The No Surprises Act: A Cost Saving Opportunity for Employer Plan Sponsors

Hall Benefits Law
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Benefits costs continue to increase globally, and in the midst of high inflation and potentially a recession, executives are exploring cost effective methods to manage their self-insured health plans without compromising the quality of services provided.

The No Surprises Act, which went into effect in 2022, helps protect patients from surprise medical bills when they are treated in out-of-network emergency departments or by out-of-network providers at in-network facilities. The Act provides an employer See more +

Benefits costs continue to increase globally, and in the midst of high inflation and potentially a recession, executives are exploring cost effective methods to manage their self-insured health plans without compromising the quality of services provided.

The No Surprises Act, which went into effect in 2022, helps protect patients from surprise medical bills when they are treated in out-of-network emergency departments or by out-of-network providers at in-network facilities. The Act provides an employer or plan sponsor with the opportunity to revisit their plan’s third party administrator (TPA) services agreements and reduce or eliminate certain significant fees being charged by the TPA.

Learning Objectives:

-Evaluating how employers design today’s benefits plans to address the current environment

-Reviewing the steady increase in benefits costs globally and contributing factors

-Discussing some cost cutting and savings opportunities available for plan sponsors

-Understanding the No Surprises Act and how it offers diligent employers the opportunity to negotiate more favorable benefit plan vendor agreements

-Accessing how this negotiation fulfils employer fiduciary responsibility

-Examining the unique, legislative tailwinds that make this the opportune time to negotiate vendor agreements

Speakers

Jeremy V. Kilburn

Chief Legal & Compliance Officer

Wayne-Sanderson Farms

Jeremy V. Kilburn is the Chief Legal and Compliance Officer for Wayne-Sanderson Farms and a member of the Executive Leadership Team, providing strategic counsel and guidance across an array of critical issues affecting the growth and success of Wayne-Sanderson Farms and its business partners.

His management oversight includes corporate governance, corporate ethics, public policy, growth and economic development, crisis management, workplace safety, fiscal and regulatory compliance, corporate communications, philanthropy, and contractual negotiations, all while managing insurance, risk, and litigation. Jeremy was keenly involved in guiding the company through all phases of the recent merger including strategy development, public and governmental relations and negotiations with regulatory agencies.

Anne Tyler Hall

Managing Partner

Hall Benefits Law

Anne Tyler Hall is the founder and Managing Partner at Hall Benefits Law (HBL), a boutique ERISA and employment law firm and 2021 Inc. 5000 honoree. HBL provides critical responsive and timely legal compliance guidance to businesses facing six, seven, and eight-figure Internal Revenue Service, Department of Labor, or Department of Health and Human Services penalties. HBL works for corporate clients nationwide to give the proactive ERISA legal compliance help they need, and since 2018, HBL has successfully avoided and abated more than $75 million in ERISA compliance penalties for its business clients.

Prior to forming HBL, Anne Tyler Hall practiced ERISA and Benefits law with Alston & Bird, LLP and King & Spalding, LLP, two of Atlanta’s largest law firms. Ms. Hall is a proud graduate of the University of Alabama School of Law, and she earned her Master of Laws in Taxation from the prestigious Georgetown University Law Center. See less -

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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