An online, clickable version of this newsletter is available at:
http://benefitslink.com/2004/2004_11_15_welfare.html

===========================================================
BenefitsLink Welfare Plans Newsletter
(Plain Text Format)

November 15, 2004
===========================================================

We thank and invite your attention to today's sponsor:

BenefitsLink.com
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----------------------------------------------------------
Two-Year Statute of Limitations Upheld for COBRA Claim in
Lopez v. Premium Auto Acceptance Corp.

   
<URL:http://www.ebia.com/static/weekly/articles/2004/COBRA041111Lopez.html?partnerId=BNL123603>
   
http://www.ebia.com/static/weekly/articles/2004/COBRA041111Lopez.html?partnerId=BNL123603

   Excerpt: "The Fifth Circuit Court of Appeals has held that
   a lawsuit filed more than four years after an employer
   allegedly failed to notify a terminated employee of her
   right to elect COBRA coverage was time-barred.... COBRA
   does not contain an express time limit for filing a
   lawsuit ... so the trial court applied the statute of
   limitations for what it considered to be the most
   analogous state-law claim--a claim for unfair insurance
   practices under the Texas Insurance Code." (Employee
   Benefits Institute of America Inc.)

----------------------------------------------------------
Impact of Spitzer Complaint on Health Insurers Reviewed in
Wall Street Transcript Managed Care Issue

   <URL:http://biz.yahoo.com/twst/041110/xax400.html>
   http://biz.yahoo.com/twst/041110/xax400.html

   Excerpt: "Wall Street Transcript has just published its
   Managed Care issue, a report offering a timely review of
   the sector to serious investors and industry executives.
   This 47-page feature contains a roundtable panel,
   commentary from industry analysts and interviews with
   seven top companies from the sector. The full issue is
   available by calling (212) 952-7433 or via The Wall
   Street Transcript Online." (The Wall Street Transcript
   via Yahoo! Finance)

----------------------------------------------------------
Spitzer Sues Broker Used for Workplace Insurance, Universal
Life Resources, of Fraudulent Practices

   
<URL:http://www.nytimes.com/2004/11/13/business/13insure.html?ex=1258088400&en=532a3e2a4047dcba&ei=5090&partner=rssuserland>
   
http://www.nytimes.com/2004/11/13/business/13insure.html?ex=1258088400&en=532a3e2a4047dcba&ei=5090&partner=rssuserland

   Excerpt: "The New York attorney general's investigation
   into abuses in the insurance industry escalated [Nov.
   12] with a lawsuit accusing a California broker of
   fraudulent practices that led to higher premiums for
   employees at some of the nation's leading companies. The
   attorney general ... sued Universal Life Resources,
   accusing the firm of steering business to insurers like
   MetLife, Prudential and Unum Provident ... for millions
   of dollars ... which, until 2003, were not properly
   disclosed." (The New York Times; one-time registration
   required)

----------------------------------------------------------
MA State Attorney General Probes State Health Insurers --
Focus on Commissions Paid to Brokers

   
<URL:http://www.boston.com/business/articles/2004/11/14/ag_probes_state_health_insurers/>
   
http://www.boston.com/business/articles/2004/11/14/ag_probes_state_health_insurers/

   Excerpt: "The Massachusetts attorney general's office is
   investigating the state's health insurance industry over
   lucrative commissions offered brokers who are supposed
   to bring employers the best insurance deals. Insurance
   brokers, who can influence heavily which health plans
   employers buy, for years have received cash bonuses,
   sometimes valued in the hundreds of thousands of dollars
   for the largest brokerage firms, and recently even
   exotic vacations. But brokers generally don't disclose
   ..." (The Boston Globe)

----------------------------------------------------------
Employee of Covered Entity Gets 16 Months in Prison for
HIPAA Privacy Violation

   
<URL:http://www.ebia.com/static/weekly/articles/2004/HIPAA041111Gibson.html?partnerId=BNL123603>
   
http://www.ebia.com/static/weekly/articles/2004/HIPAA041111Gibson.html?partnerId=BNL123603

   Excerpt: "The case involved an employee of a covered entity
   who obtained a patient's name, birth date, and Social
   Security number and used the information to obtain
   credit cards. The plea agreement called for the employee
   to serve a prison term of 10 to 16 months and pay
   restitution to the credit card companies and the
   patient. The employee was sentenced last week, and the
   judge imposed the full 16-month sentence, even though
   the prosecutors recommended a 12-month sentence."
   (Employee Benefits Institute of America Inc.)

