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   E M P L O Y E E   B E N E F I T S ,   C O M P E N S A T I O N
                   A N D   P E N S I O N   L A W
                 Vol. 2,  No. 23: December 13, 2001
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Publisher:     LSN Subject Matter Journals
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                Social Science Electronic Publishing, Inc. (SSEP)
                and Social Science Research Network (SSRN)

Editor:        PAMELA J. PERUN
                Urban Institute
                Mailto:pamela@planetnow.com

Copyright:     SSEP, Inc. 2001. All rights reserved.

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T A B L E   of   C O N T E N T S
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NEW and FORTHCOMING ARTICLES

"Pegram v. Herdrich: On Peritonitis, Preemption, and the Elusive
  Goal of Managed Care Accountability"
       Journal of Health Politics, Policy and Law, Vol. 26, No. 4,
       August 2001
      PETER J. HAMMER
         University of Michigan Law School
 

"Defined Contribution Health Benefits"
       EBRI Issue Brief, No. 231, March 2001
      PAUL FRONSTIN
         Employee Benefit Research Institute (EBRI)
 

"Defined Contribution Health Benefits: The Next Evolution?"
       EBRI Notes, Vol. 22, No. 8, August 2001
      STEVE BLAKELY
         Employee Benefit Research Institute (EBRI)
 

"Employee Benefits Considerations in Joint Ventures"
       Tax Lawyer, Vol. 54, No. 3, Spring 2001
      SUSAN P. SEROTA
         Pillsbury Winthrop LLP
 

"Phased Retirement: Leaving the Labor Force"
       EBRI Notes, Vol. 22, No. 9, September 2001
      DAVID RAJNES
         Employee Benefit Research Institute (EBRI)
 

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  Download papers directly from the included web address or contact
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EDITORIAL POLICIES
  To provide the broadest coverage of research in Employee
  Benefits, Compensation and Pension Law we do not referee working
  papers. We accept abstracts of working papers in Employee
  Benefits, Compensation and Pension Law whose topics suit the
  coverage of the journal and which are part of the worldwide
  scholarly discourse.
 

N E W   and   F O R T H C O M I N G   Articles
_________________________________________________________________

"Pegram v. Herdrich: On Peritonitis, Preemption, and the Elusive
  Goal of Managed Care Accountability"
       Journal of Health Politics, Policy and Law, Vol. 26, No. 4,
       August 2001

       BY:  PETER J. HAMMER
               University of Michigan Law School

Paper ID:  U of Michigan Law, Public Law Working Paper No. 9

  Contact:  PETER J. HAMMER
    Email:  Mailto:hammerp@umich.edu
   Postal:  University of Michigan Law School
            625 South State Street
            Ann Arbor, MI 48109-1215  USA
    Phone:  734-763-4586
      Fax:  734-764-8309

ABSTRACT:
  Manages care presents the paradox of organizations having real
  power over people's lives without there being clear or
  consistent means of ensuring accountability. In Pegram v.
  Herdrich, the United States Supreme Court struggled with whether
  "fiduciary duties" under the federal Employee Retirement Income
  Security Act (ERISA) could be used to counterbalance the
  incentives that HMOs may have to deny necessary care. Given
  press coverage of the case, however, it was easy to get the
  impression that the managed care industry itself was on trial in
  Pegram. This report examines the political and legal forces
  underlying the dispute and analyzes the Supreme Court's
  unanimous rejection of the notion of federally imposed duties
  for HMOs. In the absence of ERISA fiduciary obligations,
  attention must now shift to developments in state tort law, the
  scope of federal ERISA preemption, and the prospect of
  legislative reform. The report concludes with an exploration of
  how the elusive goal of managed care accountability might be
  pursued in the wake of Pegram.

______________________________

"Defined Contribution Health Benefits"
       EBRI Issue Brief, No. 231, March 2001

       BY:  PAUL FRONSTIN
               Employee Benefit Research Institute (EBRI)

Document:  Available from the SSRN Electronic Paper Collection:
            http://papers.ssrn.com/paper.taf?abstract_id=267290

  Contact:  PAUL FRONSTIN
    Email:  Mailto:fronstin@ebri.org
   Postal:  Employee Benefit Research Institute (EBRI)
            Suite 600
            2121 K Street, NW
            Washington, DC 20037-1896  USA
    Phone:  202-775-6352
      Fax:  202-775-6312

Paper Requests:
  Contact Alicia Willis at Mailto:publications@ebri.org, or 2121 K
  St., NW, Suite 600, Washington, DC 20037-1896.
  Phone:(202)775-9132, Fax:(202)775-6312. Full-Text downloads are
  available from SSRN Online for $7.50.

ABSTRACT:
  This Issue Brief discusses the emerging issue of "defined
  contribution" (DC) health benefits. The term "defined
  contribution" is used to describe a wide variety of approaches
  to the provision of health benefits, all of which have in common
  a shift in the responsibility for payment and selection of
  health care services from employers to employees. DC health
  benefits often are mentioned in the context of enabling
  employers to control their outlays for health benefits by
  avoiding increases in health care costs. DC health benefits may
  also shift responsibility for choosing a health plan and the
  associated risks of choosing a plan from employers to
  employees.

  There are three primary reasons why some employers currently
  are considering some sort of DC approach. First, they are once
  again looking for ways to keep their health care cost increases
  in line with overall inflation. Second, some employers are
  concerned that the public "backlash" against managed care will
  result in new legislation, regulations, and litigation that will
  further increase their health care costs if they do not distance
  themselves from health care decisions. Third, employers have
  modified not only most employee benefit plans, but labor market
  practices in general, by giving workers more choice, control,
  and flexibility.

