Tech Startups in US, France, Germany Help in Fight Against Wildfires

“This year has been a challenging one for Phil Schneider, who hasn’t seen wildfire behavior like this in his 47-year firefighting career. Blazes raged through more than 2,000 acres of wildland in recent months in his county deep in the woods of Oregon, where a wet climate once made forest fires unthinkable. That’s an increasingly common scene around the world — from Canada to Greece, global warming has helped fuel larger and more destructive blazes, pushing firefighting services to the brink. But Schneider has a new recruit to help manage the growing risks: artificial intelligence.”  Full Article

– Insurance Journal

US Home Insurance ‘Bubble’ Closer to Popping as Climate Risks Mount: Report

“Home insurance costs that have soared in much of the US may get even higher. Tens of millions of properties around the country are insured at prices that haven’t caught up with the danger of hurricanes, wildfires and floods, according to a new report from the First Street Foundation, a nonprofit that works to define and communicate risks posed by climate change. First Street estimates that 39 million US homes are insured at artificially suppressed prices compared with the risk they actually face. Of those, nearly 6.8 million homes are covered by state-backed “insurer of last resort” policies.”  Full Article

– Insurance Journal

Save Billions or Stick with Humira? Drug Brokers Steer Americans to the More Costly Choice

“For real competition to take hold, the big pharmacy benefit managers, or PBMs, the companies that negotiate prices and set the prescription drug menu for 80% of insured patients in the United States, would have to position the new drugs favorably in health plans. They haven’t, though the logic for doing so seems plain.”  Full Article

– KFF Health News

COBRA Notice Litigation Update: Recent Decision Signals Some Skepticism of Plaintiff’s Claims

“Despite the sheer volume of COBRA notice cases, courts have issued relatively little guidance on the merits of the plaintiffs’ claims. Based on the decisions and proceedings to date, this article describes some trends indicating that, although COBRA notice litigation may present a risk for plan sponsors, there are also multiple potential merits and class-based defenses available to defendants.”  Full Article

– Groom Law Group

Managing Increasing Health and Welfare Fiduciary Risks

“Take action now to stave off the pending surge in class action litigation against health and welfare plan sponsors and fiduciaries. Plaintiffs’ firms are actively looking for potential employee plaintiffs who participate in group health plans. Manage risks by establishing a health and welfare plan fiduciary committee to conduct formal, well- documented processes to monitor health plan activities and service provider performance and fees.”  Full Article

– Nixon Peabody

Gag Clause Attestations Due December 31, 2023

“Under the Consolidated Appropriations Act of 2021 (CAA), group health plans and health insurance issuers are prohibited from entering into agreements with service providers restricting certain information that the plan may make available to another party. This information includes [1] provider- specific cost or quality information sharing with plan members or [2] claims data (including individual claims pricing) sharing with plan sponsors (and their service providers).”  Full Article

– Graydon Head & Ritchey LLP

One Year Later, Where Are the ‘Transparency in Coverage’ Compliance Studies

“The authors posit that the lack of compliance monitoring is not for lack of interest but rather because of the complexity of the landscape to which the regulation applies. As such, in this piece, we lay the groundwork for compliance studies by outlining the agencies responsible for enforcing compliance with the TiC rule, delineating the universe of entities that are required to comply with it, and discussing how compliance might be assessed.”  Full Article

– Health Affairs Forefront

Action Steps Health Parity Should Take Now in Response to New DOL Guidance on Mental Health Parity

“The Departments have consistently highlighted certain types of plan exclusions or limitations as problematic or out of compliance and addressed these areas again in both the 2023 MHPAEA Report to Congress and the Proposed Rules. Plan sponsors should review their plans carefully for these red flags and should also consider performing a more general MHPAEA compliance review of their group health plans, with an emphasis on the Department’s six areas of focus.”  Full Article