----------------------------------------------------------
Deciphering Whether Employee "Has a Serious Health
Condition:" Preventing Misuse of the FMLA (PDF)

   <URL:http://www.kl.com/files/tbl_s48News/PDFUpload307/10858/FMLA.pdf>
   http://www.kl.com/files/tbl_s48News/PDFUpload307/10858/FMLA.pdf

   FMLA Update presented by the Council on Education in
   Management, by Jacqueline Jackson-DeGarcia. November 4,
   2004. 14 pages. Excerpt: "This presentation is designed
   to help human resources determine whether or not an
   employee's health condition is serious enough to merit
   leave." (Kirkpatrick & Lockhart LLP)

----------------------------------------------------------
Father-Friendly Benefits Can Improve a Company, Aid
Employee Retention

   <URL:http://www.benefitnews.com/work/detail.cfm?id=6660>
   http://www.benefitnews.com/work/detail.cfm?id=6660

   Excerpt: "While companies can realize results from
   father-friendly efforts in a number of areas, retention
   may be the most obvious. 'The way employees are treated
   is reflected in how they are as workers' ... The
   Families and Work Institute's National Study of the
   Changing Workforce shows that employees who have more
   access to flexible work arrangements are significantly
   more satisfied with their jobs: 65%, as opposed to 30%
   satisfaction with low flexibility." (Employee Benefit
   News)

----------------------------------------------------------
Rising Cost of Health Care Impacts Company Pay Raises

   
<URL:http://www.bizjournals.com/industries/health_care/health_insurance/2004/11/15/pittsburgh_focus3.html>
   
http://www.bizjournals.com/industries/health_care/health_insurance/2004/11/15/pittsburgh_focus3.html

   Excerpt: "Although health care costs are expected to dip
   slightly in 2005, companies throughout the country are
   still cautious about doling out pay hikes. The PNC
   Economic Outlook, which was commissioned by The PNC
   Financial Services Group Inc. and released in September,
   shows that concerns about health care premiums continue
   to weigh heavily on the minds of business owners. In
   fact, more than 40 percent of the surveyed business
   owners nationwide and 46 percent within PNC Bank's
   primary ..." (Pittsburgh Business Times via
   bizjournals.com; one-time registration required)

----------------------------------------------------------
State of Kansas Offers Health Care Reform Plan with $50
Million HealthyKansas Reform Initiative

   <URL:http://www.kansas.com/mld/eagle/news/local/10142465.htm>
   http://www.kansas.com/mld/eagle/news/local/10142465.htm

   Excerpt: "Gov. Kathleen Sebelius and Insurance Commissioner
   Sandy Praeger want to make health care more affordable,
   more accessible and less bureaucratic. And they want to
   pay for the $50 million HealthyKansas reform initiative
   with an additional state tax on cigarettes and tobacco
   products. The two outlined their plans Tuesday in a
   series of talks around the state, including one in a
   high-tech procedure room at Wichita's Via Christi
   Regional Medical Center." (The Wichita Eagle)

----------------------------------------------------------
Faith-Based Health Insurance Plan for Federal Workers
Generates Controversy

   <URL:http://govexec.com/dailyfed/1104/111204d1.htm>
   http://govexec.com/dailyfed/1104/111204d1.htm

   Excerpt: "On Sept. 13, OPM officials announced the launch
   of a faith-based health insurance program for federal
   workers in Illinois. Operated by OSF Health, which is
   run by the Sisters of the Third Order of St. Francis,
   the plan specifically will prohibit payment for
   contraceptives, abortions, sterilization or artificial
   insemination. OPM officials have sought to portray the
   OSF Health plan as just one of many across the country."
   (GovExec.com)

