The BUCA pre-pay editing 'advantage'? Largely a myth. BUCA carriers built their editing engines to protect their fully insured book — not yours. Independent TPAs are sitting on the single most powerful differentiator in the market — and most haven't deployed it yet.

$1.4 billion recovered. 878 investigations closed. And that was just the warm-up. On January 15, 2026, the DOL announced a wholesale shift of enforcement resources directly toward self-funded health plans, TPAs, and the fiduciaries who oversee them.

Your TPA's dashboard shows you what was paid. It doesn't show you whether it was paid correctly. Stephen Carrabba joins the PLANSPONSOR Roadmap 2026 Livestream Series to walk plan sponsors through the questions carriers would prefer they didn't ask.

Michael Riemer has been appointed Chief Operating Officer at ClaimInformatics, following a ten-month engagement that delivered nearly $1M in annual operating efficiencies, a redesigned claim review engine, generative AI deployment, and the launch of CLEAR™.

The voluntary benefits lawsuits weren't about accident insurance. They were about the process. The same procedural prudence framework is now being applied to healthcare benefits.

A nonprofit prevailed against the DOL in one of the first health plan excessive-fee cases. Here's exactly how they did it, and why it matters for every self-funded plan fiduciary in 2026.

Benefit consultants and brokers face fiduciary liability after Schlichter names Gallagher, Mercer, Lockton, and WTW in ERISA suits. The 401(k) playbook has come to healthcare consulting.

Between 2010 and 2024, the number of registered broker-dealers dropped by 30%. The same regulatory pattern is now coming for benefits brokers, and the early-adopter advantage is real.

Our CEO, Stephen Carrabba, will be on stage at the NABIP Texas Annual Symposium in Tyler (May 8). Fiduciary accountability in self-funded health plans is no longer theoretical.

On December 23, 2025, Schlichter Bogard LLC filed lawsuits against major employers and their consultants, alleging workers paid premiums up to 600% above market rates for voluntary benefits.

Self-funded plans have more claims data than ever. But can they actually use it? Our CEO, Stephen Carrabba, joins a panel of industry leaders at the 2026 SIIA Healthcare Price Transparency Forum.

That's not a scare tactic. That's the reality of ERISA fiduciary liability for self-funded health plan sponsors, and it's exactly what Stephen Carrabba laid out at a recent industry event.