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August 6, 2026Health & Welfare

The Daily Brief for Benefits Professionals

BenefitsWire

Health & Welfare Plans

August 6, 2026

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3 items · ~2 min read

In this issue

Health & Welfare Plans (1)  ·  Litigation (1)  ·  General Benefits (1)

Health & Welfare Plans

1 item
No Surprises Act – Early results and emerging trends

“We analyzed publicly available Centers for Medicare and Medicaid Services (CMS) dispute data to evaluate emerging trends in dispute volume, prevailing offer outcomes, administrative fees, and the distribution of financial impacts across the parties involved. We present a data-driven view of how the process is functioning in practice. The paper covers the following key points. Download the full paper (PDF). Ask the tough questions. We’re ready for them.” MORE >>

Source: Milliman

Litigation

1 item
Prove You Mailed It: Northern District of Illinois Dismisses ERISA Disability Suit for Failure to Exhaust After Claimant Cannot Establish He Sent His Appeal

“In Stempel v. Unum Life Insurance Company of America, No. 24 C 6077, 2026 WL 2241244 (N.D. Ill. Aug. 4, 2026), United States District Judge John F. Kness granted judgment to Unum on an ERISA long-term disability claim, holding that the claimant failed to exhaust his administrative remedies because he could not prove he ever mailed a timely appeal. The decision is a stark reminder that, in an ERISA benefits dispute, the burden of proving a timely appeal rests on the claimant, and that burden is not carried by testimony a court finds not credible. The court did not reach the merits of whether Unum wrongly denied benefits. The case turned entirely on exhaustion.” MORE >>

Source: Roberts Disability Law

General Benefits

1 item
From a privacy and data protection perspective, what should employers know about AI transcription and summary tools?

“If a tool can recognize voices, that implicates biometric privacy laws. At least two class actions have been filed against vendors for capturing and storing “voiceprints,” so employers are the logical next target. If the tool not only provides a summary of an interview with a candidate, but also scores the candidate’s performance, it could trigger obligations under global AI laws.” MORE >>

Source: Littler

BenefitsWire · A digest for ERISA attorneys, third-party administrators, actuaries, recordkeepers, and benefits consultants.
An informational digest, not legal advice.
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