Whether it was ignorance, lack of oversight, or something more nefarious, state agencies in Georgia, Colorado and California are cracking down on insurance companies that are running afoul of the rules.

End-Stage Renal Disease is a life-changing disease for employees and a catastrophic health plan expense for employers, so plan sponsors need their insurance carriers to help employees stay healthy in order to control costs, as well as coordinate with Medicare.

Increasing transparency and lowering the cost of prescription drugs has long been a point of discussion in Congress, medical offices, and dining room tables.  [Read More]

Employers caught violating employee benefit, wage and hour, mine safety, occupational safety and health, and workers’ compensation rules will pay higher fines this year than last. In this article, you will find a list of some common health and welfare plan violations and the penalty amounts for 2022 and 2021.

The Departments of Health and Human Services, Labor, and Treasury issued guidance that health plans, including employer-sponsored group health plans, must cover the costs of certain at-home COVID-19 tests purchased on or after January 15, 2022.

As more technology-driven solutions disrupt the traditional healthcare model, many plan sponsors are moving away from the turn-key approach offered by insurance carriers. Before making such a decision, plan sponsors should determine if they are ready to take on the fiduciary challenges associated with this move.

The Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 is a federal law that prevents group health plans and health issuers that  [Read More]