ERISA Preemption: Impact on State PBM Laws
Pharmacy Benefit Managers (PBMs) play a role in the U.S. healthcare system by negotiating drug prices and formulary placements ...
Compliance Guidance
New Arkansas Pharmacy Compensation Data Filing Requirements
The Arkansas Insurance Department (AID) recently introduced AID Rule 128: Fair and Reasonable Pharmacy Reimbursements, which requires both self-insured and fully ...
Updated: ACA Reporting–New Changes
On December 23, 2024, President Biden signed two bills into law, the Paperwork Burden Reduction Act (H.R. 3797) and the Employer Reporting ...
Updated: Johnson & Johnson Case Signals Importance of Employer Fiduciary Obligations
On February 5, 2024, a class action lawsuit was filed against Johnson & Johnson, alleging that the company and their pension & benefits committee ...
[Updated]: Hospital & Fixed Indemnity Insurance Notice No Longer Required
Recently, the Departments of Labor, Health and Human Services, and the Treasury (collectively, the Departments) released final regulations which, among ...
Proposed Regulations Aim to Strengthen HIPAA Security Rule
On January 6, 2025, the Department of Health and Human Services (HHS) published proposed regulations, which if finalized, will significantly update and ...
2025 Federal Poverty Level Announced: Impact on ACA Affordability
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Updated: New York Paid Prenatal Leave Guidance Released Ahead of January 1, 2025 Effective Date
Beginning on January 1, 2025, New York employers must start providing employees with 20 hours of paid prenatal leave. The New York State ...
[Updated] Telehealth Relief Extension Expires for Plans Starting on or after January 1, 2025
Since January 1, 2020, temporary relief has permitted high deductible health plans (HDHPs) to provide telehealth services at low or no cost ...
New PCORI Fee Announced for Plan Years Ending Before October 1, 2025
The IRS recently released Notice 2024-83, which outlines the Patient-Centered Research Institute (PCORI) fee rate for plan years ending on ...
Election Impact: Employee Benefits Rundown
With an administration change upon us, there is potential for impact and change to the employee benefits industry. As of ...
DOL Confirms Cybersecurity Guidance Applies to All ERISA Plans
On September 6, 2024, the U.S. Department of Labor (DOL) issued a Compliance Assistance Release No. 2024-01 confirming that prior cybersecurity ...