News & Analysis as of

Health Plan Sponsors

Haynes Boone

Employers: Request New Compensation Disclosures from Health Plan Service Providers

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The recent budget legislation passed by Congress (“CAA 2026”) expands the types of service providers that must provide compensation disclosures to plan administrators of group health plans subject to ERISA. These are commonly...more

Quarles & Brady LLP

Recalculating the Route: New Health Plan Privacy Requirements

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February 16, 2026 was not just another regulatory waypoint—it marked the compliance deadline for significant changes affecting The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Notices of Privacy...more

Vorys, Sater, Seymour and Pease LLP

Vorys Benefits Brief: Two Key PBM Developments for Employers - Part One

On January 30, 2026, the Department of Labor’s (DOL) Employee Benefits Security Administration (EBSA) published a proposed regulation that would significantly increase transparency requirements for pharmacy benefit managers...more

Blank Rome LLP

Reimagining Employer-Sponsored Healthcare with Jack Hill of Nomi Health

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Season 2, Episode 2: Reimagining Employer-Sponsored Healthcare with Jack Hill of Nomi Health In this episode of BRight Minds in Healthcare Delivery, host Eric Tower speaks with Jack Hill, Senior Vice President of Enterprise...more

Warner Norcross + Judd

PBM Reform is Here: What CAA 2026 Means for Employer Health Plans

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On Feb. 3, 2026, President Donald Trump signed into law the Consolidated Appropriations Act, 2026 (CAA 2026), a sweeping piece of legislation including provisions that will substantially impact employer-sponsored health...more

Health Care Compliance Association (HCCA)

[Event] Healthcare Privacy Compliance Academy - March 23rd - 26th, Nashville, TN

HCCA's Healthcare Privacy Compliance Academy is a three-and-a-half-day interactive education program with a focus on the vast body of privacy laws and regulations in place to help you protect PHI and other critical data. Our...more

Fisher Phillips

Employer Checklist for February 2026

Fisher Phillips on

Here are the top 10 workplace compliance items you should tackle in February 2026, based on the latest labor and employment law updates...more

Fisher Phillips

HIPAA Privacy Notices Must Be Updated by February 16: Key Points for Group Health Plan Sponsors and Covered Entities

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If your business is required to maintain a notice of your HIPAA privacy practices, you must act quickly to make sure your notice is updated to comply with new requirements established in a 2024 final rule. Specifically, you...more

Ballard Spahr LLP

Mark Your Calendar: HIPAA Deadline on February 16

Ballard Spahr LLP on

The Health Insurance Portability and Accountability Act (HIPAA) regulations require updates to the Notice of Privacy Practices that health plan sponsors furnish to plan participants and health care providers furnish to...more

Jackson Lewis P.C.

2025 ERISA Litigation: Forfeitures, Investments, and Health Plans Take Center Stage

Jackson Lewis P.C. on

ERISA class action litigation did not let up in 2025. Retirement plan fee litigation – which has dominated for several years – remained steady, with new, or in some cases refined, theories targeting 401(k) forfeitures and...more

Ballard Spahr LLP

While Congress Slept: Health Benefit Developments During the Shutdown

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Although much of our attention this fall was focused on the government shutdown, health plan sponsors may be interested in several less-publicized developments affecting group health plans....more

McGuireWoods LLP

Healthcare & Life Sciences Private Equity Deal Tracker: InTandem Invests in The Phia Group

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InTandem Capital Partners has announced it has completed an investment in The Phia Group. ...more

Fisher Phillips

Employer Cheat Sheet for Retirement and Health Plan Limits in 2026

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The IRS rolled out its 2026 retirement plan dollar limits on Nov. 13, marking the final regulatory release of annual adjustments that will impact all kinds of employee benefits next year. Since these updates are scattered...more

Bricker Graydon Wyatt LLP

[Webinar] Before the Ball Drops: Top Employee Benefits Issues to Tackle Now - December 2nd, 11:00 am - 12:00 pm ET

