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PBM Reform Cheat Sheet: Chart Comparing the Recent Rules for Group Plans

Within a one-week period, there were two actions at the federal level to increase pharmacy benefits manager (PBM) transparency. The Consolidated Appropriations Act of 2026 (CAA 2026) and Department of Labor (DOL) proposed...more

DOL Proposes Sweeping New Disclosure Rules for Pharmacy Benefit Managers

On January 30, 2026, the Department of Labor’s (DOL) Employee Benefits Security Administration (EBSA) published proposed regulations (408(b) rules) that would significantly increase transparency requirements for pharmacy...more

IRS Provides Favorable Guidance to ICHRA Industry on the New HDHP Status of Bronze and Catastrophic Plans

On December 9, 2025, the Internal Revenue Service (IRS) provided clarifying guidance in Notice 2026-5 (the Notice) regarding several account-based health plan provisions contained in the One Big Beautiful Bill Act (OBBBA)....more

Proposed Transparency in Coverage Rules Seek to Increase the Usefulness of Machine Readable Files

The Departments of the Treasury, Internal Revenue Service (IRS), Health and Human Services (HHS) and Labor (DOL) (together, the Departments) published proposed rules on December 23, 2025 (Proposed Rule), aimed at improving...more

Proposed Rule Eliminates Medicare Part D Notice for ICHRAs

The Department of Health and Human Services (HHS) published a proposed rule on November 28, 2025 (the Proposed Rule) that would carve out account-based group health plans from the requirement to provide a Medicare Part...more

Form 1095-C Update: What Employers Need to Know for 2026 Reporting

For over a decade, Applicable large employers (ALEs), those with 50 or more full-time equivalent employees, have been required to annually report health insurance coverage information to the IRS and to employees on Form...more

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