An online, clickable version of this newsletter is available at:
http://benefitslink.com/2004/2004_11_29_welfare.html

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

November 29, 2004
===========================================================

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

ALM
===========================================================
Complete Benefits Law Guidance from Law Journal Press (Advert.)

   <URL:http://benefitslink.com/cgi/a_d.cgi?a_d=2004_11_29_welfare>
   http://benefitslink.com/cgi/a_d.cgi?a_d=2004_11_29_welfare

(Click on above address, or copy and paste it into your web browser, to learn 
more.)

The nation's workforce and health care system are constantly evolving 
and so are the legal issues.  Law Journal Press helps you handle any 
benefits law question with up-to-date, authoritative books on all 
aspects of the field.  Get legal and practical advice from leading 
experts on everything from COBRA to ERISA, "contingent" employees to 
family and medical leave, and more.  Browse our product listings for 
detailed information and special offers.

(Please visit our sponsors. We try to make sure their products and
services will be of interest to you. Thanks! --Editor)

----------------------------------------------------------
Chart: 2005 Minimums and Maximums for High-Deductible
Health Plans, HSAs and MSAs

   <URL:http://www.segalco.com/publications/capitalcheckup/112404.html>
   http://www.segalco.com/publications/capitalcheckup/112404.html

   Excerpt: "The Internal Revenue Service (IRS) recently
   released Revenue Procedure 2004-71, which announced
   various inflation-adjusted amounts for 2005.1 The new
   numbers for high-deductible health plans (HDHPs), Health
   Savings Accounts (HSAs) and Archer medical savings
   accounts (MSAs) are shown in the first of the two charts
   below. The second chart notes the maximum annual HSA
   contributions for 2005." (The Segal Company)

----------------------------------------------------------
Oregon State Benefits Board Outlines Ambitious Health Plans
in RFP

   <URL:http://www.bizjournals.com/portland/stories/2004/11/29/story6.html>
   http://www.bizjournals.com/portland/stories/2004/11/29/story6.html

   Excerpt: "The state Public Employee Benefit Board is moving
   forward with ambitious plans to incorporate quality and
   outcome measures, transparency, better coordination of
   care and consumer education requirements into its
   purchasing criteria. 'The [request for proposals] we are
   issuing this time will not be like anything you have
   dealt with before,' said Jean Thorne, PEBB
   administrator, in a meeting with prospective health
   plans and providers on Nov. 23. 'It's not your mother's
   RFP.'" (The Portland Business Journal via
   bizjournals.com; one-time registration required)

----------------------------------------------------------
WSJ Profiles Uninsured Patient's Tactics for Bargaining
with Providers for Lower Medical Bills

   
<URL:http://www.kaisernetwork.org/daily_reports/rep_index.cfm?hint=3&DR_ID=26913>
   http://www.kaisernetwork.org/daily_reports/rep_index.cfm?hint=3&DR_ID=26913

   Excerpt: "The Wall Street Journal on Wednesday profiled
   Curtis Selby -- a California resident who chooses to be
   uninsured because of his religious beliefs -- and
   examines how his tactic of negotiating with providers
   over the cost of his care highlights 'what millions of
   Americans may soon be doing.' Selby is a member of the
   Old German Baptist Brethren Church, a Christian
   denomination that believes 'God will pull them through
   any crisis,' the Journal reports." (Kaiser Family
   Foundation)

----------------------------------------------------------
Health Care Consumers Need Cost Advice to Aid in Efficient
Use of New Health Plans

   
<URL:http://www.bizjournals.com/cincinnati/stories/2004/11/29/editorial2.html>
   http://www.bizjournals.com/cincinnati/stories/2004/11/29/editorial2.html

   Excerpt: "We think there's an opening here for a new line
   of business -- the health insurance care adviser. Just
   like retirement planners have the know-how to help you
   pump up your nest egg, a health insurance care adviser
   could tell you how to best spend your limited health
   care funds and where to find the most cost-effective
   treatment for what ails you. Most people would gladly
   pay a reasonable amount for the help. And the adviser
   could perform a further service by pressuring ...."
   (Cincinnati Business Courier via bizjournals.com;
   one-time registration required)

----------------------------------------------------------
U.S. Senate OKs Bill Barring Source of Injury Clauses in
Health Insurance Plans

   <URL:http://wrg.wmmercer.com/showarticle.asp?ppc=&pc=hg&blurb_id=49014&ar=2>
   http://wrg.wmmercer.com/showarticle.asp?ppc=&pc=hg&blurb_id=49014&ar=2