----------------------------------------------------------
Integrating Patient Data Reduces Drug Errors, Cuts
Hospitalization Costs and Improves Patient Safety

   <URL:http://www.benefitnews.com/health/detail.cfm?id=6680>
   http://www.benefitnews.com/health/detail.cfm?id=6680

   Excerpt: "An old English proverb states, 'Prevention is
   better than cure.' For health plans seeking ways to cut
   unnecessary care costs, [that] might best be put to
   practice in the context of preventable hospitalizations
   caused by drug errors. Preventable hospitalizations
   represent a growing concern for many health plans from
   both a clinical and fiscal perspective. In 2000,
   preventable hospitalizations caused by problems with
   pres.cription medications cost health plans more than
   $121 billion." (Employee Benefit News)

----------------------------------------------------------
Incentives? To Do What? Why Paying Incentives to Doctors or
Employees to Alter Behavior Is Doomed

   <URL:http://www.benefitnews.com/finance/detail.cfm?id=6682>
   http://www.benefitnews.com/finance/detail.cfm?id=6682

   Excerpt: "Human beings are rather predictable creatures, a
   simple fact that we tend to forget with frightening
   frequency. Simply put, if you provide an incentive to do
   something, people will do it. A good example of that is
   the widely used practice of incentive compensation. The
   theory goes that base pay is insufficient to motivate
   people to achieve exceptional results or to have them
   focus on the primary objective of the moment. To achieve
   that, we need incentives that pay workers only ..."
   (Richard D. Quinn via Employee Benefit News)

----------------------------------------------------------
Health Risk Appraisals Address Employees' Individual
Problems -- Aim to Instill Healthy Habits

   <URL:http://www.workforce.com/section/02/article/23/89/05.html>
   http://www.workforce.com/section/02/article/23/89/05.html

   Excerpt: "More large employers are expected to ask
   employees to answer health-related questions as part of
   an appraisal process that can help gather useful
   baseline information as well as motivate employees to
   improve their health. .... Generally, the goal of such
   programs is to identify employees' individual
   health-care needs, such as smoking cessation or obesity
   treatment, and steer them into programs that are
   tailored to their needs, interests and their willingness
   to participate ..." (Business Insurance via Workforce
   Management)

----------------------------------------------------------
Online Tools Promote Rx Comparison Shopping: Drug-Price Web
Sites Could Bring Employer Savings

   <URL:http://www.workforce.com/section/02/article/23/89/07.html>
   http://www.workforce.com/section/02/article/23/89/07.html

   Excerpt: "Employers looking to reduce their pres.cription
   drug costs have a new tool available to them:
   independent pres.cription drug-price comparison Web
   sites. Many employers already encourage their employees
   to use the online price comparison tools their insurers
   or pres.cription benefit managers make available to them.
   These Web sites give employees information on generic
   drugs or the price benefits of ordering pres.cription
   drugs by mail rather than purchasing them at retail
   outlets." (Business Insurance via Workforce Management)

----------------------------------------------------------
Humana to Test Healthcare Evaluation System -- Software
Developed by Rand Corporation

   <URL:http://www.courier-journal.com/business/news2004/11/11/update-care.html>
   http://www.courier-journal.com/business/news2004/11/11/update-care.html

   Excerpt: "Humana will be the first health benefits company
   to test software developed by Rand Corp. to determine
   whether consumers are getting appropriate health care.
   Rand's QA Tools software was developed after a Rand
   study last year found that adults get the care
   recommended by clinical guidelines about half the time.
   The study was based on medical records of thousands of
   patients." (The Courier-Journal)

----------------------------------------------------------
Making CDH Work: Health Plans, Employers Need to Expand
Consumer-Driven Health Plan Education

   <URL:http://www.benefitnews.com/health/detail.cfm?id=6658>
   http://www.benefitnews.com/health/detail.cfm?id=6658

   Excerpt: "For consumer-driven health care to work,
   employees have to begin making prudent decisions based
   on the quality and cost of that care. However, some
   experts believe there currently are not enough education
   and decision support tools in the consumer-driven box
   available to help people make those choices." (Employee
   Benefit News)

