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 itemThe 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“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
“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“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“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