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September 8, 2017

page 4

Both the website address and phone number for the

Medicaid agency in Nebraska have changed; and

The Medicaid website address has changed in West

Virginia.

And finally, EBSA’s website address that appears at the

end of the model notice has been updated.

The notice explaining the right to premium assistance

must be provided to employees residing in the below-

listed states at least once annually, without regard to

where the employer is located, or where the health plan

is sitused:

S

TATES WITH

P

REMIUM

A

SSISTANCE

Alabama

Minnesota

Pennsylvania

Alaska

Missouri

Rhode Island

Arkansas

Montana

South Carolina

Colorado

Nebraska

South Dakota

Florida

Nevada

Texas

Georgia

New Hampshire

Utah

Indiana

New Jersey

Vermont

Iowa

New York

Virginia

Kansas

North Carolina

Washington

Kentucky

North Dakota

West Virginia

Louisiana

Oklahoma

Wisconsin

Maine

Oregon

Wyoming

Massachusetts

The revised Medicaid/CHIP notice is available for viewing

and/or downloading from the DOL’s website, in both

English

( pdf o r word)

and Spanis

h ( pdf o r word )

.

R

EMINDER

: D

ISTRIBUTE

M

EDICARE

P

ART

D N

OTICES BY

O

CTOBER

15

TH

Plan sponsors have an annual obligation to provide the

Medicare Part D creditable notices to Medicare-eligible

individuals. The annual Medicare Part D open enrollment

period for the 2018 year begins October 15, 2017 and

runs through December 7, 2017.

The Medicare Part D Notice of Creditable or Non-

creditable Coverage must be provided to Medicare-

eligible individuals at least annually, prior to the

Medicare Part D open enrollment period. This means that

all Medicare Part D notices of creditable or non-

creditable coverage must be provided within the 12-

month period ending on October 15, 2017.

The Centers for Medicare and Medicaid Services (CMS)

provide model language that can be tailored by plan

sponsors to satisfy their notice obligation:

Model Individual Creditable Coverage Disclosure

Notice Language

( English o r Spanish )

Model Individual Non-Creditable Coverage

Disclosure Notice Language

( English o r Spanish )

N

EW

Y

ORK

P

AID

F

AMILY

L

EAVE

L

AW

U

PDATES

As follow-up to

last month’s Benefit Beat article

discussion of the New York Paid Family leave (PFL) law,

this article discusses some recently released guidance

relating to reporting of employee contributions, as well as

some additional compliance tips for employers.

Reporting Contributions on Form W-2

. The New York

Department of Taxation and Finance released

guidance

relating to the tax consequences of this law. Under the

PFL law, an employee can be required to pay the full cost

of the benefit. The tax guidance indicates that the

premium is to be paid on an after-tax basis and reported

on the employee’s Form W-2, using Box 14 (state

disability insurance taxes withheld). PFL benefits are

taxable non-wage income that must be included in

federal gross income. Generally, withholding is not

automatic, though, the individual beneficiary can request

withholding. The benefits paid are reported by the payer

(generally, the insurer) on a Form 1099-MISC.

Next Steps for Employers

. In light of the final regulations

adopted by

New York Workers' Compensation Board a

nd

Department of Financial Services ,

following are some

steps for employers to consider in an effort to ensure

compliance with the law when it takes effect on January

1, 2018.

1.

Contact your state temporary disability insurer to

begin the process of obtaining a PFL policy.

2.

Determine, in conjunction with your insurer, what, if

any, payroll deduction will be collected from your

employees.

3.

Develop an internal PFL policy. Points to include:

Eligibility.

Generally, employees who regularly work

a minimum of 20 hours per week are eligible for

PFL benefits after 26 consecutive weeks of

employment; those working fewer than 20 hours a

week are eligible after 175 work days.

Funding

sources

addressing

whether

contributions will be derived solely by the

employee contributions through a payroll

deduction process, or, whether the employer fully

funds the benefit, or perhaps a combination of

both employee/employer contributions;

A description of how leave can be used

. Under the

PFL law, instances giving rise for the need for leave

include baby bonding, to provide physical or

psychological care to a family member with a

serious health condition; or to relieve family

pressures when the employee’s spouse, domestic

partner, child, or parent is on active military duty.