Massachusetts has a law to ensure ease of access to birth control pills, saying there should be no copays and women can fill a 12-month prescription at once. Infertility care has similar protections. But many health plans don t have to comply with state laws because they are “self-insured.”
401k plan sponsors have a vested interest in making sure plan participants have properly completed and filed their beneficiary designations. The majority of beneficiary designation issues affecting plan sponsors and administrators arise after a participant has passed away.
New York district court summarily dismissed 401k plan participant putative class action complaint alleging breaches of fiduciary duty related to lack of IPS and conflict of interest. Falberg v. Goldman Sachs.
Supreme Court is considering a petition for certiorari that addresses the application of ERISA preemption to local play-or-pay laws. This effectively compels employers to alter current coverage to meet requirements of local play-or-pay laws in effect in every jurisdiction.
The U.S. Court of Appeals for the Second Circuit ruled that reclassification of a claimant’s disability from one that is physically-based to one that is psychiatrically-based does not constitute an adverse benefit determination.