   Excerpt: "The Senate November 20 approved a bill (S 423) to
   bar insurers and plans from denying benefits to people
   injured in legal recreational activities. Sen. Susan
   Collins (R-ME) introduced the Health Care Parity for
   Legal Transportation and Recreational Activities Act to
   'close a loophole' in the HIPAA regulations that allows
   benefits to be denied if plan enrollee is injured while
   engaged in certain activities such as skiing, horseback
   riding, or motorcycling." (Mercer Human Resource
   Consulting)

----------------------------------------------------------
More Employees Bearing Increasing Hikes in Health Coverage
Costs

   
<URL:http://www.bizjournals.com/industries/health_care/health_insurance/2004/11/29/charlotte_focus3.html>
   
http://www.bizjournals.com/industries/health_care/health_insurance/2004/11/29/charlotte_focus3.html

   Excerpt: "Ernest Dwight, president of sign-maker SouthWood
   Corp., met with his controller Nov. 12 to discuss
   employee health-plan costs for the coming year. Dwight
   had a hunch -- and it wasn't a good one. .... His dread
   was well founded: To continue the same coverage for
   SouthWood's 40 employees in 2005 would mean a 21% jump
   in premiums. Raising co-pays would drop the increase to
   12.6%. Further hikes would drop the premium hike to a
   digestible 6.5%." (Charlotte Business Journal via
   bizjournals.com; one-time registration required)

----------------------------------------------------------
Cost Not Sole Driver for Health Plans -- Use of Performance
Measures to Determine Quality

   
<URL:http://www.bizjournals.com/industries/health_care/industry_regulation/2004/11/29/charlotte_focus6.html>
   
http://www.bizjournals.com/industries/health_care/industry_regulation/2004/11/29/charlotte_focus6.html

   Excerpt: "When it comes to health care, we all want to have
   the highest-quality choices at the most-reasonable
   prices possible. Yet, quality and price don't always go
   hand-in-hand. Cheaper doesn't always buy you better. Nor
   does choosing the most expensive option mean you're
   getting the best quality. As businesses are forced to
   shift more health-care costs to employees, how does an
   employer go about evaluating the quality of plan choices
   -- what doctor to see, which hospital to use, what ...."
   (Charlotte Business Journal via bizjournals.com;
   one-time registration required)

----------------------------------------------------------
Quantum Coordinates Confusing Health-Care Process --
Reducing Or Eliminating Unnecessary Services

   
<URL:http://www.bizjournals.com/industries/health_care/physician_practices/2004/11/29/columbus_focus2.html>
   
http://www.bizjournals.com/industries/health_care/physician_practices/2004/11/29/columbus_focus2.html

   Excerpt: "Skyrocketing health-care costs are forcing many
   employers to reduce employee benefits, but Kara Trott's
   has come up with a model that's helping employers expand
   coverage while saving money. Trott, president of the
   Worthington-based Quantum Health LLC, created Community
   Coordinated Healthcare, a program the company
   administers. It has saved participating clients with at
   least 100 employees more than $13 million. By working in
   cooperation with physicians and helping them help ...."
   (Business First of Columbus via bizjournals.com;
   one-time registration required)

----------------------------------------------------------
Overview on Implications for Multiemployer Health Plans of
the New IRC Definition of Dependent (PDF)

   <URL:http://www.segalco.com/publications/bulletins/dec04WFTRA_multi.pdf>
   http://www.segalco.com/publications/bulletins/dec04WFTRA_multi.pdf

   2 pages. Excerpt: "This Bulletin discusses the benefits
   implications of the new definition of 'dependent' added
   to the Internal Revenue Code (IRC) by the Working
   Families Tax Relief Act of 2004 (WFTRA). The version
   discusses the impact on multiemployerhealth plans." (The
   Segal Company)

----------------------------------------------------------
Overview: Benefit Implications of the New Internal Revenue
Code Definition of "Dependent" (PDF)

   <URL:http://www.segalco.com/publications/bulletins/dec04WFTRA.pdf>
   http://www.segalco.com/publications/bulletins/dec04WFTRA.pdf

   2 pages. Excerpt: "A December 2004 Segal Bulletin for
   Corporate and Public Sector plans discusses the new
   definition of 'dependent' in the tax code, which has
   implications for health and welfare plans." (The Segal
   Company)

----------------------------------------------------------
Overview: Employee Benefits Plans and the Working Families
Tax Relief Act of 2004

   <URL:http://www.segalco.com/publications/capitalcheckup/112204.html>
   http://www.segalco.com/publications/capitalcheckup/112204.html

