Meet Us in Texas: Stephen Carrabba Is Bringing the Fiduciary Conversation to Tyler May 8th

Our CEO, Stephen Carrabba, will be on stage at the NABIP-ETX Annual Symposium in Tyler (May 8).

If your TPA guarantees 99% claims accuracy, why does independent analysis consistently find 5–15% error rates?

And what does that gap mean for captive loss ratios, broker fiduciary duty, and ERISA personal liability?

Stephen will be getting into all of it, including what the Tiara Yachts Sixth Circuit ruling means for TPAs that profit from correcting their own errors.

NABIP-ETX Annual Symposium: Brokers in the Line of Fire

The spring conference season is heating up, and so is the conversation around fiduciary accountability in self-funded health plans. ClaimInformatics CEO Stephen Carrabba is taking the stage at this marquee industry event in Texas this May, bringing a message that plan sponsors, captive operators, and benefits brokers need to hear: fiduciary accountability in self-funded health plans is no longer theoretical. The personal liability exposure is real, the contract risks are hiding in plain sight, and the regulatory enforcement wave that reshaped retirement plans is coming for health benefits next.

On May 8th, Stephen will speak at the NABIP-ETX Annual Symposium, the East Texas chapter of the National Association of Benefits and Insurance Professionals. This is the broker community: the advisors who design and recommend self-funded plans for mid-market employers across the region.

It's a community facing its own mounting pressure. In December 2025, Schlichter Bogard, the firm that extracted more than $6.5 billion in 401(k) settlements over two decades, named four of the largest benefit consultants as co-defendants in ERISA lawsuits, alleging self-dealing through undisclosed dual compensation models. The lawsuits allege that plan participants were forced to pay between 30% and 600% more in premiums as a result.

For benefits brokers advising self-funded clients, that development isn't abstract. It's a direct signal that the standard of care for benefits professionals is rising sharply and that advisors who can demonstrate independent validation of their recommendations are in a fundamentally different risk posture than those who rely on carrier self-reporting.

What You'll Hear From Stephen

What ERISA fiduciary duty actually requires. The eight core responsibilities every plan fiduciary must meet, from loyalty and prudence to monitoring service providers and avoiding conflicts of interest. Delegation to a claims administrator does not eliminate fiduciary liability; it requires active, ongoing monitoring of the delegate.

The real cost of getting it wrong. $74 billion or more in estimated personal fiduciary liabilities, 3–10% of claims spending lost to improper payments annually, and $68 billion or more in estimated annual healthcare fraud. Stephen will put hard numbers on the exposure that most plan sponsors underestimate.

ASO contract clauses that create fiduciary risk. Real language pulled from carrier ASO agreements that let vendors control recoveries, retain plan assets, settle claims without sponsor approval, and stack undisclosed fees. Stephen will walk through specific clause examples and show what to negotiate before you sign.

Pre-pay vs. post-pay payment integrity and the data you need. Stopping improper payments before they leave the plan is fundamentally different from trying to recover them months later, and the specific data access (834 eligibility, 835 payment, and 837 claim files) that fiduciaries need to make oversight real.

Healthcare's 401(k) moment and DOL enforcement priorities. The parallels between the ERISA excessive-fee litigation wave that reshaped retirement plan governance and what is now unfolding in health benefits are striking: a 30% decline in broker firms, 526+ ERISA lawsuits filed, $6.2 billion or more in cumulative settlements, and EBSA enforcement priorities that signal self-funded plans are squarely in the crosshairs.

Frequently Asked Questions

Who should attend this session? Anyone responsible for a self-funded or captive health plan—CFOs, HR directors, benefits committees, brokers, and captive managers. If you have fiduciary responsibility for plan assets or you're advising someone who does, this conversation is directly relevant to your work.

What does ClaimInformatics do? ClaimInformatics delivers independent payment integrity and pre-pay editing solutions for self-funded health plans, captive programs, and the TPAs that serve them. We analyze 100% of claims, not a 0.01% sample, against our proprietary edit suite (ClaimIntelligence™), which is aligned with CPT®, HCPCS, NCCI, clinical standards, and publicly available carrier payment policies. Our ClaimIntelligence™ platform typically surfaces 5–15% error rates.

Join Us in Texas

The regulatory and legal environment around self-funded health plans has fundamentally shifted. The Tiara Yachts ruling, the Schlichter Bogard broker lawsuits, and EBSA's escalating enforcement all point in the same direction: independent fiduciary oversight is no longer optional, and the time to build that infrastructure is before your next renewal, not after your next audit.

To connect with Stephen or the ClaimInformatics team before the event, reach out. We'd love to see you there.