----------------------------------------------------------
Health Plan Providers See Plans Going from Prix Fixes to a
La Carte Design

   <URL:http://www.benefitnews.com/health/detail.cfm?id=6664>
   http://www.benefitnews.com/health/detail.cfm?id=6664

   Excerpt: "Health plan providers believe that health
   benefits will end up taking on almost a piecemeal
   approach as more employers and employees rely on
   voluntary supplemental medical benefits to keep costs
   down. While that day may not be here for a number of
   years, there already are some indications that we may be
   heading in that direction." (Employee Benefit News)

----------------------------------------------------------
Going It Alone: More People Flock from Group Health Plans
to Individual Coverage

   <URL:http://www.bizjournals.com/kansascity/stories/2004/11/15/focus1.html>
   http://www.bizjournals.com/kansascity/stories/2004/11/15/focus1.html

   Excerpt: "As company-paid health insurance loses some of
   its long-held luster, individual insurance plans are
   enjoying a certain shine.... Unlike group plans, where
   all employees can get coverage regardless of their
   health status, individual plans generally are offered
   only to people who are in relatively good health. That
   reduces the insurer's risk in comparison with a group
   plan." (The Kansas City Business Journal via
   bizjournals.com; one-time registration required)

----------------------------------------------------------
Pres.cription Drug 'Follow-Ons' Increase Competition, Reduce
Prices, Tufts University Report Finds

   
<URL:http://www.kaisernetwork.org/daily_reports/rep_index.cfm?hint=3&DR_ID=26694>
   http://www.kaisernetwork.org/daily_reports/rep_index.cfm?hint=3&DR_ID=26694

   Excerpt: "Pres.cription drugs that are similar to
   medications currently on the market and treat the same
   conditions, or 'follow-ons,' lead to increased
   competition, reduced prices and provide improved
   treatment options for physicians and patients, according
   to a Tufts University report.... For the report, the
   Tufts Center for the Study of Drug Development ...
   studied 235 medications that have received FDA approval
   for sale in 72 markets since 1960." (Kaiser Family
   Foundation)

----------------------------------------------------------
Revival of 'Pay-or-Play' Health Bill Expected in
Massachusetts

   
<URL:http://www.bizjournals.com/industries/health_care/health_insurance/2004/11/15/boston_story2.html>
   
http://www.bizjournals.com/industries/health_care/health_insurance/2004/11/15/boston_story2.html

   Excerpt: "Legislative efforts to force most small companies
   to provide health insurance for their employees are set
   to make a comeback over the coming year. Recent bills to
   expand health care coverage in various ways have failed,
   even as health care costs escalated and more people lost
   coverage. But the new crop of bills represent a solid
   push to return to some form of the 'pay-or-play' law
   repealed in the mid 1990s." (Boston Business Journal
   via bizjournals.com; one-time registration required)

----------------------------------------------------------
Pittsburgh Area Businesses Want Health Care Cost and Tax
Relief According to Informal Survey

   
<URL:http://www.bizjournals.com/industries/health_care/industry_regulation/2004/11/15/pittsburgh_story1.html>
   
http://www.bizjournals.com/industries/health_care/industry_regulation/2004/11/15/pittsburgh_story1.html

   Excerpt: "In an informal online poll, the Pittsburgh
   Business Times recently asked readers, 'What is the most
   important issue that President George W. Bush could
   address in his next term to positively impact your
   business?' Health care costs topped the list, but tax
   reform and tax incentives are also major priorities,
   respondents said. 'President Bush could expand health
   care coverage for some of the people currently
   uninsured,' said Michael Baker, director of strategic
   planning ..." (Pittsburgh Business Times via
   bizjournals.com; one-time registration required)

----------------------------------------------------------
American Health Line Highlights Medical Malpractice
Developments in Eight States

   
<URL:http://bcbshealthissues.com/proactive/newsroom/release.vtml?id=136585&PROACTIVE_ID=cecec6ceccc7cac7cdc5cecfcfcfc5cececbccc7cbcbcfccc8c5cf>
   
http://bcbshealthissues.com/proactive/newsroom/release.vtml?id=136585&PROACTIVE_ID=cecec6ceccc7cac7cdc5cecfcfcfc5cececbccc7cbcbcfccc8c5cf

