An online, clickable version of this newsletter is available at:
http://benefitslink.com/2004/2004_12_27_welfare.html

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

December 27, 2004
===========================================================

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

NCEO
===========================================================
Check out the new publications by the NCEO in the BenefitsLink Bookstore! 
(Advert.)

   <URL:http://benefitslink.com/modperl/a_d.cgi?a_d=2004_12_27_welfare>
   http://benefitslink.com/modperl/a_d.cgi?a_d=2004_12_27_welfare

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

The National Center for Employee Ownership (NCEO), a nonprofit 
membership and research organization that provides information on
broad-based employee stock plans, now has over a dozen of its 
most popular publications available for purchase in the 
BenefitsLink bookstore. Topics range from employee stock 
ownership plans (ESOPs) to stock options to employee stock 
purchase plans (ESPPs).

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

----------------------------------------------------------
Predicting the Future of Health Savings Accounts (PDF)

   <URL:http://www.iscebs.org/PDF/HSA_survey.pdf>
   http://www.iscebs.org/PDF/HSA_survey.pdf

   5 pages. Excerpt: "As a followup to the Internal Revenue
   Service's guidance on health savings accounts (HSAs),
   the International Society decided to explore the future
   actions of employers regarding this new benefit. In
   September, e-mail surveys were sent to 888 Society
   members identified as plan sponsors and 196 surveys were
   completed (22% of those invited to participate)."
   (International Society of Certified Employee Benefit
   Specia.lists)

----------------------------------------------------------
Overview: Department of Health and Human Services Task
Force Report on Pres.cription Drug Importation (PDF)

   
<URL:http://www.pogolaw.com/attachment.html/articles/1402/AGR+Client+Alert+12.23.04_Bio+Design+5.qxd.pdf>
   
http://www.pogolaw.com/attachment.html/articles/1402/AGR+Client+Alert+12.23.04_Bio+Design+5.qxd.pdf

   4 pages. Excerpt: "Reiterating that access to safe and
   affordable pres.cription drugs is an important policy
   goal, the Task Force concluded that drug importation
   would be costly to implement, provide little overall
   savings and, if not restricted to commercial importation
   from Can.ada, could be dangerous to consumers. The Task
   Force advised that all aspects of achieving safety,
   quality and cost-effectiveness must be comprehensively
   examined before imported drugs can be considered safe."
   (Powell Goldstein LLP)

----------------------------------------------------------
Medicare Pres.cription Drug Law Requires New Disclosures for
Retiree Health Plans

   <URL:http://www.benefitnews.com/health/detail.cfm?id=6804>
   http://www.benefitnews.com/health/detail.cfm?id=6804

   Excerpt: "Medicare will soon provide a limited, voluntary
   benefit for outpatient pres.cription drugs, as authorized
   by the Medicare Pres.cription Drug, Improvement and
   Modernization Act of 2003, enacted on Dec. 8, 2003.
   Employer-sponsored retiree health plans that provide an
   'actuarially equivalent' pres.cription drug benefit to
   Medicare beneficiaries will be eligible to receive a
   financial subsidy to help offset their costs." (Employee
   Benefit News)

----------------------------------------------------------
Transparency in Pharmacy Benefit Managers Might Be Solution
or Might Be New Set of Problems

   <URL:http://www.benefitnews.com/health/detail.cfm?id=6821>
   http://www.benefitnews.com/health/detail.cfm?id=6821

   Excerpt: "High drug prices have made pharmacy benefit
   managers one of the more visible components of health
   care. Charges of misdoing, including average wholesale
   price manipulation, rebate disguising and arbitrary
   formulary restrictions, have prompted calls for PBM
   industry reform, including placing limits on therapeutic
   interchange, drug management techniques and mail-service
   incentives and requiring greater disclosure and
   fiduciary responsibility." (Employee Benefit News)

----------------------------------------------------------
Toyota Using Company Pharmacies for Employees' Medical Needs

