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ERISA Compliance and Tobacco Cessation Wellness Programs: Recent Litigation and Key Issues for Plan Sponsors

Regulatory Framework, Program Design Considerations, Availability and Alternative Standards, Litigation Tactics, Pitfalls to Avoid

A live 90-minute premium CLE video webinar with interactive Q&A

This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

Tuesday, May 20, 2025

1:00pm-2:30pm EDT, 10:00am-11:30am PDT

Early Registration Discount Deadline, Friday, April 25, 2025

or call 1-800-926-7926

This CLE webinar will provide ERISA counsel and plan sponsors a detailed analysis of recent litigation involving tobacco cessation wellness programs and ERISA and HIPAA compliance. The panel will discuss tobacco surcharges and wellness program requirements under the Employee Retirement Income Security Act (ERISA), the Affordable Care Act (ACA), and the Health Insurance Portability and Accountability Act (HIPAA), the regulatory framework impacting the design and implementation of tobacco cessation wellness programs, recent class action lawsuits and employer liability, and next steps for plan sponsors and fiduciaries.

Description

A number of class action lawsuits have been filed against group health plans claiming that tobacco cessation wellness programs violate ERISA and HIPAA provisions. Plan sponsors and counsel must understand key provisions and requirements when structuring and implementing tobacco cessation wellness programs to minimize potential litigation and penalties.

Tobacco cessation wellness programs are designed to encourage wellness for participants in a group health plan. Under Section 702(b) of ERISA, a plan may charge a participant an insurance premium based on a health-status related factor if they fail to adhere to a program designed to promote health and disease prevention. However, recent lawsuits allege that employer-sponsored group health plans imposing surcharges on tobacco users' premiums violate HIPAA nondiscrimination rules and fiduciary duties under ERISA.

Plan sponsors and counsel must navigate the nuances of ERISA and HIPAA requirements and reevaluate these program structures for these wellness programs in order to ensure compliance and avoid litigation and penalties.

Listen as our panel discusses tobacco surcharges and wellness program requirements under ERISA, the ACA, and HIPAA, recent class action lawsuits and employer liability, and next steps for plan sponsors and fiduciaries.

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Outline

  1. Regulatory framework
    1. ERISA
    2. HIPAA
    3. ACA
  2. Program design and implementation
  3. Recent lawsuits
  4. Next steps for plan sponsors and fiduciaries

Benefits

The panel will discuss these and other key issues:

  • What are the applicable provisions for tobacco wellness programs under federal law?
  • What factors must be considered when structuring a tobacco cessation wellness program as part of a group health plan?
  • What has been the areas of focus for plaintiffs in recent class action lawsuits?
  • What steps must plan sponsors and fiduciaries take to ensure compliance in light of recent lawsuits?

Faculty

Camp, Lindsey
Lindsey R. Camp

Partner
Holland & Knight

Ms.Camp is a litigation attorney in Holland & Knight's West Palm Beach and Atlanta offices. She defends...  |  Read More

Kiesewetter, Jennifer
Jennifer S. Kiesewetter

Partner
Fisher & Phillips

Ms. Kiesewetter has more than 24 years of experience advising businesses in ERISA, employee benefits, compensation,...  |  Read More

Attend on May 20

Early Discount (through 04/25/25)

Cannot Attend May 20?

Early Discount (through 04/25/25)

You may pre-order a recording to listen at your convenience. Recordings are available 48 hours after the webinar. Strafford will process CLE credit for one person on each recording. All formats include course handouts.

To find out which recorded format will provide the best CLE option, select your state:

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