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Catch Up On the Latest in Fiduciary Compliance Through Payment Integrity



DOL Enforcement Trends: What 2025 Investigations Tell Us About 2026
$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.
May 511 min read


What the Tiara Yachts Ruling and EBSA Enforcement Data Reveal About the Gap Between TPA Accuracy Promises and Fiduciary Reality
Your TPA's contractual 'guarantees' of payment accuracy may be worth far less than the paper they're printed on. The Sixth Circuit's Tiara Yachts ruling, combined with EBSA's $1.4B in FY 2025 recoveries, tells a clear story: fiduciary duty cannot be satisfied by self-reported metrics from the same vendor processing your claims.
May 56 min read


Voluntary Benefits ERISA Litigation Was the Signal. Healthcare Fiduciary Risk Is the Shift.
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.
May 54 min read


The 401(k) Litigation Blueprint: From Retirement to Healthcare Fiduciary Liability
On December 23, 2025, Schlichter Bogard LLC — the firm that extracted billions from 401(k) plan fiduciaries — filed four simultaneous ERISA class actions targeting major employers and their benefits consultants. The 401(k) playbook is now targeting healthcare benefits.
May 56 min read


Benefits Brokers in the Crosshairs: What Schlichter's Lawsuits Mean for Consultant Compensation
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.
May 54 min read


The Chimes Decision: A Fiduciary's Roadmap for Health Plan Defense
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.
May 55 min read


The Regulatory Pattern That Forced 30% of Broker-Dealers Out—And Why Benefits Brokers Should Pay Attention
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.
May 53 min read


Schlichter Targets Voluntary Benefits: The Next Wave of ERISA Litigation Has Arrived
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.
May 53 min read


Pension Predators or Legitimate Oversight? The ERISA Litigation Crisis Is Threatening Your Retirement Plan
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.
Dec 12, 20253 min read


Hidden Fees in Self-Funded Health Plans: The Next 401(k) Crisis?
Courts are applying the same fiduciary standards used in 401(k) fee litigation to health plans.
Oct 24, 20253 min read


Aetna & Optum Settle “Dummy Codes” Case for $8.4M: What Fiduciaries Should Learn.
Fiduciaries need the people, process, and technology to ensure plan oversight. After nearly a decade of litigation , Aetna Life Insurance...
Sep 19, 20252 min read


Federal and State Prosecutors Target BUCAHs with Legal Action
2020 was a landmark year in healthcare – and not just because of Covid-19. Over the last 18 months, multiple government agencies have...
Jun 25, 20251 min read
Notable Podcast Features


The Fascinating Story of Billions of Dollars Going Missing When the Back Office Pays Health Care Bills
Audacity Podcast -
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Reconstructing Healthcare: Innovative Solutions For Employers To Lower Their Healthcare Costs
Podchaser Podcast -
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Inside Big Health Insurers' Side Hustle
Tradeoffs Podcast -
Play now
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