BENEFITS DIGEST

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A publication of The Inner Firm

Thursday, August 20, 2026

№ 35

19 items · ~6 min read

Regulatory & Guidance (2)·Court Decisions (2)·Retirement Plans (5)·Health & Welfare (3)·Case Commentary (6)·Executive Compensation (1)

The One Thing

If you sponsor a defined benefit plan, the IRS finally got around to your funding rules. A proposed regulation published this morning is the first comprehensive update to the section 430 minimum-funding math in years, catching the regulations up to WRERA, SECURE, and SECURE 2.0 all at once. The headlines for your actuary: investment management expenses come out of target normal cost, plans adopted after year-end can count for the year just closed, and late benefit-increase amendments can enter the funding calculation if they pass a new disproportionality test. Comments run to October 19. Nothing takes effect until six months after the rules go final, so this is a read-and-comment moment, not a scramble.

Regulatory & Guidance (2)

Determination of Target Normal Cost and Funding Target for Single-Employer Defined Benefit Plans (Proposed Rule)
Internal Revenue Service / Treasury DepartmentDeadline 2026-08-20

The IRS proposed the first comprehensive update to the section 430 minimum-funding regulations in years, finally implementing amendments from WRERA, SECURE, and SECURE 2.0. The substantive changes actuaries will care about: investment management expenses are excluded from target normal cost, with a $5,000 threshold mirroring Schedule C itemization; plans adopted after year-end but before the return due date count as adopted on the last day of the year for funding purposes; and benefit-increasing amendments adopted after the valuation date can enter the funding math if they pass a new disproportionality test. Comments are due October 19, and the rules would apply to plan years beginning six months after finalization, with earlier reliance permitted.

Departments Confirm Fifth Circuit Struck QPA Regulations, Promise Guidance Shortly
Centers for Medicare & Medicaid Services 2026-08-13

The Departments posted a statement confirming that the Fifth Circuit's August 11 en banc decision in Texas Medical Association v. HHS affirmed portions of a district court judgment striking certain regulations and guidance on how the qualifying payment amount is calculated. The Departments say they are reviewing the opinion and anticipate issuing guidance shortly, and that the Federal IDR process remains operational. Until that guidance issues, the QPA methodology the rules prescribed has no replacement.

Court Decisions (2)

Laurel Hill Mgmt. Servs., Inc. v. La-Z-Boy Inc.
Court of Appeals for the Sixth Circuit 2026-08-19

In a published opinion, the Sixth Circuit held that ERISA preempts out-of-network providers' negligent misrepresentation and promissory estoppel claims based on a plan administrator's oral assurances about reimbursement, affirming dismissal of a suit that sought UCR-rate payment from La-Z-Boy's health plan after Blue Cross allegedly promised it by phone. The panel applied its Cromwell precedent, and Judge Murphy concurred separately to note most circuits allow some misrepresentation claims against administrators. The same week, the Ninth Circuit went the other way on a nearly identical negligent misrepresentation claim in Healthcare Ally v. WSP USA.

Healthcare Ally Management of California, LLC v. WSP USA, Inc.
Court of Appeals for the Ninth Circuit 2026-08-11

In a published opinion by Judge Berzon, the Ninth Circuit held that ERISA does not preempt an out-of-network surgery center's negligent misrepresentation claim over a benefit-verification call in which Aetna said reimbursement would run at the UCR rate, then paid roughly five percent of the bill at the Medicare rate. The provider's injury is its own, not a derivative claim for plan benefits, and letting administrators misstate coverage to providers with impunity would undercut ERISA's purposes. The court still affirmed dismissal of the companion promissory estoppel claim as preempted, and the panel's line falls almost exactly where the Sixth Circuit refused to draw one eight days later in La-Z-Boy.

Retirement Plans (5)

Participant Complaints Are Actually Gifts
The Rosenbaum Law Firm · via JD Supra 2026-08-20

Rosenbaum reframes the dreaded participant complaint as an early-warning system: a missing contribution or access problem surfaced by a participant is a fix-it-now opportunity before it becomes a DOL inquiry or a claim.

Roth Distribution Rules: IRAs vs. Plans
Slott Report 2026-08-19

The Slott Report maps the fork in the road between Roth IRA and Roth 401(k) distribution rules, a useful desk reference as mandatory Roth catch-ups push more plan money into Roth accounts.

Health & Welfare (3)

Guidance Issued on Nondiscrimination Testing for DCAPs
AonDeadline 2026-08-19

Aon's Compliance and Policy Consulting team digs into the DCAP half of the August 11 proposed regulations: clarified nondiscrimination testing that should raise passing rates, especially on the average benefits test, where only employees actually contributing are counted and workers earning under $25,000 may be excluded. Employers may rely on the proposed rules for 2026 plan-year testing now. Comments are due September 25, with a public hearing set for October 15.

Case Commentary (6)

When ERISA Attorneys' Fees Survive a "Grossly Disproportionate" Challenge: Court Awards Full Fees on Partial Success in Covered Earnings Dispute
Roberts Disability Law 2026-08-19

A California federal court awarded an ERISA disability claimant every dollar of a $227,348 fee request, rejecting the insurer's demand for a 90 percent across-the-board cut despite only partial success on the merits. Roberts walks through the Hummell factors and the lodestar math in a dispute that turned on how covered earnings were calculated.

Ninth Circuit Rules Negligent Misrepresentation Claim Based on Benefit Verification Call Is Not Preempted
Your ERISA Watch (Kantor & Kantor) 2026-08-19

Kantor & Kantor's weekly survey leads with Healthcare Ally v. WSP USA, where the Ninth Circuit held a provider's negligent misrepresentation claim over a benefit-verification call is not ERISA-preempted. The same edition rounds up a strong week elsewhere, including an Arizona ruling that splits 401(k) forfeiture decisions into settlor plan-drafting and fiduciary allocation choices while dismissing the complaint with leave to amend, and the Seventh Circuit's Alcoa ruling covered here Monday and Tuesday.

Court Orders Reformation Over Summary Plan Description That Understated Benefit Accruals
Your ERISA Watch (Kantor & Kantor) 2026-08-10

In Pedersen v. Kinder Morgan, a Texas federal court granted reformation for a class whose summary plan description failed to disclose a formula that cut a promised 2 percent pension accrual to as little as 1.33 percent, holding per Kantor & Kantor's account that proof of intent to defraud is not required. The court pointed to more than $100 million in employer savings as the unfair advantage supporting the remedy, but ordered individualized relief rather than a blanket award. Another decision, after Cohen and Buckmann's SPD warning Monday, that what a summary omits can be its most expensive feature.

Executive Compensation (1)