The next “401(k) fee crisis” will not be about retirement plans. It is happening in healthcare. Courts are applying the fiduciary standards from 401(k) fee litigation to self-funded health plans, where hidden costs are buried in ASO, PBM, and Stop-Loss contracts. Learn where these fees hide and how to protect your plan.

Courts have made it clear that fiduciaries cannot outsource their responsibility. If your TPA mismanages claims, hides fees, or engages in conflicted practices, liability ultimately rests with you. That's why sponsors must hold TPAs accountable and document oversight.

Cross-plan offsetting costs self-funded plans millions in hidden fees. Learn how bulk recovery practices create fiduciary risks and what sponsors can do.

For many plan sponsors, the word “audit” suggests penalties or after-the-fact corrections. In reality, independent claims reviews are about prevention, transparency, and protecting plan assets. Not punishment.

ERISA class-action litigation is accelerating, putting retirement plan sponsors and fiduciaries under unprecedented pressure. Explore how recent court decisions, rising settlements, and proposed legislative reforms impact retirement plans, and what fiduciaries can do now to protect participants, reduce risk, and build a defensible governance framework.

Benefits committees are becoming essential to ERISA compliance for self-funded health plans. Learn why structured oversight of vendors, fees, claims accuracy, and data transparency is a fiduciary imperative, and how benefits committees strengthen governance, reduce risk, and protect plan participants.

The carrier controls claim audits. Claim reviews are fiduciary responsibilities under ERISA. Understand why reviews are crucial for safeguarding plan assets.

As renewal season unfolds, fiduciaries face a critical opportunity to align contracts with their ERISA duty: act solely in the interest of participants and prudently manage plan assets

Excited to see Employee Benefit News highlighting Stephen Carrabba, ClaimInformatics, Inc., and Jamie Greenleaf, AIF, CBFA, C(k)P, Fiduciary In A Box, contributed article entitled "Benefits Think: When 'shared savings' really means shared conflicts." The article highlights that shared savings may sound like a cost-containment measure, but they often mask conflicts of interest. The Tiara Yachts case shows why fiduciaries must demand transparency, independent oversight, and tru

Florida Women's Care, one of the largest women’s health providers in the state, revealed troubling allegations of systematic overbilling and upcoding designed to pad private equity profits. These practices come at a steep cost to patients and health plans.

Fiduciaries need the people, process, and technology to ensure plan oversight. After nearly a decade of litigation, Aetna Life Insurance Company and OptumHealth Care Solutions have agreed to pay $8.4 million to settle allegations that they concealed administrative fees inside claims using so-called “dummy codes.” 🚩 Allegations Plaintiff Sandra Peters argued that Aetna and Optum: Directed providers to submit claims with “Administrative Add-On Services.” Masked Optum’s adminis