Compliance

July 29, 2024

The Fiduciary Blind Spot

In the bustling environment of benefits trade shows, the term “fiduciary duty” is omnipresent. However, many organizations still grapple with understanding the formal fiduciary structures and […]
February 28, 2024

Prescription Drug Data Collection (RxDC) Reporting

As of 2021, per the Consolidated Appropriations Act (CAA), Prescription Drug Data Collection (RxDC) is now required for all insurance companies, pharmacy benefit managers (PBMs), and […]
May 1, 2023

Why is understanding NQTLs so important?

By Alan Tran, Digital Content Analyst What are NQTL’s NQTLs, or non-quantitative treatment limitations, are a type of limit on insurance coverage for mental health services […]
November 29, 2022

Understanding Variable Hour Employees

What are variable hour employees? A variable hour employee is an individual who, upon their date of hire, the employer cannot reasonably determine whether they will […]
May 15, 2019

What is a Self Insured Plan?

A self-insured group health plan (or a 'self-funded' plan) is one in which the employer assumes the financial risk for providing health care benefits to its employees. In other words, self-insured employers pay for each out of pocket claim instead of paying a fixed premium to an insurance carrier. There are two primary sources of legal compliance for self-insured health plans: Internal Revenue Code of 1986 (IRS), and the Employee Retirement Income Security Act of 1974 (ERISA).
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