   Excerpt: "The latest issue of The Segal Company's
   electronic publication Capital Checkup is now available
   on Segal's Web site. This issue discusses how the
   Working Families Tax Relief Act of 2004 (WFTRA) affects
   health plans and dependent care assistance programs
   (DCAPs)." (The Segal Company)

----------------------------------------------------------
Hawaiian Court Reverses Lower Court Ruling on ERISA
Preemption of State Law on External Review

   <URL:http://www.state.hi.us/jud/24801.htm>
   http://www.state.hi.us/jud/24801.htm

   Excerpt: "The Hawaiian Supreme Court ruled November 18,
   2004, that a state law that gives Hawaii's insurance
   commissioner authority to conduct external reviews of
   health insurance plan decisions is 'impliedly' preempted
   by the Employee Retirement Income Security Act (ERISA)."
   (The Supreme Court of the State of Hawaii)

----------------------------------------------------------
Working Paper: Distortionary Effects of Government
Procurement: Medicaid Pres.cription Drug Purchases

   <URL:http://papers.nber.org/papers/W10930>
   http://papers.nber.org/papers/W10930

   Abstract. Excerpt: "The federal-state Medicaid program
   insures 43 million people for virtually all of the
   pres.cription drugs approved by the FDA. To determine the
   price that it will pay for a drug treatment, the
   government uses the average price in the private sector
   for that same drug. Assuming that Medicaid recipients
   are unresponsive to price because of the program's zero
   co-pay, this rule will increase prices for non-Medicaid
   consumers." (National Bureau of Economic Research)

----------------------------------------------------------
Overview: Contribution Limits Increased for Health Savings
Accounts in 2005

   
<URL:http://www.bizjournals.com/extraedge/washingtonbureau/archive/2004/11/29/bureau5.html>
   
http://www.bizjournals.com/extraedge/washingtonbureau/archive/2004/11/29/bureau5.html

   Excerpt: "Individuals will be able to contribute up to
   $2,650 next year to their health-savings accounts,
   tax-free funds that can be used for medical expenses or
   retained as an investment. The federal government raised
   the HSA contribution limit because of inflation. HSAs
   must be combined with a high-deductible health insurance
   plan. The maximum annual HSA contribution for family
   coverage was raised to $5,250. The catch-up contribution
   limit for individuals who are 55 or older will ...."
   (bizjournals.com; one-time registration required)

----------------------------------------------------------
JCAHO Offers Pay-for-Performance Guidance with 10-Point
Statement of Principles

   <URL:http://www.modernhealthcare.com/news.cms?newsId=3168&potId=FS>
   http://www.modernhealthcare.com/news.cms?newsId=3168&potId=FS

   Excerpt: "The Joint Commission on Accreditation of
   Healthcare Organizations released a set of principles to
   help payers and providers design pay-for-performance
   programs. 'Notwithstanding their recent proliferation,
   pay-for-performance programs are largely untested,' said
   the preamble to the 10-point statement of principles
   posted on the JCAHO Web site. 'It is important that
   these programs be well-designed, make every effort to
   encompass all affected stakeholders for whom the
   incentives ...." (Modernhealthcare.com)

----------------------------------------------------------
N.C. Health Insurance Innovations Commission Seeks
Innovation in Health Plans

   
<URL:http://www.bizjournals.com/industries/health_care/health_insurance/2004/11/29/charlotte_focus5.html>
   
http://www.bizjournals.com/industries/health_care/health_insurance/2004/11/29/charlotte_focus5.html

   Excerpt: "Small businesses are facing a crisis in providing
   health care for their employees. The cost of health
   insurance has risen sharply in the last five years.
   Affordability is the key issue because more than half of
   the state's work force is employed by small businesses.
   .... The result is the N.C. Health Insurance Innovations
   Commission, which will be housed at UNC Charlotte's Belk
   College of Business Administration. The organization is
   charged with finding new ways to make coverage ...."
   (Charlotte Business Journal via bizjournals.com;
   one-time registration required)

----------------------------------------------------------
Lawyers May Ask Florida Clients to Waive New Amendment
Rights in Medical Malpractice Cases

   
<URL:http://www.bizjournals.com/industries/health_care/industry_regulation/2004/11/29/jacksonville_story8.html>
   
http://www.bizjournals.com/industries/health_care/industry_regulation/2004/11/29/jacksonville_story8.html