   
<URL:http://www.azcentral.com/arizonarepublic/business/articles/1226toyotarx26.html>
   
http://www.azcentral.com/arizonarepublic/business/articles/1226toyotarx26.html

   Excerpt: "Toyota Motor Manufacturing has come up with an
   unusual approach to saving on health care costs:
   building its own employee pharmacies. The company
   pharmacies - to be expanded from one opened more than
   two years ago at its Georgetown, Ky., plant to its North
   American headquarters in Erlanger, Ohio, and other U.S.
   manufacturing sites - are part of an overhauled pharmacy
   benefit plan that takes effect Jan. 1." (Cincinnati
   Enquirer via The Arizona Republic)

----------------------------------------------------------
Medicare to Add Help for Smokers

   
<URL:http://www.nytimes.com/2004/12/24/politics/24smoke.html?ex=1261544400&en=e38060fb4cd9e75d&ei=5090&partner=rssuserland>
   
http://www.nytimes.com/2004/12/24/politics/24smoke.html?ex=1261544400&en=e38060fb4cd9e75d&ei=5090&partner=rssuserland

   Excerpt: "The Bush administration said Thursday that
   Medicare would soon pay for counseling to help
   beneficiaries stop smoking, a major expansion of the
   services covered by the program." (The New York Times;
   one-time registration required)

----------------------------------------------------------
Abstract: Tax Policy for Health Insurance

   <URL:http://papers.nber.org/papers/W10977>
   http://papers.nber.org/papers/W10977

   Excerpt: "Despite a $140 billion existing tax break for
   employer-provided health insurance, tax policy remains
   the tool of choice for many policy-makers in addressing
   the problem of the uninsured. In this paper, I use a
   microsimulation model to estimate the impact of various
   tax interventions to cover the uninsured, relative to an
   expansion of public insurance designed to accomplish the
   same goals." (National Bureau of Economic Research)

----------------------------------------------------------
Governors Unite in Fight Against Medicaid Cuts

   
<URL:http://www.nytimes.com/2004/12/26/national/26medicaid.html?ex=1261717200&en=f519e8eb6ce33a5d&ei=5090&partner=rssuserland>
   
http://www.nytimes.com/2004/12/26/national/26medicaid.html?ex=1261717200&en=f519e8eb6ce33a5d&ei=5090&partner=rssuserland

   Excerpt: "Fearful that President Bush plans to shift more
   Medicaid costs to the states, the nation's governors are
   mounting a bipartisan lobbying effort to stave off new
   federal limits on the program." (The New York Times;
   one-time registration required)

----------------------------------------------------------
Consumers Will Not Use Health Plan Information They Cannot Understand

   <URL:http://www.benefitnews.com/health/detail.cfm?id=6820>
   http://www.benefitnews.com/health/detail.cfm?id=6820

   Excerpt: "Consumer-driven health requires consumers to be
   actively involved not only in their lifestyles and
   health care utilization but also in their choice of
   health plan benefits. But how can consumers choose the
   'best' health plans if they can't understand information
   about those plans?" (Employee Benefit News)

----------------------------------------------------------
False Alarms in Screening for Cancer Prove Costly

   
<URL:http://www.nytimes.com/2004/12/26/health/26cancer.html?ex=1261803600&en=86bcbb0bb5661592&ei=5090&partner=rssuserland>
   
http://www.nytimes.com/2004/12/26/health/26cancer.html?ex=1261803600&en=86bcbb0bb5661592&ei=5090&partner=rssuserland

   Excerpt: "A new study found that people spent an extra
   $1,000 or so on health care in the year after a test
   raised suspicions that later proved unfounded. 'The key
   here is to make sure that people are considering all the
   possible benefits and harms' when they go for a
   screening test, especially one not recommended by health
   officials, said Jennifer Elston Lafata, director of the
   Center for Health Services Research at the Henry Ford
   Health System in Detroit." (AP via The New York Times;
   one-time registration required)

----------------------------------------------------------
Delawareans to Carry Medical History in Their Pocket

   <URL:http://www.consumerwatchdog.org/healthcare/nw/nw004775.php3>
   http://www.consumerwatchdog.org/healthcare/nw/nw004775.php3