Join our Employee Benefits team for a concise webinar covering the top benefits issues plan sponsors should begin thinking about before year-end. From compliance deadlines and administrative issues to plan document changes...more

Health Care Compliance Association (HCCA)

[Event] Managed Care Compliance Conference - February 2nd - 3rd, Chandler, AZ

Insight, innovation, and practical strategy for professionals in the managed care space - Compliance professionals in managed care face an ever-changing landscape shaped by evolving regulations, emerging risks, and...more

Davis Wright Tremaine LLP

California SB 41: Pharmacy Benefit Managers Now Held to Fiduciary and Transparency Standards

California recently enacted California Senate Bill 41 ("SB 41"), a landmark law that fundamentally overhauls the regulation of pharmacy benefit managers ("PBMs") in the state and has big implications for ERISA plan sponsors....more

Wiley Rein LLP

Considering a New PBM? What to Know and What to Do Now

Wiley Rein LLP on

From our years of counseling clients on effective pharmacy benefit management (PBM) contracting – from procurement to contract execution – Wiley Rein knows that many Plans (health plans/plan sponsors/collectives/third party...more

Health Care Compliance Association (HCCA)

[Event] Healthcare Privacy Compliance Academy - December 8th - 11th, Anaheim, CA

Ideal for professionals with some compliance knowledge and experience, HCCA’s Healthcare Privacy Compliance Academy offers practitioners a deeper understanding of effective compliance management in a healthcare setting. The...more

Haynes Boone

SBCs as Easy as ABCs?

Haynes Boone on

It’s that time of year when employers are finalizing their open enrollment materials. Along with benefit changes and annual disclosures, employers should also review their Summary of Benefits and Coverage (“SBC”) and...more

Ogletree, Deakins, Nash, Smoak & Stewart,...

Eleventh Circuit Says Health Plan’s Gender-Affirming Surgery Exclusion Not Discriminatory on Its Face

On September 9, 2025, the U.S. Court of Appeals for the Eleventh Circuit, sitting en banc, ruled that a county health insurance plan’s exclusion denying coverage for gender-affirming surgery did not violate Title VII of the...more

Haynes Boone

Department of Labor Releases Spring 2025 Regulatory Agenda for Retirement and Health Plans

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The DOL recently released its Spring Regulatory Agenda, which contains several important retirement and health plan initiatives for this year. Plan sponsors should be aware of the following items on the DOL’s proposed...more

Fisher Phillips

SCOTUS Allows Enforcement of ACA’s Preventive-Care Mandates But Opens Door for Political Influence: Key Points for Group Health...

Fisher Phillips on

The federal government may continue to enforce the Affordable Care Act’s preventive-care mandates, thanks to the Supreme Court’s recent decision in Kennedy v. Braidwood Management. In a 6-3 bipartisan opinion written by...more

Fisher Phillips

Reproductive Healthcare Privacy Rule Struck Down Nationwide by Texas Judge: What Providers and Employer-Sponsored Health Plans...

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A federal judge in Texas just tossed out Biden-era reproductive healthcare privacy protections, halting a 2024 final rule with nationwide effect. The rule, which largely took effect in December and created new HIPAA privacy...more

Health Care Compliance Association (HCCA)

[Event] Healthcare Privacy Compliance Academy - June 9th - 12th, Pittsburgh, PA

HCCA's Healthcare Privacy Compliance Academy is a three-and-a-half-day interactive education program with a focus on the vast body of privacy laws and regulations in place to help you protect PHI and other critical data. Our...more

Holland & Knight LLP

Excessive Fee Cases: Not Just for Retirement Plans Anymore

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A recent wave of cases has attempted to apply the theory of liability for retirement plan excessive fee cases to health plans – specifically, arrangements with pharmacy benefit managers. Though the cases thus far have...more

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