   Excerpt: "Florida: More than half of rural physicians over
   the past year have limited medical services, and most
   cited increasing medical malpractice premiums as a 'key
   reason' for limiting service, according to a 2003 study
   published ... in the Archives of Internal Medicine, the
   St. Petersburg Times reports. Researchers from the
   Florida State University College of Medicine surveyed
   781 doctors in rural areas and found that 61% of
   physicians reduced the number of childbirth procedures
   ..." (The National Journal Group, Limited via BlueCross
   BlueShield Association)

----------------------------------------------------------
Report: the Medicare Pres.cription Drug Benefit: Potential
Impact on Beneficiaries

   <URL:http://research.aarp.org/health/2004_13_rx.html>
   http://research.aarp.org/health/2004_13_rx.html

   Excerpt: "In this AARP Public Policy Institute Issue Paper,
   the potential impact of this benefit overall - and with
   respect to specific categories of beneficiaries - is
   examined ... For the most part, the analyses are
   conducted so as to be consistent with assumptions of the
   Congressional Budget Office. The report finds that,
   overall, the MMA represents a $407 billion shift in
   resources to Medicare beneficiaries, health plans,
   employers, and states over the period 2006-2013,
   according to CBO." (AARP)

----------------------------------------------------------
Opinion: Dispelling Malpractice Myths

   <URL:http://www.washingtonpost.com/wp-dyn/articles/A46795-2004Nov12.html>
   http://www.washingtonpost.com/wp-dyn/articles/A46795-2004Nov12.html

   Excerpt: "News reports of recent efforts to reduce
   malpractice insurance costs have missed what is needed:
   genuine reform of the medical justice system. A good way
   to start is by jettisoning some commonly held
   misperceptions about the current malpractice system.
   Call them the 'Myths of Malpractice.' Here's what is
   really going on ..." (The Washington Post; one-time
   registration required)


==========================================================
Links To Items on Executive Comp, Benefits In General

----------------------------------------------------------
SEC to Ramp Up Enforcement of Executive Compensation
Disclosure Rules

   <URL:http://www.hrpolicy.org/news/news_detail.asp?ID=1872>
   http://www.hrpolicy.org/news/news_detail.asp?ID=1872

   Excerpt: "Based on a recent speech by a top SEC official,
   the agency appears ready to step up enforcement against
   companies for failure to adequately disclose executive
   compensation on corporate proxy statements. Alan Beller,
   the Director of the SEC's Division of Corporation
   Finance, stated: 'Unless a company has disclosed all
   plan and non-plan compensation for all services rendered
   that is awarded to, earned by, or paid to the executive
   officers and directors covered in the proxy ...'" (HR
   Policy Association)

----------------------------------------------------------
Complying with the Sarbanes-Oxley Act Audit Compliance
Deadline Proving Costly to Companies

   <URL:http://www.washingtonpost.com/wp-dyn/articles/A50150-2004Nov14.html>
   http://www.washingtonpost.com/wp-dyn/articles/A50150-2004Nov14.html

   Excerpt: "Some of the nation's biggest companies face a
   deadline today for completing reviews of their internal
   financial controls, a labor-intensive, costly effort
   that has created intense friction between corporate
   managers and auditors. Top regulatory officials
   repeatedly have warned that a significant minority of
   companies, from a few hundred to a thousand, may report
   serious weaknesses in their fiscal checks and balances,
   which could have repercussions in the price of stock
   shares." (The Washington Post; one-time registration
   required)

----------------------------------------------------------
US Airways Seeks Benefit Cuts and Contract Repeals

   <URL:http://www.washingtonpost.com/wp-dyn/articles/A46696-2004Nov12.html>
   http://www.washingtonpost.com/wp-dyn/articles/A46696-2004Nov12.html