   Excerpt: "[D]elaware will get $700,000 in federal money to
   start an electronic patient-information system for
   health care workers to use. The intent of the network is
   to connect doctors with labs, hospitals, pharmacies and
   nursing homes, and eliminate problems that come from
   trying to obtain information from facilities that aren't
   open around-the-clock. Patients would have a card that
   authorizes health care workers to obtain medical
   information." (The News Journal (Wilmington, DE) via The
   Foundation for Taxpayer & Consumer Rights)

----------------------------------------------------------
HSA Marketplace--Week Of Dec. 20, 2004

   <URL:http://www.aspenpublishers.com/frame.asp?source=feature1222>
   http://www.aspenpublishers.com/frame.asp?source=feature1222

   Excerpt: "Since the January 1 effective date for health
   savings accounts (HSAs), health insurers have flooded
   the HSA marketplace with different products and
   partnerships. Click here for a spotlight of the latest
   news." (Spencer Benefits Reports)

----------------------------------------------------------
Federal Government Program Coaxes Hospitals to See
Treatments Being Overlooked for Patients

   
<URL:http://www.nytimes.com/2004/12/25/health/25medicine.html?ex=1261630800&en=8ed98a6615852b1e&ei=5090&partner=rssuserland>
   
http://www.nytimes.com/2004/12/25/health/25medicine.html?ex=1261630800&en=8ed98a6615852b1e&ei=5090&partner=rssuserland

   Excerpt: "The federal government is now telling patients
   whether their local hospitals are doing what they
   should. For now, the effort involves three common and
   deadly afflictions of the elderly - heart attacks, heart
   failure and pneumonia - and asks about lifesaving
   treatments that everyone agrees should be given but that
   hospitals and doctors often forget to give." (The New
   York Times; one-time registration required)

----------------------------------------------------------
Opinion: How Technocrats are Taking Over the Practice of Medicine

   <URL:http://www.cchconline.org/pdfreport/>
   http://www.cchconline.org/pdfreport/

   Excerpt: "Extensively documented, the report ... shines a
   bright light of openness on the terms 'evidence-based
   medicine' and 'best practices,' including the purposes
   of proponents and the concerns of critics. 'The public
   needs to understand that evidence-based medicine is an
   attack on the patient-doctor relationship. EBM is not
   individualized care. It is group-think medicine,' says
   Twila Brase, president of CCHC and author of the
   report." (Citizens' Council on Health Care; registration
   required)

----------------------------------------------------------
Opinion: Managed Care-Induced 'Entitlement Mentality' 
Might Be Money Down the Drain

   <URL:http://www.plansponsor.com/magazine_type1/?RECORD_ID=27905>
   http://www.plansponsor.com/magazine_type1/?RECORD_ID=27905

   Excerpt: "As of last October, 21 states now mandate
   insurance plan contraceptive coverage but, while hailed
   by women's rights groups, these mandates highlight a
   troubling reality. Fueled by an entitlement mentality
   among health-care consumers, state-mandated health
   insurance benefits have mushroomed to the point that
   they have significantly increased the costs of providing
   health insurance." (Plan Sponsor)

----------------------------------------------------------
Opinion: Truth in Medicine Would Dramatically Improve
Cost, Quality

   <URL:http://www.washingtonpost.com/wp-dyn/articles/A23570-2004Dec23.html>
   http://www.washingtonpost.com/wp-dyn/articles/A23570-2004Dec23.html

   Excerpt: "If the president and Congress want to accomplish
   something truly important over the next four years, how
   about this: a fundamental change in the playing field
   for health care. I have a few suggestions. They are
   based on 40 years of work on health care policy and
   operations, including my current role as leader of a
   community effort in Pittsburgh to set the world
   benchmark for safety, quality and efficiency in health
   care delivery." (Paul H. O'Neill via The Washington
   Post; one-time registration required)

----------------------------------------------------------
Opinion: Medicine and Market Forces Don't Mix

   <URL:http://www.sltrib.com/opinion/ci_2498411>
   http://www.sltrib.com/opinion/ci_2498411

   Excerpt: "Once again we are being told that a new health
   financing policy will unleash the power of the market in
   the health-care system. Because patients have no
   incentive to conserve health-care dollars, they
   overutilize health services leading to excess health
   costs, or so this market-oriented theory goes.
   Accordingly, these market proponents propose converting
   employee health benefits from indemnity or managed-care
   plans to individual health savings accounts (HSA)
   coupled with high ...." (The Salt Lake Tribune)

