June 2024
Chapter Three: Where Oh Where is the Plan Document – Summary Plan Description…
May 2024
Chapter Two: The Judge Letters, Memorandum on Dismissal – We’ve only just begun…
April 2024
Lewandowski v. Johnson & Johnson
Chapter One: The Beginning of a New Era
Prescription Drug Fiduciary and Document Claims Are Here to Stay -- Time to Study, Learn, Prevent and Succeed
January 2024
EZ ERISA is pleased to announce the updated Health and Welfare Plan Limits for 2024! Additional limits and limits for prior years can be found on the IRS website.
May 2023
EmployersandPlanAdministratorsofemployeebenefitsplanssubjecttothe EmployeeRetirementIncomeSecurityActof1974,asamended(“ERISA”)facesubstantiallegalandfinancialrisksforfailingtomaintainacompliantPlanDocumentandtoprovideplanparticipantswithacompliantSummaryPlanDescription(“SPD”).ManyEmployersandPlanAdministratorsmistakenlybelievethatotherdocumentssuchastheinsurancecertificateofcoveragearesufficienttosatisfyERISA’sPlanDocumentandSPDrequirements.Thisisrarelytrue.WhatdoessatisfytherequirementsofERISA,however,iswhatiscommonlyreferredtoasa“WrapDocument.”ThisarticleexplainsthebasicsofthePlanDocumentandSPDrequirementsandarticulateswhythecreationofawell-designedWrapDocumentcanlessentheburdenimposedbytheseimportantlegalduties.
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February 2023
Areyoureadyforyourclient’sreaction? Twoweeksago,anEZERISAPartnercalledusinapanic.OneoftheirclientshadthreeHumanResourceemployeesintownvisiting.TheywereatthelocalDenny’senjoyingtheirmorningcoffeeandbreakfast.WhentheywenttoleaveforthemeetingwithourPartner,theynoticedthepassengersidewindowwasbrokenandpapershadbeenthrowneverywhere.Theirlaptopsandbriefcaseshadbeenstolen,includingalloftheiremployeeopenenrollmentdata!
AHIPAAemergency?...
January 2023
YouHaveHandbookandPoliciesforHolidays,ButNoHIPAAPolicytoProtectYourEmployee’sHealthInformation?Huh?
Allemployerswhosponsorgrouphealthplans,regardlessofwhethertheyareself-fundedorfullyinsured,havesubstantialobligationsundertheHealthInsurancePortabilityandAccountabilityActof1996(“HIPAA”).Complyingsimplyisn’toptional,andthefailuretodosomayresultinsignificantexposureandsubstantialliability.
Mostbusinesseshaverulesandprotectionsinplaceintheformofanemployeehandbookthatdetailtherelationshipbetweentheemployerandtheiremployees.Whythendosomanyplansponsorsignoreanessentialcomponentofthatrelationshipbyfailingtoprovidepoliciesandrulesregardingtheuseanddisclosureofprotectedhealthinformation(“PHI”)underHIPAA?
IsitbecauseemployersandtheirHumanResourcestaffdonotknowthatPHImustbeprotectedunderyourgrouphealthPlan?Isitthecost,timeanddifficulty?Allofthatcanbesolved.
ThisarticleexplainsthecriticalneedforaHIPAApolicythatworksforyourgrouphealthplan,coveredemployeesanddependents,andunderscorestheneedforgrouphealthplansponsorstohaveappropriateHIPAApoliciesandprocedures,aswellasBusinessAssociateAgreements,inplacetocomplywiththeHIPAArequirementsandreducetheirexposure.
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