ERISA vs PHSA health plan compliance is one of the most common, and most misunderstood, regulatory challenges facing employer-sponsored health plans. This guide breaks down the key differences in coverage, fiduciary duties, and compliance obligations for private employers and public entities.

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.

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

As renewal season approaches, fiduciaries should carefully review contract terms and challenge “mandatory” payment integrity programs that shift costs back onto plans. If you’re being asked to pay to fix what you’ve already paid for, the time to push back is NOW!

Today, self-funded health plans are entering that same era of scrutiny. Just as 401(k) plan sponsors had to adapt to fiduciary standards, employers offering self-funded healthcare must now comply with ERISA and new mandates under the Consolidated Appropriations Act (CAA 2021). Those who fail to evolve risk legal action, regulatory enforcement, and financial harm to both the plan and its participants.

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