----------------------------------------------------------
Opinion: Medicare is the Bigger Problem Than Social Security
Reform

   
<URL:http://www.washingtonpost.com/wp-dyn/articles/A28009-2004Dec26.html?referrer=email>
   
http://www.washingtonpost.com/wp-dyn/articles/A28009-2004Dec26.html?referrer=email

   Excerpt: "The program now consumes one-eighth of the
   federal budget; in 10 years that share is expected to
   grow to one-fifth. It will consume more money this year
   than enters the Treasury through payroll taxes. By 2019,
   if current spending patterns hold, the trust fund that
   finances the biggest part of the program will be out of
   cash." (The Washington Post; one-time registration
   required)


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

----------------------------------------------------------
Overview: New Deferred Comp Legislation Brings Less Flexibility and More Work

   <URL:http://www.plansponsor.com/magazine_type1/?RECORD_ID=27874>
   http://www.plansponsor.com/magazine_type1/?RECORD_ID=27874

   Excerpt: "'A very, very large percentage of these plans
   will have to be revised going forward,' says Susan
   Linder, Dallas-based general counsel in the executive
   benefits practice at Clark Consulting. 'There are few
   plans in existence now that would be compliant under
   this new rule.'" (Plan Sponsor)

----------------------------------------------------------
Overview: IRS Eases Transition Into New Deferred
Compensation Rules (PDF)

   <URL:http://www.mellon.com/hris/pdf/fyi_12_23_04.pdf>
   http://www.mellon.com/hris/pdf/fyi_12_23_04.pdf

   3 pages. Excerpt: "The IRS has issued its eagerly awaited
   guidance on the new nonqualified deferred compensation
   rules ... created under the American Jobs Creation Act
   .... The good news for employers is that this first
   transitional guidance ... allays any concerns over
   having to amend plans, change deferral elections or
   implement resolutions by the end of this year. The IRS
   has made it clear that although plans should be operated
   in good faith compliance with the new rules throughout
   ...." (Mellon)

----------------------------------------------------------
Overview: IRS Guidance on Nonqualified Deferred
Compensation Legislation (PDF)

   
<URL:http://www.gcd.com/db30/cgi-bin/pubs/IRSIssuesGuidanceonNonqualifiedpdf.pdf>
   http://www.gcd.com/db30/cgi-bin/pubs/IRSIssuesGuidanceonNonqualifiedpdf.pdf

   3 pages. Excerpt: "The guidance did not cover several
   important areas, including: Distribution issues
   (including application of the 5 year delay to changes in
   form of distribution, availability of alternative
   distribution events and timing of key employee
   determination); Off shore plan and trust issues; Stock
   appreciation rights issued by non-public companies; and,
   Severance plans that do not meet the limited
   2005 exemption." (Gardner Carton & Douglas LLP)

----------------------------------------------------------
Overview: IRS Issues Guidance on Nonqualified Deferred
Compensation Plans in Notice 2005-1 (PDF)

   
<URL:http://www.milliman.com/eb/publications/client_action_bulletin/0425_NQDCGuidance.pdf>
   
http://www.milliman.com/eb/publications/client_action_bulletin/0425_NQDCGuidance.pdf

   2 pages. Excerpt: "In Notice 2005-1, the IRS provides
   initial guidance and temporary relief from a number of
   new requirements imposed on many existing nonqualified
   deferred compensation (NQDC) arrangements by the
   American Jobs Creation Act .... Although transitional
   relief is provided through 2005, plan sponsors must
   still operate their NQDC plans in 'good-faith
   compliance' with provisions of the new Internal Revenue
   Code section 409A and the guidance contained in the IRS
   notice during 2005." (Milliman)

----------------------------------------------------------
Overview: EBSA Releases Its Semiannual Regulatory Agenda

   <URL:http://hr.cch.com/news/pen-ben/stories/122404a.asp>
   http://hr.cch.com/news/pen-ben/stories/122404a.asp