– Foley & Lardner LLP

Woodruff Sawyer: Softer D&O Market Still Offers Concerns for Underwriters

“While concerns about a “tsunami of pandemic-related litigation” never quite materialized, according to Woodruff Sawyer in its latest D&O Looking Ahead Guide for 2023, those fears have been replaced with a number of others among D&O insurers. Economic challenges such as inflation and higher interest rates, as well as the threat of a recession, combined with the war in Ukraine, limited supply chains and a volatile stock market are creating a difficult environment for management teams and boards.”  Full Article

– Insurance Journal

Viewpoint: IT Asset Disposition Is Growing Cyber Security Threat for All Organizations

“Cyber risk headlines are dominated by rising ransomware activity and soaring global data breach costs. The increased ransomware activity, driven largely by threat actor financial motives, has indiscriminately affected all industry segments – from large corporate clients to small to midsize enterprises alike. As a consequence, the cyber insurance market has witnessed notable changes. Both from a direct and reinsurer viewpoint, we have experienced pared-back coverage, increased pricing per million dollars of cover and limited capacity. While these developments top headlines, it is not the sole exposure point for corporations.”  Full Article

– Insurance Journal

Pajamas, Pennies and Time Rounding

“Submitted for your consideration are two court decisions, decided less than a year apart, and involving the same practice of rounding time entries up or down to the nearest quarter hour. The legal principles applicable to both decisions were identical, but their outcomes (so far) were very different.”  Full Article

– Constangy Brooks

The EEOC’s Strategic Plan Provides Insight Into its Priorities, Including Systemic Discrimination

“The Equal Employment Opportunity Commission has released its Strategic Plan for Fiscal Years 2022-2026, effective immediately. This document provides employers with an overview of the EEOC’s particular areas of focus.”  Full Article

– Shawe Rosenthal

Labor Department Proposes Increasing Salary Threshold for Overtime Pay

“On Aug. 30, 2023, the WHD of the DOL released a NPRM that proposes to revise the “white collar” overtime exemption regulations applicable to executive, administrative, and professional employees. Most notably, the highly anticipated proposal seeks to raise the salary threshold under which employees are eligible for overtime pay under federal labor law to $1,059 per week ($55,068 annualized).”  Full Article

– Greenberg Traurig LLP

State Pay Transparency Laws: What’s Required Now and What’s Next?

“As the summer winds down, multistate employers must remain apprised of an ever
-increasing number of obligations in the area of pay transparency … We highlight recent developments to existing pay transparency laws, summarize new pay transparency laws enacted over the summer and offer compliance tips for multistate employers grappling with this growing nationwide trend.”  Full Article

– Cooley LLP

DOL’s Conflicting Versions of Independent Contractor Standard Under FLSA

“In January 2021, the U.S. Department of Labor (DOL) under the Trump administration issued a final rule defining the standard for when a worker is an independent contractor for the purposes of the Fair Labor Standards Act (FLSA). This standard remains in effect, although the DOL under the Biden administration issued a new proposed rule redefining the standard in October 2022.”  Full Article

– Hall Benefits Law, LLC

Expanding Existing Bereavement Leave Policies to Account for Fertility Related Losses

“Bereavement leave policies generally aim to provide employees with paid leave following the death of a family member. These policies, however, often fail to acknowledge the grief that employees experience upon a fertility related loss, such as a miscarriage. Fertility related losses are very common (with more than 1 in 4 pregnancies resulting in miscarriage) and frequently result in post-traumatic stress disorder (with almost 1 in 3 women developing PTSD after a miscarriage), and yet they remain largely unaddressed in the workplace.”  Full Article

– Mintz, Levin Cohn Ferris Glovsky and Popeo P.C.

