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

The 1944 Public Health Service Act covers publicly sponsored health plans by public entities and the federal government. ERISA vs PHSA Health Plan Compliance ERISA vs PHSA health plan compliance  is one of the most common—and most misunderstood—regulatory challenges facing today’s employer-sponsored health plans. Whether you manage benefits for a private employer with a large workforce or a public entity such as a university serving thousands of students and staff, federal re

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 next “401(k) fee crisis” won’t be about retirement plans — it’s happening in healthcare. Self-funded plan sponsors face a wave of hidden costs buried in ASO, PBM, and stop-loss contracts. What appears to be routine administration often masks charges that drain plan assets and compromise compliance.

ClaimInformatics and Detego Health restore fiduciary trust with truly independent pre-payment claim review—eliminating TPA conflicts, reducing medical waste, and ensuring 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 & SPD Analysis, valued at $5,000, to the first 15 self-funded entities who schedule a call this month.