Employee benefits are one of the largest and most complex expenses many employers manage — and they also include strict fiduciary obligations. Yet many organizations assume that once open enrollment...
Employers are grappling with another year of steep increases in group health plan premiums due to medical cost inflation, higher utilization and rising drug prices. At the same time, health insurers...
Plaintiff's lawyers are breaking new ground by suing employers for allegedly failing in their fiduciary duties to manage their voluntary benefit plans, including dental, vision, accident insurance,...
Employers grappling with the cost and complexity of GLP-1 drugs are increasingly testing a workaround: steering certain employees to direct-to-consumer arrangements that operate outside the...
As employers face rapidly rising health insurance costs for their employees, industry pundits are increasingly urging benefit leaders to confront "stealth" cost drivers that quietly inflate spending...
When people sign up for a new health insurance plan, be that an employer-sponsored plan or one purchased on the Affordable Care Act (ACA) exchange, they can often be confused about when coverage...
Applicable large employers face a familiar but unforgiving task each winter: reporting their group health coverage details to the IRS. With key ACA Affordable Care Act filing deadlines falling in...
The ACA subsidy expiration at the end of 2025 will impact employers offering group health plans, as enhanced premium subsidies that have helped millions of Americans afford individual health...
Health insurers pledged in June 2025 to overhaul their processes as part of a Trump administration initiative to reduce the volume of prior authorization requirements and modernize how requests are...
The new "Trends to Watch in 2026" report by Business Group on Health (BGH) outlines developments that will shape next year's benefits environment. Rising medical and pharmacy spending, a...
A ghost network is a growing problem and usually results from outdated provider lists. However, enrollees regularly learn that a doctor that is clearly listed in their health plan's provider list is...
The oldest Gen Z workers and youngest Millennials who are just entering the workforce face a steep learning curve when selecting group health coverage and are increasingly turning to apps, the...
Let’s have a conversation on our dime to see if a Total Control Health Plan will meet your business or organization’s goals.
Contact us to schedule a free consultation today.