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October 26, 2026Health & Welfare

The Daily Brief for Benefits Professionals

BenefitsWire

Health & Welfare Plans

October 26, 2026

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5 items · ~2 min read

In this issue

Regulatory Action and Guidance (1)  ·  Health & Welfare Plans (2)  ·  Litigation (1)  ·  General Benefits (1)

Regulatory Action and Guidance

1 item
Patient Protection and Affordable Care Act, Exchange Pre-Eligibility Verification

The HHS is proposing a rule regarding Exchange pre-eligibility verification under the Patient Protection and Affordable Care Act, with a public comment period to follow. MORE >>

Source: Federal Register

Health & Welfare Plans

2 items
Developing Allegheny County, Pennsylvania Requires Employers to Provide Paid Parental Leave and Expands Paid Sick Leave Entitlements

“The law applies to employers that conduct business in Allegheny County and have 15 or more employees, regardless of where those employees are located. To be eligible, employees must be employed for at least 180 days, and they must have worked at least 80 hours a year in Allegheny County. Additionally, part-time employees must have worked at least 625 hours during that time period. Certain employees, however, appear1 to be excluded from coverage: Permitted Uses and Amount of Leave Employees can use paid parental leave after the birth, adoption, or placement of a child.” MORE >>

Source: Littler

Developing Massachusetts sets 2022 individual-mandate coverage dollar limits

“The Massachusetts Health Connector has announced revised 2022 dollar limits on deductibles and other cost sharing for minimum creditable coverage (MCC), as required by regulations (956 Mass.” MORE >>

Source: Mercer

Litigation

1 item
The Job Matters: California Court Awards ERISA Long-Term Disability Benefits After MetLife’s Paper Reviewers Ignored a Scientist’s Cognitive Demands

“Reviewing the denial de novo, the court found that Plaintiff proved by a preponderance of the evidence that her anxiety, depression, and cognitive difficulties left her unable to perform her own occupation as a research scientist beginning November 8, 2023. What standard of review applied, and who carried the burden? The parties agreed the court would review MetLife’s denial de novo, the standard that applies under Firestone Tire & Rubber Co. v. Bruch when an ERISA plan does not grant the administrator discretionary authority.” MORE >>

Source: Roberts Disability Law

General Benefits

1 item
Rethinking employee support for an aging workforce

“Nationwide finds 51% of GLP-1 users worry drug costs could compete with retirement assets, creating a chance for employers to connect health and financial guidance.” MORE >>

Source: Employee Benefit News

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