California Lawmakers Approve Nation’s Most Sweeping Emissions Disclosure Rules for Big Business

“Major corporations from oil and gas companies to retail giants would have to disclose their direct greenhouse gas emissions as well as those that come from activities like employee business travel under legislation passed by California lawmakers, the most sweeping mandate of its kind in the nation. The legislation would require thousands of public and private businesses that operate in California and make more than $1 billion annually to report their direct and indirect emissions. The goal is to increase transparency and nudge companies to evaluate how they can cut their emissions.”  Full Article

– Insurance Journal

Google’s Search Dominance Challenged in Biggest Antitrust Trial in Decades

“Google has exploited its dominance of the internet search market to lock out competitors and smother innovation, the Department of Justice charged Tuesday at the opening of the biggest U.S. antitrust trial in a quarter century. “This case is about the future of the internet and whether Google’s search engine will ever face meaningful competition,” said Kenneth Dintzer, the Justice Department’s lead litigator. Over the next 10 weeks, federal lawyers and state attorneys general will try to prove Google rigged the market in its favor by locking its search engine in as the default choice in a plethora of places and devices. U.S. District Judge Amit Mehta likely won’t issue a ruling until early next year. If he decides Google broke the law, another trial will decide what steps should be taken to rein in the Mountain View, California-based company.”  Full Article

– Insurance Journal

Illinois Enacts Pre-Tax Commuter Benefits Requirement

“Beginning January 1, 2024, certain employers located within designated Illinois counties and townships will be required to provide employees a ‘pre-tax commuter benefit.’ Employers must allow covered employees to use pre-tax dollars for the purchase of a transit pass through payroll deduction. A transit pass is any pass, token, care card, and the like entitling the employee to take public transit.”  Full Article

– Jackson Lewis P.C.

You May Need to Lower Employees’ Premiums to Keep Plans Affordable Under the ACA

“The authors are seeing an increased focus on ACA compliance and expect to see a ramp up in employer penalty notification. A failure to consider whether your plan is affordable when passing through any premium increases could result in an unintended penalty for each employee who enrolls in exchange coverage and qualifies for financial assistance.”  Full Article

– Bricker Graydon

New Federal Rules Seek to Strengthen Mental Health Parity

“Although MHPAEA has been in effect for more than a decade now, regulators enforcing the law have often struggled to narrow the many gaps in access between MHSUD and medical/surgical benefits …This proposed rule makes the NQTL standard more prescriptive and incorporates outcomes data, and if finalized would represent a significant step forward in MHPAEA enforcement.”  Full Article

– Health Affairs Forefront

District Court Dismisses Employees’ COBRA Notice Claims, Save One (Involving COVID-19)

“In litigation involving an employer’s alleged notice violations under COBRA, a district court rejected almost all of the employees’ claims for why the notices were deficient. In the one claim that survived dismissal, an employee who was terminated in June 2020 alleged that the employer’s COBRA election notice failed to state an enrollment deadline that accurately reflected COVID-19-related time extensions.”  Full Article

– Thomson Reuters Practical Law

5 Things to Know About the New Drug Pricing Negotiations

“The long-term consequences of the new policy are unknown. One theory is that reducing the prices drug companies can charge in Medicare will lead them to increase prices for the privately insured. Another theory is that Medicare price negotiations will equip private health plans to drive a harder bargain. Even though negotiated prices won’t take effect until 2026, drug companies haven’t wasted time turning to the courts to try to stop the new program in its tracks.”  Full Article

– KFF Health News

Circuit Court Holds ERISA Preempts State PBM Regulation

“The court’s opinion distinguished the case from Rutledge v. Pharmaceutical Care Management Association (PCMA), in which the Supreme Court held that an Arkansas law requiring PBMs to tie their reimbursement rates to pharmacies’ costs was not preempted by ERISA because it did not dictate plan choices. The 10th Circuit reasoned that, whereas the Arkansas law at issue in Rutledge merely resulted in an increase of costs for the PBM, the Act goes further by potentially having a direct effect on a plan’s network design, and therefore ‘governs a central matter of plan administration.’”  Full Article

– Slevin & Hart, P.C.