  The Issue Brief also includes a discussion of various issues
  related to both the current system and a DC health benefit
  system, such as adverse selection, choice of plans, portability,
  health care costs, employers' advocacy role, delivery innovation
  and quality, tax treatment of health benefits, future public
  policy, and employees' access to information. These issues must
  be addressed in order for a transition to DC health benefits to
  occur. The most salient of these issues most likely will be
  adverse selection, since, absent a government mandate on
  individuals to purchase health insurance, it will be difficult
  to build an infrastructure that does not encourage healthy
  individuals to go without health insurance or to choose less
  extensive plans.

  Keywords: Defined contribution plans, Employment-based
  benefits, Health care attitudes and opinions, Health care costs,
  Health insurance coverage, Health insurance surveys
 

JEL Classification: J32
______________________________

"Defined Contribution Health Benefits: The Next Evolution?"
       EBRI Notes, Vol. 22, No. 8, August 2001

       BY:  STEVE BLAKELY
               Employee Benefit Research Institute (EBRI)

Document:  Available from the SSRN Electronic Paper Collection:
            http://papers.ssrn.com/paper.taf?abstract_id=282591

  Contact:  STEVE BLAKELY
    Email:  Mailto:blakely@ebri.org
   Postal:  Employee Benefit Research Institute (EBRI)
            Suite 600
            2121 K Street, NW
            Washington, DC 20037-1896  USA
    Phone:  202-775-6341
      Fax:  202-775-6312

Paper Requests:
  Contact Alicia Willis at Mailto:publications@ebri.org, or 2121 K
  St., NW, Suite 600, Washington, DC 20037-1896.
  Phone:(202)775-9132, Fax:(202)775-6312. Full-Text downloads are
  available from SSRN Online for $7.50.

ABSTRACT:
  "Defined contribution" (DC) health benefits are an emerging
   alternative that employers are starting to examine for
   controlling the resurgence of health care cost inflation. While
   there is no agreed-upon definition of what exactly constitutes
   DC health benefits, under this strategy, employers would make a
   fixed, periodic contribution to a worker's health care account,
   and the worker would assume full responsibility for
   self-insuring the care he or she needs by acquiring commercial
   insurance individually or through other groups. This article
   summarizes discussion and presentations at EBRI's May 3, 2001,
   policy forum on defined contribution health benefits, at which
   policymakers, leading thinkers on benefits, employers, and labor
   representatives examined some of the implications of DC health
   plans. They discussed whether DC health benefits would be able
   to produce long-term health care cost control, which managed
   care has not succeeded in doing; whether they would offer
   workers more choice over how their health care money is spent
   and more flexibility in choosing their providers; and how policy
   issues, such as adverse selection, equity, and regulation, would
   be addressed.

   Keywords: Employment-based benefits, Health care costs, Health
   care policy, Health insurance
 

JEL Classification: J32
______________________________

"Employee Benefits Considerations in Joint Ventures"
       Tax Lawyer, Vol. 54, No. 3, Spring 2001

       BY:  SUSAN P. SEROTA
               Pillsbury Winthrop LLP

  Contact:  SUSAN P. SEROTA
    Email:  Mailto:sserota@pillsburywinthrop.com
   Postal:  Pillsbury Winthrop LLP
            One Battery Park Plaza
            New York, NY 10004-1490  USA
    Phone:  212-858-1125
      Fax:  212-858-1500

ABSTRACT:
  In structuring corporate transactions, companies are
  increasingly utilizing joint ventures as a form of operating a
  business. It is necessary to understand the implications of
  joint ventures on employee compensation and benefit issues. This
  Article discusses the tax consequences to both the employer and
  employee which may differ if the entity is taxed as a
  partnership or a corporation. Also discussed are qualified plan
  considerations, plans sponsor liabilities under Title IV of
  ERISA, multiple employer plans, nondiscrimination requirements,
  the use of pre-participation and imputed service and
  compensation credits under qualified plans, and the issues
  relating to participation by joint venture employees in ESOPs
  and other individual account plans with investment in securities
  of one of the partners. The Article also discusses incentive
  compensation and executive compensation issues in joint
  ventures, including the availability of ISOs and nonqualified
  options and recent issues arising under the final section 1032
  regulations, and welfare plans in joint ventures, including
  issues relating to MEWAs.

______________________________

"Phased Retirement: Leaving the Labor Force"
       EBRI Notes, Vol. 22, No. 9, September 2001

       BY:  DAVID RAJNES
               Employee Benefit Research Institute (EBRI)

Document:  Available from the SSRN Electronic Paper Collection:
            http://papers.ssrn.com/paper.taf?abstract_id=288460

  Contact:  DAVID RAJNES
    Email:  Mailto:rajnes@ebri.org
   Postal:  Employee Benefit Research Institute (EBRI)
            Suite 600
            2121 K Street, NW
            Washington, DC 20037-1896  USA
    Phone:  202-775-6329
      Fax:  202-775-6312

Paper Requests:
  Contact Alicia Willis at Mailto:publications@ebri.org, or 2121 K
  St., NW, Suite 600, Washington, DC 20037-1896.
  Phone:(202)775-9132, Fax:(202)775-6312. Full-Text downloads are
  available from SSRN Online for $7.50.

ABSTRACT:
  The more traditional view of retirement as a one-time event has
  been superseded in recent years by the idea that, for many
  workers, leaving the work force may involve a less abrupt
  transition to full-time retirement. This article examines the
  process of exiting the labor force referred to in the media and
  academic literature as phased retirement. It explores the topic
  through an examination of trends in labor force participation
  and retirement and presents research highlights drawn from
  recent surveys on the subject. Reasons why employees and
  employers become involved in either formal or informal
  arrangements are a focus of the discussion and serve to explain
  the relative scarcity of formal programs in the private sector.
  Also mentioned are recommended implementation strategies for
  employers considering a formal phased option program.