   Excerpt: "The Employee Benefits Security Administration
   (EBSA) has released its semiannual regulatory agenda,
   which outlines regulations that have been selected for
   review or development during the next year, as well as
   any regulations that have been finalized during the last
   six months." (CCH Pension & Benefits News)

----------------------------------------------------------
List of Expiring Federal Tax Provisions: 2004-2014 (PDF)

   <URL:http://www.house.gov/jct/x-71-04.pdf>
   http://www.house.gov/jct/x-71-04.pdf

   Excerpt: "This document ... provides a listing of tax
   provisions (other than those providing time-limited
   transition relief after the repeal of an underlying
   rule) that are currently scheduled to expire in
   2004-2014 (with references to the applicable section of
   the Internal Revenue Code of 1986 or other applicable
   law). For purposes of compiling this list, the staff of
   the Joint Committee on Taxation considers a provision to
   be expiring if, at some statutorily specified date in the
   future ...." (House Joint Committee on Taxation)

----------------------------------------------------------
Overview: Pennsylvania's Governor Rendell Signs Common Law
Marriage Bill (PDF)

   
<URL:http://www.ballardspahr.com/files/tbl_s11Newsletters/PDFFile142/457/LaborandEmploymentDecember12-04CommonLawMarriage.pdf>
   
http://www.ballardspahr.com/files/tbl_s11Newsletters/PDFFile142/457/LaborandEmploymentDecember12-04CommonLawMarriage.pdf

   2 pages. Excerpt: "On November 23, 2004, Governor Rendell
   signed into law HB 2719, abolishing common law marriage.
   The new law states that '[n]o common law marriage,
   contracted after January 1, 2005, shall be valid.' The
   law further provides that it does not invalidate an
   otherwise lawful common law marriage contracted on or
   before that date. As a result, most, but not all of the
   issues presented by a series of court decisions relating
   to common law marriage have been resolved." (Ballard
   Spahr Andrews & Ingersoll, LLP)

----------------------------------------------------------
New Jersey Domestic Partners Can Take Advantage of New
Legal Status

   <URL:http://www.dailyrecord.com/business/business2-bor23.htm>
   http://www.dailyrecord.com/business/business2-bor23.htm

   Excerpt: "Domestic partners also are entitled to certain
   health and pension benefits. They qualify for limited
   state income-tax benefits regarding deductions and
   exemptions. They are exempt from the state's transfer
   inheritance tax on the same basis as married spouses.
   And partners of people working for the state have access
   to the same insurance and pension coverage as
   conventional spouses." (Daily Record)

----------------------------------------------------------
Overview: Expansion and Acceleration of Reporting
Requirements Under Current Reports on Form 8-K (PDF)

   
<URL:http://www.pogolaw.com/attachment.html/articles/1316/Expansion+%26+Acceleration_12.04.pdf>
   
http://www.pogolaw.com/attachment.html/articles/1316/Expansion+%26+Acceleration_12.04.pdf

   18 pages. Excerpt: "This memorandum provides a guide to the
   Form 8-K requirements and integrates the new amendments
   with the current disclosure scheme. The discussion opens
   with a brief overview of the new Form 8-K items and is
   followed by comprehensive exhibits designed to acquaint
   you with the expanded disclosure items introduced by the
   SEC final rule (the 'Final Rule') adopting the new
   amendments." (Powell Goldstein LLP)


==========================================================
Movers and Shakers: Newly Posted Announcements of Promotions and New Personnel

Caroll J. Iler
   (Bryson Financial Group)
   http://benefitslink.com/cgi/show_moversandshakers.cgi?database_id=41326

Post Yours!
   http://benefitslink.com/moversandshakers.html


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

Benefit Plan Services Manager
   for McDermott & Miller, P.C.
   in NE
   http://benefitslink.com/modperl/job.cgi?id=H41328

Benefits Administrator
   for Jefferson County Public Schools
   in CO
   http://benefitslink.com/modperl/job.cgi?id=H41329

Senior Benefits Analyst
   for Jefferson County Public Schools
   in CO
   http://benefitslink.com/modperl/job.cgi?id=H41330

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


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