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Posted on December 8, 2010August 9, 2018

Injury While Traveling for Business Ruled Compensable

Traveling from a business dinner to a company-owned storage facility while an employee is on the way home falls within the scope of employment, the Texas Supreme Court has ruled.


The high court’s 8-1 decision in Liana Leordeanu v. American Protection Insurance Co. overturned a state appellate court ruling involving a pharmaceutical sales representative who worked from her apartment and drove a company car.


Leordeanu dined with clients, and her route home took her past a company-provided storage unit adjacent to her apartment complex. The unit was used to store drug samples, court records show.


She intended to stop at the unit when she ran off a highway and was seriously injured.
American Protection denied a workers’ compensation claim, concluding that Leordeanu was not acting “in the course and scope of employment” when the accident occurred, court records state.


A jury later disagreed, but an appellate court reversed the jury’s decision.


In its Dec. 3 ruling, however, the Texas Supreme Court said that under Texas law, Leordeanu was acting in the course and scope of employment because she was on her way from an employer-sponsored dinner to an employer-provided facility, and she was acting in furtherance of her employer.


The Supreme Court’s ruling affirmed the trial court’s judgment.  


 Filed by Roberto Ceniceros of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


 


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Posted on December 7, 2010August 9, 2018

Waivers for Mini-Med Plan Sponsors Nearly Double

Government regulators in just a month nearly doubled the number of “mini-med” plan sponsors that have been granted one-year waivers from meeting certain requirements of the federal health care reform law.


As of Dec. 3, the most recent data available, the Department of Health and Human Services had approved requests from 222 mini-med plan sponsors with a total of 1.5 million plan enrollees for one-year waivers. That’s up from 117 sponsor waivers affecting 1.18 million enrollees as of Nov. 1 and 30 waivers affecting nearly 969,000 enrollees as of Sept. 30.


Many of the most recent waivers were granted to local union health care funds. In all, nearly three dozen waivers involve union funds.


The waiver affecting the largest group of enrollees was granted in September to the United Federation of Teachers Welfare Fund in New York, whose mini-med plan has 351,000 enrollees, according to its filing.


The waivers are needed because most, if not all, mini-med plans run afoul of federal rules—mandated by the health care reform law—that set a minimum annual dollar limit on essential benefits that health care plans must provide in 2011, 2012 and 2013.


The minimum limit is $750,000 in 2011, $1.25 million in 2012 and $2 million in 2013.
Starting in 2014, the law bars annual limits for essential benefits.


The minimum limits, though, are far more than the maximum benefits provided through mini-med plans, which typically are offered to low-wage, part-time or seasonal employees.


Under the health care reform law, low-wage employees might qualify for government-subsidized coverage that will be available from insurers offering coverage through new state insurance exchanges starting in 2014, reducing the need for mini-med plans.


Until then, mini-med plan providers can obtain waivers from the required minimum annual benefit in situations where meeting those requirements would result in a significant decrease in access to benefits or significantly increase premiums, HHS said.


Sponsors are required to notify mini-med enrollees that they have received the waivers.  


Filed by Jerry Geisel of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


 


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Posted on December 7, 2010August 9, 2018

Supreme Court to Decide Wal-Mart Class-Action Lawsuit

The Supreme Court agreed Dec. 6 to decide whether Wal-Mart Stores Inc. must face what could be the largest workplace class-action lawsuit ever certified.

The case—Wal-Mart Stores Inc. v. Betty Dukes et al.—involves charges that Bentonville, Arkansas-based Wal-Mart paid female employees less than men in comparable positions despite higher performance ratings and seniority. The six female employees who brought the lawsuit, initially filed in 2001, also allege that women received fewer and waited longer for promotions to in-store management positions than men.

The lawsuit seeks injunctive and declaratory relief, lost pay and punitive damages.

The case, which by some estimates encompasses more than 1.5 million members, is said to be the largest workplace class-action lawsuit ever certified.

