Employee benefits updateBy David R. ShannonFederal Taxation, March 2006No policy, contract, certificate, endorsement, rider application or agreement offered or issued in this State, by a health carrier, to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services or of a disability may contain a provision purporting to reserve discretion to the health carrier to interpret the terms of the contract, or to provide standards of interpretation or review that are inconsistent with the laws of this State.
How to handle an employer’s group health plan lienBy Robert T. ParkCivil Practice and Procedure, January 2006As a result of an accident, the plaintiff was injured. He brings a suit in circuit court for negligence. His damages include medical bills that were paid for by his employer’s group health insurance plan. After pursuing discovery, including depositions, the case settles. The health plan asserts a lien for the amount it paid. How should the lawyer handle the employer’s group health plan lien?
Regulatory update: IllinoisEmployee Benefits, December 2005Does ERISA preempt this regulation? In Nickola v. CNA Group Life Assurance Co., 2005 WL 1910905 (N.D. Ill. 8/5/2005), the court declined to address the preemption issue (as to the same proposed regulation) because even if the arbitrary and capricious standard applied, “Defendant’s process and analysis in terminating Plaintiff’s long-term disability benefits is so defective that it fails arbitrary and capricious review.”
Senate and House DB funding reform alternativesBy Michael Barry & Brian DonohueEmployee Benefits, September 2005(Notice to librarians: The following issues were published in Volume 23 of this newsletter during the fiscal year ending June 30, 2005: September, No. 1; December, No. 2; March, No. 3; June, No. 4).
Federal caselaw updateBy David R. ShannonEmployee Benefits, June 2005The National Pension Lawyers Network, which is administered by the Pension Action Center at the University of Massachusetts (Gerontology Institute), provides referrals to employee benefits lawyers.
Governor signs Pension Reform BillBy Michael J. HernandezEducation Law, June 2005The Governor has signed Senate Bill 27 into law. Among other things, SB 27 extends the teachers' Early Retirement Option (ERO).
Impact of bankruptcy reform legislation on qualified retirement savings plan exclusions/exemptionsBy Mark A. BogdanowiczEmployee Benefits, June 2005This is an overview of the state of the law as to exemptions covering employee benefits under the Bankruptcy Code of 1978 and how these provisions will be affected under the recent bankruptcy reform legislation, the Bankruptcy Abuse Prevention and Consumer Protection Act of 2005 ("BAPCA").1
IRS proposes regulations on designated Roth contributions to 401(k) plansBy Alec Dike & Francis GrealyCorporate Law Departments, May 2005The IRS has issued proposed amendments to the 401(k) and (m) regulations that would provide guidance on designated Roth contributions under Internal Revenue Code Section 402A, added by the Economic Growth and Tax Relief Reconciliation Act of 2001 (EGTRRA).
Automatic rollover rulesBy Richard F. SkweresEmployee Benefits, March 2005Many retirement plans have rules that provide for automatic distributions to terminated participants or beneficiaries when the benefits are less than $5,000.
Employee benefits updateBy Thomas Vasiljevich & Elizabeth A. WardFederal Taxation, March 2005On October 22, 2004, President Bush signed into law the American Jobs Creation Act of 2004 ("AJCA") which added Section 409A to the Internal Revenue Code of 1986, as amended, (the "Code").
Federal caselaw updateBy David R. ShannonEmployee Benefits, March 2005"Sandbagging": LTD claimant was not provided access to independent medical examiner's report, which served as basis of denial of benefits, until after plan's decision.
IRS issues guidance on new nonqualified deferred compensation rulesBy J. Paul JacobsonCorporate Law Departments, January 2005On December 20, 2004, the IRS released Notice 2005-1, containing guidance on new Internal Revenue Code Section 409A, which accelerates income taxation and imposes penalty taxes on individuals covered by deferred compensation plans that do not comply with its requirements.
Federal caselaw updateBy David R. ShannonEmployee Benefits, December 2004Six weeks after taking early retirement, and after he had been assured by his employer that there would be no special separation packages offered to departing employees, ComEd offered a special separation package to certain employees.
New rules ahead for nonqualified plansBy Ann Marie BrehenyCorporate Law Departments, December 2004President Bush signed the American Jobs Creation Act (H.R.4520) into law on October 22, 2004.
Recap of 2004 guidance on Health Savings AccountsBy Jennifer WaltonEmployee Benefits, December 2004Health Savings Accounts (HSAs) were created in the Medicare bill signed on December 8, 2002 by President Bush and outlined in his State of the Union speech.
Supreme Court limits remedies available to managed care plan participantsBy Anthony E. AntognoliYoung Lawyers Division, August 2004In a unanimous decision, the Supreme Court of the United States recently ruled that participants in managed care health plans, such as Health Maintenance Organizations ("HMOs"), may not sue their plans in state court for injuries they allege to have been caused by a plan's negligence in handling coverage decisions.
Federal Legislative Report-May 31, 2004Employee Benefits, June 2004Allows the U.S. Department of Defense to pay the COBRA premiums of certain military reservists called to active duty, and their dependents.
Health Savings Accounts: Are they ERISA-covered plans?By Raelene LaPlanteEmployee Benefits, June 2004New federal legislation offers potential benefits to both individuals and employers in the form of health savings accounts ("HSAs").
The mutual fund scandals and your retirement plansBy Ned OthmanEmployee Benefits, June 2004Daily news reports headline that federal and state law enforcement officials, including New York Attorney General Eliot Spitzer, are investigating trading practices at a number of the nation's leading mutual fund companies.