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The U.S. Supreme Court Defense of Marriage Act ruling left benefits managers scrambling.

A helpful approach to design is to have desired behaviors drive benefit structure decisions and let the budget drive benefit level decisions.

It asks the government for interim guidance or transition relief from Windsor so plan managers can achieve some level of comfort around their treatment of same-sex spouses.

After a day of heated rhetoric, the House voted largely along party lines, 264-161, to delay by one year the so-called employer mandate of the Affordable Care Act.

Enforcement of the law's central requirement that individual Americans must have coverage could be weakened.

H.R. 2667 would delay the mandate for employers; H.R. 2668 would delay it for individuals.

The cost of smoking cessation programs is the only wellness plan incentive employers can now count when (and if) the act takes full effect as now scheduled in 2015.

Maryland Health Connection managers have drafted a double-wide flow chart.