In 2007, a divided three-judge appeals court panel of the 9th Circuit U.S. Court of Appeals in San Francisco upheld a lower court’s 2004 ruling that granted class-action status to women who work or have worked in one or more of Wal-Mart’s 3,400 stores at any time since 1998.

But on April 26 of this year, an en banc 9th U.S. Circuit Court of Appeals ruled 6-5 to uphold most aspects of the district court’s ruling in a technical opinion. It concluded that the proposed plaintiffs in the case had enough in common to create a class despite varying jobs the women held—which ranged from part-time, entry-level employees to full-time, salaried managers—and the thousands of sites at which they worked. 


Filed by Mark A. Hofmann of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


 


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Posted on December 3, 2010August 9, 2018

Vanguard CEO to Employees: Let’s Lose the Suits

A few weeks ago, the Vanguard Group Inc.’s chief executive, William McNabb, received an e-mail from one of his sales representatives that a longtime client wanted to have lunch with him.

At the end of the e-mail was a simple request: “Please do not suit up.”

“The client actually asked that I not wear a suit,” McNabb said. “They said it made them feel uncomfortable.”

Despite being more than 100 miles away from the formalities of Wall Street, Malvern, Pennsylvania-based Vanguard always has required its employees worldwide to dress in business attire: a jacket and tie for men and professional dress for women.

Until now, that is.

On Nov. 23, McNabb announced on his blog that Vanguard would go “business appropriate,” meaning that all of its 12,500 employees across the world no longer have to “suit up” unless they are meeting with clients. The blog post received more than 20,000 hits.

“I had wanted the blog to outpace the number of hits of the cafeteria menu,” said John Woerth, a spokesman. The menu gets between 100 and 200 hits each day.

Last week at Vanguard’s headquarters, McNabb himself was wearing a button-down shirt and pants.

“My predecessor, Jack Brennan, felt that business attire was more egalitarian,” he said. “If you walked into a room, you couldn’t tell who the boss was.”

But after much deliberation—”I won’t even tell you how long it took to make this decision,” McNabb said—the firm has embraced the new dress code.

“It just felt it was time,” he said.

Filed by Jessica Toonkel of InvestmentNews, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com

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Posted on December 2, 2010August 9, 2018

IRS Extends Deadline to Alter Defined Benefit Plans

The Internal Revenue Service has extended the deadline to Dec. 31, 2011, for employers to formally amend their defined benefit pension plans to reflect plan design changes mandated by several recent federal laws.


The one-year extension granted by the IRS, in Notice 2010-77, does not change the effective dates of various requirements, such as one that requires full vesting of benefits earned by employees in cash balance plans after three years of service.


The one-year extension will give employers more time to prepare plan documents, which will be very welcome, said Alan Glickstein, a senior consultant with Towers Watson & Co. in Dallas.


Notice 2010-77 may be viewed online at www.irs.gov. 


Filed by Jerry Geisel of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


 


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Posted on December 2, 2010August 9, 2018

Medical Malpractice Liability Reforms, Health Care Benefits Up for Vote

A high-profile commission is expected to vote Dec. 3 on a series of wide-ranging recommendations—including medical malpractice reforms and phasing out the tax-favored status of employer-provided health care benefits—as part of a comprehensive plan to reduce the federal budget deficit.


The bipartisan National Commission on Fiscal Responsibility and Reform formally released its report Dec. 1. Among other things, the report says that medical malpractice reform could save $17 billion through 2020.


The commission recommends several policies, including modifying the collateral source rule to allow outside sources of income, such as workers’ compensation, collected as a result of an injury to be considered in determining awards and imposing a statute of limitations on medical malpractice lawsuits. The report also calls for the creation of special “health courts” to hear medical malpractice cases.


Although the commission does not specifically endorse statutory caps on punitive and noneconomic damage awards in medical malpractice cases, the report notes that many commission members support caps and that “we recommend that Congress consider this approach and evaluate its impact.”


The report, in what it calls an “illustrative proposal,” suggests that gradually, starting in 2014, employees would be taxed on employer health care plan contributions. By 2038, all employer health care plan contributions would be added to employees’ taxable income.