   Excerpt: "Florida voters were faced on Election Day with
   three amendments to the state constitution that
   represented the latest battle in the running war between
   doctors and lawyers over medical malpractice issues.
   Broadly speaking, two of the measures favored lawyers --
   one will make information about medical mistakes open to
   the public, the other will strip the licenses of doctors
   found guilty of three medical malpractice incidents --
   and one favored doctors." (The Business Journal of
   Jacksonville via bizjournals.com; one-time registration
   required)

----------------------------------------------------------
Opinion: the Health Insurance Program We Could Have Had in
Massachusetts

   
<URL:http://www.boston.com/news/globe/editorial_opinion/oped/articles/2004/11/28/the_health_insurance_we_could_have_had/>
   
http://www.boston.com/news/globe/editorial_opinion/oped/articles/2004/11/28/the_health_insurance_we_could_have_had/

   Excerpt: "Sixteen years ago, with bands playing and
   balloons flying, I signed the second universal
   healthcare bill in America on the steps of the State
   House. Only the state of Hawaii had beaten us to it.
   That bill would have provided comprehensive health
   insurance for every resident of the Commonwealth. It
   would have controlled hospital costs. It required all
   employers with six or more employees to provide their
   employees and their families with health insurance with
   a contribution from ...." (Michael S. Dukakis via The
   Boston Globe)


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

----------------------------------------------------------
Year-End Checkup for Benefit Plans (PDF)

   <URL:http://www.aon.com/about/publications/pdf/alert/alert_111904.pdf>
   http://www.aon.com/about/publications/pdf/alert/alert_111904.pdf

   9 pages. Excerpt: "This Alert will help identify year-end
   administrative and planning issues that could lead to
   compliance or employee relations problems if not
   addressed before, or early in, 2005. In addition, we
   have highlighted recent legislative or regulatory
   developments that may warrant plan design decisions."
   (Aon Consulting)

----------------------------------------------------------
Law Firms Point Fingers Over Failure to File Form
S-8 Registration Statement

   <URL:http://www.nylawyer.com/news/04/11/112404a.html>
   http://www.nylawyer.com/news/04/11/112404a.html

   Excerpt: "EarthLink Inc. filed suit Friday in Fulton County
   State Court against Powell Goldstein, charging the law
   firm with causing a massive repurchase of employee stock
   by neglecting to file an important document with the
   Securities and Exchange Commission. In response, Powell
   Goldstein filed a third-party complaint against the law
   firm it says was responsible for the filing slip-up:
   Hunton & Williams. For the time being, Richmond,
   Va.-based Hunton is representing EarthLink in its suit
   ...." (Fulton County Daily Report  via New York Lawyer)

----------------------------------------------------------
United Airlines Seeks Court's Aid in Getting Additional
Labor Concessions

   <URL:http://www.washingtonpost.com/wp-dyn/articles/A12016-2004Nov25.html>
   http://www.washingtonpost.com/wp-dyn/articles/A12016-2004Nov25.html

   Excerpt: "UAL Corp., parent of United Airlines, asked a
   bankrup.tcy court Wednesday to terminate its union
   contracts if the carrier can't get an additional $725
   million in cost savings from employees by mid-January.
   The nation's No. 2 airline says it needs the additional
   labor concessions and the ability to drop traditional
   pensions to secure financing and get out of bankrup.tcy
   reorganization. The cuts would come atop the $2.5
   billion in annual labor concessions the United employees
   have ...." (AP via The Washington Post; one-time
   registration required)

----------------------------------------------------------
Commentary on Today's Article from the Wall Street Journal
Titled: "Chapter 11 Doesn't Fly"

   <URL:http://www.benefitscounsel.com/archives/001286.html>
   http://www.benefitscounsel.com/archives/001286.html

   Excerpt: "Many are wondering how best to address the
   problem of the Pension Benefit Guaranty Corporation's
   ballooning deficit (now $23.3 billion, up from $11.2
   billion in 2003) and the further strain to the system of
   recent airline bankruptcies. Steven A. Kandarian,
   Douglas M. Steenland and Duane E. Woerth offer their
   proposal for a solution in a commentary published in
   today's Wall Street Journal entitled 'Chapter 11 Doesn't
   Fly' ...." (Attorney B. Janell Grenier via
   BenefitsBlog.com)

----------------------------------------------------------
Merck Adopts Plans for Severance Packages

