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DOL, other agencies address questions about wellness program surcharges

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Home » DOL, other agencies address questions about wellness program surcharges
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DOL, other agencies address questions about wellness program surcharges

Business Circle TeamBy Business Circle TeamAugust 28, 2026No Comments3 Mins Read
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Dive Transient:

  • A number of federal businesses, together with the U.S. Division of Labor, issued joint steering on Wednesday in response to questions raised by the wave of class-action lawsuits difficult the tobacco surcharges employers add to group well being packages.
  • In the FAQ steering, the businesses assured employers they’d no intention of taking enforcement motion towards plans or issuers that don’t retroactively present a wellness award if an worker completes an inexpensive different normal. In addition they addressed disclosure obligations. 
  • This steering could present extra readability round how HR can construction compliant group well being plans.

Dive Perception:

The U.S. Division of Well being and Human Companies, Division of the Treasury, and Division of Labor’s Worker Advantages Safety Administration collaborated on the steering.

The follow of levying tobacco use surcharges was born out of the Well being Insurance coverage Portability and Accountability Act of 1996 and the Inexpensive Care Act. These legal guidelines allowed employers to reward employees for working towards wholesome habits, comparable to addressing alcohol and drug use, engaged on diet, managing stress, reducing weight and quitting tobacco. 

The aim of this newly issued wellness program steering is to make sure that “so long as [employers] are providing fairly designed, and in any other case non-discriminatory wellness packages, they won’t be penalized for wanting to assist encourage the folks they cowl to make efforts to enhance their well being,” EBSA Assistant Secretary Daniel Aronowitz stated on Wednesday. 

Echoing the joint press launch, Timothy Collins, associate at Duane Morris, famous the wave of latest lawsuits concentrating on wellness program surcharges — one thing he known as “an instance of employers being topic to strain on all sides” in an e mail to HR Dive. “Areas that have been seen as ‘settled’ proceed to be attacked as doubtlessly violating ERISA’s fiduciary protections,” Collins stated.

The FAQs issued this week give employers “useful steering as they construction their wellness program surcharges, particularly with respect to a reprieve on sure DOL enforcement actions,” he stated. 

Nonetheless, Collins stated, whereas this steering is useful, employers should do not forget that the dangers on this space largely got here from employees choosing aside wellness packages by means of class-action lawsuits. “The DOL steering gives some arguments in rebutting these claims, however doesn’t provide security from such claims going ahead,” Collins stated.



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