Under current law, employer contributions—regardless of the amount—are excluded from employees’ taxable income. However, under the new health reform law, starting in 2018, a 40 percent excise tax will be imposed on costs exceeding $10,200 for individual coverage and $27,500 for family coverage. The tax would be paid by insurers and, in the case of self-funded plans, by third-party claims administrators.


The report also recommends giving the board of the Pension Benefit Guaranty Corp. authority to raise premiums that employers with defined benefit plans pay the PBGC.
The base annual premium now is $35 per plan participant, and sponsors of underfunded plans pay an additional premium of $9 per $1,000 of underfunding.


Under the current law, except for an automatic adjustment based on the growth in wages, only Congress has authority to boost PBGC premiums.


Giving the board of the PBGC, which has a $23 billion deficit, authority to raise premiums “would sharply reduce the likelihood of a government rescue” of the PBGC in the future, the report said.


The likelihood of Congress acting on any of the proposals isn’t known. Taxing health care benefits, for example, is extremely controversial, and it would be a big “stretch” for Congress to completely eliminate the tax exclusion, said Frank McArdle, a principal with Aon Hewitt Inc. in Washington.  


Filed by Marc A. Hofmann and Jerry Geisel of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


 


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Posted on December 1, 2010August 9, 2018

Pension Plans Trustee Faces Labor Department Lawsuit Over Asset Shift

The trustee for the pension plans of two closed New York garment companies is charged in a Labor Department lawsuit with transferring more than $4.6 million in plan assets to family members and other businesses in which she had an interest, confirmed John Chavez, a Labor Department spokesman.


The lawsuit, filed in U.S. District Court in New York on Nov. 23, alleges that Colette Mordo and other plan trustees and fiduciaries violated their fiduciary duties transferring the money as well as preventing eligible employees from participating in the two plans for the defunct Manhattan companies—Sadimara Knitwear Inc. and Stallion Knits.


The lawsuit states Mordo and the other plan fiduciaries had prevented plan participants from receiving the full benefits they were entitled to receive from the plans for the businesses owned by the Mordo family.


Mordo; her husband, Matthew Mordo; and son, Alan Mordo, were all participants in the plans, according to the news release. Matthew and Alan Mordo are both deceased.


The lawsuit seeks to require Mordo to restore all losses to the plans,
“plus lost opportunity costs that resulted from her improper actions, and to permanently bar her from serving as a fiduciary to any ERISA-covered plan in the future,” a Labor Department news release said.


“Such flagrant misuse of pension plan assets is intolerable,” added Phyllis Borzi, assistant secretary of labor for the Employee Benefits Security Administration, in the release.


The Sadimara Knitwear Inc. Defined Benefit Pension Plan had $1.72 million in assets, and the Stallion Knits Defined Benefit Pension Plan had $1.53 million, both as of Dec. 31, 2008, according to the company’s Form 5500 filings.


Mordo could not immediately be reached for comment. 


Filed by Doug Halonen of Pensions & Investments, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


 


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Posted on November 22, 2010August 9, 2018

Survey Says Group Health Care Plan Costs Climbed 6.9 Percent This Year

Group health care plan costs jumped an average of 6.9 percent in 2010, the biggest increase since 2004, according to a survey of more than 2,800 employers released Nov. 17 by Mercer, which is based in New York.


That 6.9 percent increase brought costs up to an average of $9,562 per employee compared with an average of $8,945 per employee in 2009, according to the survey.


By contrast, costs rose by an average of 5.5 percent in 2009, the lowest increase in more than a decade, while costs climbed an average of 6.3 percent in 2008. Between 2005 through 2007, costs climbed by an average of 6.1 percent in each of those three years.
Mercer consultants said the spike in costs may be the result of two factors: medical providers boosting their fees and charges and an increase in utilization.


“Higher prices for health care services seem to be part of the equation, but if the recession caused a slowdown in utilization last year, we may also be seeing the effect of employees getting care they’ve been putting off,” Susan Connolly, a partner in Mercer’s Boston office, said in a written statement accompanying the survey.


