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.

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.

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.

ClaimInformatics and Detego Health restore fiduciary trust with truly independent pre-payment claim review. This eliminates TPA conflicts, reduces medical waste, and ensures ERISA-aligned payment integrity.

Major networks are finally shifting on data sharing. The excuses are gone. It is the employer’s fiduciary responsibility to demand access. If a carrier or vendor refuses, and the pattern continues, you must replace them because their obstruction causes you to breach your fiduciary obligations.

At ClaimInformatics, we help plan sponsors identify hidden fiduciary risks. Before your renewal, we are offering a complimentary ASO Agreement and SPD Analysis, valued at $5,000, to the first 15 self-funded entities who schedule a call this month.

Courts are applying the same fiduciary standards used in 401(k) fee litigation to health plans.

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

When claim administrators audit their own networks, conflicts arise. Independent payment integrity ensures ERISA and CAA compliance, protecting plan sponsors, members, and fiduciary accountability.