   Excerpt: "US Airways ... asked a bankrup.tcy court judge to
   terminate the long-term contracts of its flight
   attendants, mechanics, and customer service and ticket
   agents if the workers fail to agree on millions of
   dollars in pay and benefit cuts. The ... airline also
   asked the judge for permission to reduce or eliminate
   company-paid health benefits for retirees and replace
   the remaining defined-benefit retirement plans of its
   flight attendants and mechanics with a
   defined-contribution plan ..." (The Washington Post;
   one-time registration required)

----------------------------------------------------------
Opinion: a New Twist to Your Tax Bill? Pay Only Sales Taxes
-- No Payroll or Income Taxes

   <URL:http://www.csmonitor.com/2004/1115/p14s02-wmgn.html>
   http://www.csmonitor.com/2004/1115/p14s02-wmgn.html

   Excerpt: "The House Republican leadership supports
   substituting a sales tax for the federal tax system. The
   switch would essentially make interest, dividends,
   profits, and capital gains tax-free.... [At Americans
   for Fair Taxation], Mr. Wright has spent 14 years ...
   urging that the sales tax replace all current federal
   taxes - payroll taxes as well as income taxes.
   Collection would be done by the states ... The
   Internal Revenue Service would become redundant." (The
   Christian Science Monitor)

----------------------------------------------------------
Oversight Hearing on Insurance Broker Practices, Conflicts
of Interest, Current Regulatory Framework

   
<URL:http://govt-aff.senate.gov/index.cfm?Fuseaction=Hearings.Detail&HearingID=208>
   http://govt-aff.senate.gov/index.cfm?Fuseaction=Hearings.Detail&HearingID=208

   Excerpt: "This oversight hearing will focus on insurance
   brokerage practices, such as contingent commissions,
   that raise conflict of interest questions, and whether
   these practices harm consumers or suggest changes to the
   existing regulatory framework." (U.S. Senate Committee
   on Governmental Affairs, Subcommittee on Financial
   Management, the Budget, and International Security)

----------------------------------------------------------
Opinion: Bond Market Should Fear $43 Trillion Retirement
Tab for Social Security and Medicare

   
<URL:http://quote.bloomberg.com/apps/news?pid=10000039&refer=columnist_wasik&sid=a9A9X6CrGgoA>
   
http://quote.bloomberg.com/apps/news?pid=10000039&refer=columnist_wasik&sid=a9A9X6CrGgoA

   Excerpt: "As ... George W. Bush prepares to 'spend
   political capital' to reform the retirement system, the
   best way of telling if his emerging plan is sound is to
   watch from the summit of the bond market. If Bush and
   Congress fail to prudently fund Social Security and
   Medicare, it may mean paring benefits or selling
   mountains of government debt to pay for the increasing
   costs of retiring baby boomers. That may increase
   interest rates and hurt everyone, from homebuyers to
   corporate ..." (Bloomberg.com)


==========================================================
Newly Posted Events

Dependent Definition Changes Impacting Benefit Plans as of January 1, 2005
   Nationwide on December 2, 2004
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38927>
      http://benefitslink.com/events/detail.php?id=38927

Post yours!
   http://benefitslink.com/events/eventmaint.php


==========================================================
Newly Posted Press Releases

Treasury and IRS Propose Retirement Annuity Regulations
   (U.S. Department of Treasury)
   http://benefitslink.com/pr/detail.php?id=38454

Post yours!
   http://benefitslink.com/pr/maint.php


==========================================================
Newly Posted or Renewed Job Openings

Investment Advisory/Retirement Sales Consultant � St. Louis
   for Invesmart, Inc.
   in MO
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H40646

Head of Worksite ALM & Valuation
   for ING US Financial Services
   in CT
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H40997

Benefit Analyst/Recordkeeper
   for Leggette Actuaries, Inc.
   in NC
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H40999

Retirement Plan Consultant - Harrisburg, PA
   for Invesmart, Inc.
   in PA
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H41000

Pension Administrator - DB Plan Experience / Actuarial Training
   for Retirement System Group Inc. (www.rsgroup.com)
   in NY
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H41011

Sr. Benefit Analyst
   for OfficeMax
   in IL
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H41012

Post yours!
   http://benefitslink.com/jobs/post_help_wanted.html


===========================================================
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