To prevent even bigger cost increases in 2011—caused in part by meeting requirements, such as extending coverage to employees’ adult children up to age 26, set by the health care reform law and which kick in next year—many employers intend to make plan design changes, such as shifting more costs to employees or changing insurers.


Without health plan changes, employers predicted cost increases of about 10 percent next year. With design and other changes, employers expect to hold down their actual cost increase to an average of 6.4 percent in 2011, according to the survey.


Employers already are taking action to try to hold down plan cost increases. For example, among preferred provider organization plans imposing a deductible, the average deductible for individual coverage through in-network providers jumped by more than $100 in 2010, rising to an average of $1,200.


Similarly, the percentage of PPO sponsors that do not require a deductible for individual coverage from in-network providers fell to 16 percent in 2010, down from 22 percent in 2009.


In addition, more employers stopped offering health maintenance organizations—the most expensive plan design, with costs in 2010 averaging $8,892 per employee—while more employers added consumer-driven health care plans, such as plans linked to health savings accounts, with costs averaging $6,759 per employee.


In 2010, 26 percent of employers offered an HMO, down from 28 percent in 2008. As recently as 2005, just over one-third of employers offered an HMO.


On the other hand, this year, 17 percent of employers offered a CDHP linked to an HSA or health reimbursement arrangement, up from 15 percent in 2009. In 2005, just 2 percent of employers offered a CDHP.


The nation’s biggest employers have especially embraced CDHPs. This year, 51 percent of employers with at least 20,000 employees offered a CDHP linked to an HSA or HRA, up from 43 percent in 2009.

Among those jumbo employers, 15 percent of employees enrolled in CDHPs this year, up from 9 percent in 2009.


Copies of the National Survey of Employer-Sponsored Health Plans will be published in March.  


Filed by Jerry Geisel of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


 


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Posted on November 22, 2010August 9, 2018

Labor Department Sues Houston-Based Staffing Firm

The Labor Department sued a Houston-based staffing firm and its owner for misuse of 401(k) plan assets. The move came as part of a series of enforcement actions announced this week by the agency.


NSC Companies Inc., of Houston, and owner Patricia Thompson allegedly failed to remit and timely forward employee contributions to the firm’s 401(k) plan, protect or collect employee contributions owed and properly administer the plan, according to the Labor Department. The defendants also allegedly used the assets to benefit the company.


In the court case, the agency seeks to require defendants to repay losses to the plan with interest, correct any transactions prohibited by law and appoint an independent fiduciary to oversee plan assets. The lawsuit also seeks to permanently bar the defendants from serving in a fiduciary capacity in any plan governed by the Employee Retirement Income Security Act.


NSC provided information technology professionals, and it is unclear whether the firm is still in operation, according to the agency. The 401(k) plan had 46 participants and $230,548.16 in assets as of November 2009.


A telephone number listed on NSC’s Web site was no longer in service. 


Filed by Staffing Industry Analysts, a sister company of Workforce Management. To comment, e-mail editors@workforce.com.


 


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Posted on November 17, 2010August 9, 2018

CMS Delays Mandatory Liability Claims Reporting

The Centers for Medicare & Medicaid Services recently announced it will delay by one year the mandatory reporting of certain liability claims data.


The submission of initial liability claims reports necessary to meet Medicare Secondary Payer requirements has been delayed to Jan. 1, 2012, from Jan. 1, 2011, for claims that do not involve ongoing medical responsibility.


The announcement is not the first time the U.S. government agency has delayed implementing Medicare Secondary Payer reporting requirements. In February, the CMS said it would delay the reporting of liability claims from April 1, 2010, to Jan. 1, 2011.


Medicare Secondary Payer reporting requirements are intended to ensure Medicare remains the secondary payer when a Medicare beneficiary has medical expenses that should be paid primarily by a liability, no-fault or workers’ compensation plan.  


 Filed by Roberto Ceniceros of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


 


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