Benefits Magazine: September/October 2024
Articles Include:
- Prescription for a Lawsuit: Fiduciary Duties and Health Plan Fees
- The AI Revolution Is Coming: Will You Be Ready?
- Navigating the Challenges of Dependent Coverage for Multiemployer Plans
- Adverse Benefit Determinations: The Process and the Pitfalls
- Know the Rules: An Actuary’s Take on Complying With the Special Financial Assistance Program
- Quick Look
- Legal & Legislative Reporter
Additional Articles
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The AI Revolution Is Coming: Will You Be Ready?
Ashleigh Hall and Val Orekhov
Artificial intelligence (AI) offers the potential for benefit fund offices to increase efficiency and enhance services but can also pose significant challenges and risks. What should your fund office be doing now to prepare? -
Navigating the Challenges of Dependent Coverage for Multiemployer Plans
Becky J. Drews
Health care expenses for dependents make up a sizable portion of multiemployer heath plan costs. Which dependents are plans required to cover, and what are the best methods for monitoring dependent eligibility? -
Adverse Benefit Determinations: The Process and the Pitfalls
Travis Ketterman, GBA
Ensuring that claims procedures fulfill statutory requirements is an important part of minimizing legal challenges for employee benefit plans. In the first article of two parts, the author describes the legal framework for claims procedures as well as timing and other requirements for claim determinations. A second article in the November/December issue will discuss the appeals process. -
Know the Rules: An Actuary’s Take on Complying With the Special Financial Assistance Program
Jay K. Egelberg
Multiemployer pension plans receiving Special Financial Assistance (SFA) must comply with the program’s administrative requirements, which cover withdrawal liability assessments, investments, contributions and more.
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