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The Emotional Wellbeing Toolkit

… we’ll provide: Assessment tools Strategies & resources Ideas for wellbeing conversations Effective communication strategies Visit the Human Resources Today website to sign up for a free recording! Get to Know Our Speakers Suzannah Gill, JD EPIC Benefits Strategy Consultant and a former ERISA attorney Suzannah is at the forefront of benefits trends and strategies. She provides resources and guidance to her clients to position themselves as employers of choice with well-managed benefit plans. Suzannah was named one of Employee Benefits Advisor’s 20 Rising Stars in Benefits Advising in 2018, was featured in BenefitsPro Magazine as a “Face of …

https://www.epicbrokers.com/insights/the-emotional-wellbeing-toolkit/

Sal Lona Joins EPIC

Addition Further Expands EPIC’s Employee Benefits Practice EPIC Insurance Brokers & Consultants, a retail property and casualty insurance brokerage and employee benefits consultant, announced today that Sal Lona has joined the firm as Senior Principal as part of its Employee Benefits Practice. In his new position with EPIC, Lona will be a leader in the Los Angeles employee benefits practice focusing on growth, business development and client management. He will provide employee benefit consulting and strategy, which includes plan design and implementation, cost analysis, data analytics, technology resources, administration, communications, point solutions and helping clients fulfill long-term goals for …

https://www.epicbrokers.com/insights/sal-lona-joins-epic/

KJ Stephens Joins EPIC

Addition Further Expands EPIC’s Employee Benefits Practice EPIC Insurance Brokers & Consultants, a retail property and casualty insurance brokerage and employee benefits consultant, announced today that KJ Stephens has joined the firm as Vice President within its Employee Benefits Practice. In his new position with EPIC, Stephens will be responsible for bringing new client relationships to EPIC. He will develop health and welfare plan strategies for his clients and deploy the EPIC team and resources needed to meet client goals. He will create strategies that take clients’ benefits to a high performing level. Reporting to Robyn Pawlo, Executive Managing Principal …

https://www.epicbrokers.com/insights/kj-stephens-joins-epic/

Departments Issue CAA Drug Cost Reporting Requirement Guidance

Quick Facts Starting in 2022, employer-sponsored health plans, health insurance issuers (carriers) and pharmacy benefit managers (PBMs) will be required to submit certain information about prescription drug and healthcare spending to the Departments annually, following the requirements in the Consolidated Appropriations Act (CAA). Reports will include a variety of plan-related information that will be aggregated at the state or market level. The first report is due by December 27, 2022. Background The Department of Health and Human Services (HHS), Department of Labor (DOL) and the Department of the Treasury (collectively “the Departments”) have released an interim final rule …

https://www.epicbrokers.com/insights/caa-drug-cost-reporting-requirement-guidance/

No Surprises Act Part II Interim Final Rule: Air Ambulance Data Reporting Requirements

… for the two years covered by the reporting requirements in the NSA. Information that must be reported includes: Identifying information for any group health plan, plan sponsor or issuer, and any entity reporting on behalf of the plan or issuer, as applicable; Whether the plan or coverage is a(n) individual plan, large group plan, small group plan, self-funded plan offered by a small employer, self-funded plan offered by a large employer or Federal Employees Health Benefits plan; Date of service; Billing information; Medical billing coding information (i.e., Current Procedural Terminology (CPT) code or Healthcare Common Procedure

https://www.epicbrokers.com/insights/no-surprises-act-air-ambulance-data-reporting-requirements/

Challenges in the High Limit Disability Market

One of the most vital coverages for high-income earners is high limit disability protection. With athletes, celebrities, executives, financiers and attorneys making millions of dollars per year, the greatest threat they face to their income stream and lifestyle is a serious disability. And because the major domestic disability carriers (e.g., MetLife, UNUM, etc.) won’t insure more than a million dollars in annual income – the maximum now is $50,000 in monthly coverage at a 60% income replacement – these high earners are forced to look towards the Lloyd’s of London high limit marketplace for the additional coverage …

https://www.epicbrokers.com/insights/challenges-high-limit-disability-market/

HR Technology Trends: Prepare for Outsourced Benefits Administration Service Fee Increases

We’re in the thick of fourth-quarter madness. Open enrollment is always a difficult time for benefits administration and human resources (HR) teams and turnover is common, but issues appear to be different than in previous years. And like many employers, outsourced administration firms are experiencing a shift in their staffing, commonly referred to as “The Great Resignation.” We’re observing these staffing issues and the resultant slow in response times and quality firsthand, and so are our clients. Viewpoints from Virginia Talbot Outsourced administration firms need to balance labor costs and revenue carefully in the best of times …

https://www.epicbrokers.com/insights/hr-technology-trends-outsourced-benefits-administration-service-fee-increases/

Supreme Court Set to Review Section 1557 Disability Discrimination Case

On December 7, 2021, the Supreme Court of the United States (SCOTUS or the Supreme Court) will hear oral arguments in CVS Pharmacy, Inc. v. John Doe. The case involves claims by the plaintiffs, named John Doe to protect their anonymity, against their employer health plans’ pharmacy benefits manager (PBM) CVS Caremark. According to the claimants’ filings, changes to the PBM’s policy on in-network access to specialty drugs disproportionately affects individuals with human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS). The Supreme Court accepted the case for review to settle the alleged disparate-impact cause of actions …

https://www.epicbrokers.com/insights/supreme-court-review-section-1557-disability-discrimination-case/