Employee Benefits

Learn how formularies work, their impact on drug costs, and how to navigate them effectively.

Pharmacy Benefit Managers (“PBMs”) influence drug pricing and access, but their opaque practices raise concerns about transparency and competition.

Transform employee disengagement into high performance through clear expectations, mission alignment, continuous learning, and open communication.

Maine has finalized its Paid Family and Medical Leave rules, requiring employers to prepare for new payroll taxes starting in 2025.

Choosing the right health insurance plan is essential for small businesses and startups to balance costs while meeting employees’ healthcare needs.

The Department of Labor’s new guidance on the Gag Clause Prohibition clarifies that no agreements can restrict plan sponsors or their business associates from accessing critical health claims data, ensuring greater transparency and compliance.

Group health plan sponsors offering prescription drug coverage must submit their annual creditable coverage disclosure to CMS by March 1, 2025, for calendar year plans to ensure compliance and avoid penalties.

Illinois employers are required to provide employees with a written comparison of their health plan’s benefits. An updated model disclosure forms was recently released for 2025.

The DOL increased ERISA penalties for 2025, emphasizing the need for employers to prioritize compliance to avoid significant penalties.