Employee Benefits

Grandfathered health plans under the ACA allow certain existing plans to bypass some ACA requirements, but maintaining this status requires strict adherence to regulations, including limited benefit changes and mandatory participant notices.

Gain insights into the latest updates on RxDC reporting, key challenges, and strategies for meeting compliance obligations.

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.