n11 pp 56, 58 Nov 2018; journal article

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Abstract : The U.S. District Court for the Northern District of Texas grants in part and denies in part the defendants' motion to dismiss the plaintiff's fraud claims.
[0201173]

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From Apathy to Adherence: Using Personalization and Precision to Improve Health.
Gentilella, Frank; Benefits Magazine; v55 n11 pp 48-52 Nov 2018; journal article

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Abstract : Medication nonadherence is a costly problem for health plan sponsors. Technology, including mobile apps, may provide an effective solution.
[0201170]

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Other Recent Decisions.
Goodman, Lindsay M.; Benefits Magazine; v55 n11 pp 67-69 Nov 2018; journal article

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Abstract : Summarizes cases on contract interpretation, benefit litigation, statute of limitations, fiduciary duties and contributions.
[0201182]

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Payment of Air Ambulance Costs Reasonable Based on Plan Language.
Goodman, Lindsay M.; Benefits Magazine; v55 n11 pp 59, 65 Nov 2018; journal article

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Abstract : The U.S. District Court for the District of North Dakota grants the motion for summary judgment by the defendant insurance company and denies the plaintiffs' cross-motion, finding that the payment of air ambulance costs was reasonable and supported by substantial evidence.
[0201175]

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What's Working: How Facebook Supports Working Caregivers.
Bergstrom, Kathy; Benefits Magazine; v55 n11 pp 15-17 Nov 2018; journal article

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Abstract : Caregiver support at Facebook encompasses a variety of programs, from paid leave to online support groups.
[0201164]

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You Asked We Answered: Spousal Surcharges.
Lucey, Jennifer M.; Benefits Magazine; v55 n11 pp 8-9 Nov 2018; journal article

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Abstract : Answers frequently asked questions about health care spousal surcharges.
[0201161]

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Association Health Plans: An Opportunity, With Risks.
Weiler, Ross D.; Benefits Magazine; v55 n10 pp 40-45 Oct 2018; journal article

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Abstract : A regulation issued in 2018 for association health plans (AHPs) has the stated purpose of expanding access to more affordable, high-quality health insurance. This article explains the rules and looks at their potential impact on insurance markets.
[0201145]

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Decisions Reversed in Public Employees' Disability Claims.
Goodman, Lindsay M.; Benefits Magazine; v55 n10 pp 62, 64 Oct 2018; journal article

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Abstract : The New Jersey Supreme Court reverses lower court decisions in two cases, finding that the defendant erred in its benefits determinations regarding claims for accidental disability benefits.
[0201149]

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Fifth Circuit Agrees With Other Courts on Standard of Review for Cases Challenging Benefit Eligibility Denials.
Hesse, Katherine; Benefits Quarterly; v34 no4 pp 71-72 4th Qtr 2018; journal article

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Abstract : Courts must review plan administrator's denial of benefits for Employee Retirement Income Security Act (ERISA) plans under a de novo standard of review, regardless of the basis of the denial.
[0201214]

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Losing Health Care Coverage: Understanding the Options.
Cheng, Tony; Benefits Magazine; v55 n10 pp 46-50 Oct 2018; journal article

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Abstract : People who lose health insurance coverage through an employer or multiemployer plan have several alternatives for gaining coverage. This article offers a look at the pros and cons of the available options.
[0201146]

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Other Recent Decisions.
Goodman, Lindsay M.; Benefits Magazine; v55 n10 pp 75-77 Oct 2018; journal article

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Abstract : Summarizes cases on preemption, disability benefits, retiree health care and health care.
[0201159]

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The Role of Health Savings Accounts in Retirement Decumulation Strategies: Implications for Financial Well-Being.
Fronstin, Paul; Benefits Quarterly; v34 no4 pp 8-12 4th Qtr 2018; journal article

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Abstract : In 2003, the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) included a provision that allows individuals enrolled in high-deductible health plans meeting certain requirements to open and fund a health savings account (HSA). Unlike contributions to a 401(k) plan or an individual retirement account (IRA), HSAs benefit from a triple tax advantage: Employee contributions to the account are deductible from taxable income, any interest or other capital earnings on assets in the account build up tax-free, and distributions for qualified medical expenses from the HSA are excluded from taxable income to the employee. Because of the triple tax advantage, HSAs are often viewed as a supplement to retirement plans. Much is known about account balances, employee and employer contributions, and distributions. Yet, unlike what is known about decumulation from defined contribution plans, there is no literature on decumulation from HSAs, other than some summary statistics on distributions. In this article, Employee Benefit Research Institute (EBRI) data from the EBRI HSA Database is used to examine distributions from HSAs to better understand how HSA owners may be using their HSAs and/or spending them down.
[0201197]

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Sixth Circuit Reverses Finding of Vested Lifetime Benefits.
Goodman, Lindsay M.; Benefits Magazine; v55 n10 pp 63-34 Oct 2018; journal article

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Abstract : The Sixth Circuit reverses a district court judgment, finding that the applicable collective bargaining agreements are unambiguous and did not intend to vest retiree health care benefits for life.
[0201150]

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Washington Update: $4.3 Million HIPAA Penalty for Breach of Unencrypted PHI.
Goodman, Lindsay M.; Benefits Magazine; v55 n10 p 74 Oct 2018; journal article

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Abstract : A U.S. Department of Health and Human Services (HHS) administrative law judge (ALJ) ruled that a cancer treatment center violated the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
[0201158]

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Withdrawal Liability: Alternative Payment Rules and the Role of PBGC.
Egelberg, Jay K.; Benefits Magazine; v55 n10 pp34-39 Oct 2018; journal article

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Abstract : The Pension Benefit Guaranty Corporation (PBGC) issued guidance in April 2018 for multiemployer pension funds that want to adopt alternative withdrawal liability payment arrangements.
[0201144]

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Antiassignment Clauses in ERISA-Governed Health Plans Are Enforceable.
Benefits Magazine; v55 no9 pp 56, 58 Sep 2018; journal article

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Abstract : The U.S. Court of Appeals for the Third Circuit affirms a district court dismissal of a case questioning the enforceability of antiassignment clauses in health insurance plans governed by the Employee Retirement Income Security Act of 1974 (ERISA).
[0201112]

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Benefit Trends: Employee Benefits Key to Recruitment and Retention.
Held, Justin; Benefits Magazine; v55 no9 pp 8-10 Sep 2018; journal article

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Abstract : Discusses some of the findings of the 2018 International Foundation "Employee Benefits Survey."
[0201103]

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Claims for Benefit Denial May Proceed Despite Plan Exclusion.
Benefits Magazine; v55 no9 pp 60, 61 Sep 2018; journal article

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Abstract : The U.S. District Court for the Western District of Washington grants in part and denies in part the defendants' motion to dismiss regarding the plaintiff health plan participants claims for violations of the Employee Retirement Income Security Act of 1974 (ERISA).
[0201115]

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Curing Low Health Care Literacy.
Buckey, Kim A.; Benefits Magazine; v55 no 9 pp 16-20 Sep 2018; journal article

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Abstract : How many of your health plan participants can correctly define the terms "deductible" or "copay?" Low health care literacy can drive up health care costs for employees and employers.
[0201106]

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Mental Health and the Evolving Workplace.
Kaufman, Heather; Turowicz, Lucy; Plans & Trusts; v36 no5 pp 10-15 Sep/Oct 2018; journal article

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Abstract : As the labour force becomes increasingly mobile and isolated, so too have employers seen a rise in mental health disorders among employees - including high-performing and younger workers. Cognitive behaviour therapy, in person or online, may provide a path for employers looking to help employees return to health and productivity.
[0201129]

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