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Medicare Payment Does Not Trump Plan Exclusion: Specialty Rx Denial Stands

A federal district court blocked an effort to force an ERISA health plan to pay secondary for an expensive specialty drug that was excluded from coverage because it wasn’t filled at an in-network provider as required by plan terms. The U.S. District Court for Northern Illinois rejected the plaintiff‘s argument that whenever Medicare covered a […]

Train Your People on the ABCs of the ADA

The material in this issue comes from BLR®’s popular 10-Minute HR Trainer session, “The ADA—What Supervisors Need to Know.” Train your supervisors and managers on these basic facts, definitions, and requirements regarding the Americans with Disabilities Act. What Does “Reasonable Accommodation” Mean? The ADA requires employers to provide reasonable accommodation, if necessary, to enable an […]

Discrimination: Who is Protected by the Anit-Discrimination Laws?

Could you help me with a definition of race and color as it relates to discrimination? We’re trying to sort out our diversity and discrimination policies. We’re not clear on the distinction between race and color discrimination, and we’re not clear if the laws apply just to the stated categories, like black, white, Hispanic, etc., […]

Tighten Your Saddles

Litigation Value: Cathy showing Jim the “Talla-Nasty” = yet more fodder for Jim’s sexual harassment lawsuit; five dots = a murky texting area and potential lawsuit for Darryl; and watching Dwight work himself into a human bedbug trap = priceless. This After Hours episode has the gang engaging in conduct that should make any human resources […]

One in Two Employees Is Ready to Move On

Today we’ll look at a study by Aon Hewitt indicating that over half of employees are ready to move on from their current job.

DOL Expands Family Leave for Same-Sex Parents

by Julie K. Athey The U.S. Department of Labor (DOL) has released a new “administrative interpretation” (AI) that clarifies the circumstances in which an employee may take leave to care for a child for whom they act as a parent but aren’t legally recognized as such. As has been pointed out in numerous press reports […]

Are Reference Checkers Checking the References You Give?

In yesterday’s Advisor, Employment Screening Resources (ESR) offered important policy and legal considerations for performing reference checks. Today, we’ll get their specific recommendations, and we’ll take a look at a unique resource for small HR departments. ESR, a Novato, California-based provider preemployment screening services, offers the following suggestions for responding to requests for references: 1. […]

When the floodgates open, expect water at your doorstep

About a month ago, my colleague Kristin Gray wrote about the breaking Harvey Weinstein scandal and best practices for employers to prevent harassment and discrimination from invading the workplace. And while I have no intention of reiterating any of the excellent points Kristin covered in her piece, it would be ignoring the obvious not to […]

Balancing perks and payoffs: Staying on course with employee incentives

Employers are always on the hunt for ways to attract, retain, and engage employees. They resort to a variety of perks including flexible scheduling, plenty of paid time off, and more. But employers also strive to go beyond those common incentives as they search for an innovative perk that will produce a payoff in the […]