   
<URL:http://www.portervillerecorder.com/articles/2004/11/29/ap/business/d86ljf480.txt>
   
http://www.portervillerecorder.com/articles/2004/11/29/ap/business/d86ljf480.txt

   Excerpt: "Merck & Co. said Monday its board adopted a plan
   that will pay hefty severance packages to more than 200
   employees in the event that a change of control of the
   company takes place. The contingency plan comes as the
   pharmaceutical company is facing huge legal liabilities
   due to heart problems linked to its pres.cription
   painkiller Vioxx, investigations by the U.S. Securities
   and Exchange Commission and the Justice Department, and
   growing concerns about the company's future." (The
   Porterville Recorder)


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

ASPPA Benefits Council of Greater Cincinnati's Annual Meeting 
and a Presentation by Debbie F. Reiss regarding Changes to 
Nonqualified Deferred Compensation Arrangements
   in Ohio on December 8, 2004
   presented by ASPA Benefits Council of Greater Cincinnati
      <URL:http://benefitslink.com/events/detail.php?id=38941>
      http://benefitslink.com/events/detail.php?id=38941

Benefits Communication and Technology Institute
   in California on March 6, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38953>
      http://benefitslink.com/events/detail.php?id=38953

Certificate of Achievement in Public Plan Policy - Pensions & Health Part I
   in Florida on February 28, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38951>
      http://benefitslink.com/events/detail.php?id=38951

Certificate of Achievement in Public Plan Policy - Pensions & Health Part II
   in Florida on March 2, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38952>
      http://benefitslink.com/events/detail.php?id=38952

Certificate Series - 401(k) Plans
   in Florida on February 16, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38948>
      http://benefitslink.com/events/detail.php?id=38948

Certificate Series - Basic Compensation Concepts
   in Florida on February 16, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38947>
      http://benefitslink.com/events/detail.php?id=38947

Certificate Series - Choice Based Benefits
   in Florida on February 18, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38949>
      http://benefitslink.com/events/detail.php?id=38949

Certificate Series - Health Benefit Plan Basics
   in Florida on February 14, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38944>
      http://benefitslink.com/events/detail.php?id=38944

Certificate Series - Health Care Cost Management
   in Florida on February 16, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38946>
      http://benefitslink.com/events/detail.php?id=38946

Certificate Series - Investment Basics
   in Florida on February 14, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38945>
      http://benefitslink.com/events/detail.php?id=38945

Certificate Series - Retirment Plan Basics
   in Florida on February 18, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38950>
      http://benefitslink.com/events/detail.php?id=38950

Estate and Income Tax Planning for Qualified Plans and IRAs
   Nationwide on January 20, 2005
   presented by SunGard Corbel
      <URL:http://benefitslink.com/events/detail.php?id=38939>
      http://benefitslink.com/events/detail.php?id=38939

Fiduciary Liability: Best Practices for Plan Governance to Manage ERISA Related 
Risks
   in New York on December 2, 2004
   presented by WEB (Worldwide Employee Benefits Network) New York Chapter
      <URL:http://benefitslink.com/events/detail.php?id=38940>
      http://benefitslink.com/events/detail.php?id=38940

Fundamentals of Employee Benefits Law
   in Texas on March 3, 2005
   presented by ALI-ABA (American Law Institute-American Bar Association)
      <URL:http://benefitslink.com/events/detail.php?id=38942>
      http://benefitslink.com/events/detail.php?id=38942

Trustees and Administrators Institutes
   in Florida on February 14, 2005
   presented by International Foundation of Employee Benefit Plans
      <URL:http://benefitslink.com/events/detail.php?id=38943>
      http://benefitslink.com/events/detail.php?id=38943

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


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

CitiStreet Launches Personalized Resource Center; Participants Can Get 
Financial 
Curriculum Tailored to Their Needs
   (CitiStreet)
   http://benefitslink.com/pr/detail.php?id=38479

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


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

ERISA Attorney/ Consultant
   for Towers Perrin
   in MA
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H40218

Pension Administrator
   for Flynn, Shojinaga & Associates, Inc.
   in CA
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H41093

CS Project Manager
   for Hewitt Associates
   in IL
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H41095

Product Specialist
   for Merrill Lynch
   in NJ
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H41096

Retirement Plan Administrator
   for PensionOne Advisors, Inc.
   in CA
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H41102

Health Insurance & Group Insurance Sales Executive
   for Alliance Benefit Group of Kansas City, Inc.
   in IA, KS, MN, MO
   http://benefitslink.com/modperl/show_a_job.cgi?database_id=H40633

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


===========================================================
Subscribe to the BenefitsLink Retirement Plans
Newsletter, Too

Sign-up form is at:
   <URL:http://benefitslink.com/newsletter/>
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