Compliance | April 10th, 2025 PLANSPONSOR Roadmap: Health Plan Fiduciary Duties- Data and Documents Accessing health plan data is a plan sponsor’s ‘superpower’ and provides leverage in negotiations with pharmacy benefit managers, according to...
Compliance | April 3rd, 2025 PLANSPONSOR Roadmap: A CAA Overview Complying with the Consolidated Appropriations Act requires health plan fiduciaries to closely monitor the middlemen involved in administering their health...
Compliance | March 26th, 2025 Wells Fargo Lawsuit Over Health Plan Dismissed Former employees alleged that the company had mismanaged its health plan, causing employees to overpay for prescription drugs.
Compliance | January 29th, 2025 Johnson & Johnson Lawsuit Over Health Plan Partially Dismissed A district court in New Jersey ruled that the plaintiff lacked standing for certain claims, but there is a chance...
Compliance | January 17th, 2025 ERIC Files Lawsuit to Invalidate Final Rules on Mental Health Parity The ERISA Industry Committee is challenging the Departments of Labor, Health and Human Services and Treasury, arguing the final rule...
Compliance | January 16th, 2025 FTC Issues 2nd Report Exposing Practices of Pharmacy Benefit Managers The Federal Trade Commission found that the big three PBMs have marked up the price of numerous specialty generic drugs,...
Administration | November 26th, 2024 Employers Must Attest to Removal of Gag Clauses by End of Year Under the Consolidated Appropriations Act of 2021, employers must attest that their contracts with service providers do not contain gag...
Compliance | November 20th, 2024 Owens & Minor Sues Anthem Over Mismanaging Health Plan, Lack of Transparency The health care and logistics supply chain company alleges that Anthem Blue Cross and Blue Shield refused to provide important...
Compliance | September 9th, 2024 Biden Administration Releases Final Rules on Mental Health Parity The updates are meant to ensure that ERISA health plans provide the same amount of coverage for mental health and...