Compliance Notices

The transparency in coverage rules requires a group health plan to post links to machine-readable files containing pricing information on a publicly available website.

The Federal Trade Commission (FTC) recently announced that it will investigate the six largest pharmacy benefit managers (PBMs) in the United States to scrutinize their impact on the access and affordability of prescription drugs.

This Compliance Bulletin outlines the factors for employers to consider regarding providing abortion-related benefits. However, many of the issues surrounding these types of benefits remain open questions at this time. Legal challenges to these laws are already underway, and more …

This tool will provide consumers with real-time estimates of their cost-sharing liability from different providers for covered items and services, including prescription drugs, so they can shop and compare prices before receiving care.

The IRS released Revenue Procedure 2022-24 to provide the inflation-adjusted limits for health savings accounts and high deductible health plans for 2023.

In a press release, the DOL said the publication of the new guidance was in recognition of Mental Health Awareness month.

The No Surprises Act (NSA), enacted as part of the Consolidated Appropriations Act, 2021 (CAA), includes transparency provisions requiring group health plans to report information on prescription drugs and health care spending.

Issuers and plan sponsors are generally required to pay the PCORI fees annually by July 31 of each year. However, the PCORI fee payment for plan years ending in 2021 is due Aug. 1, 2022, since July 31, 2022, is …

In April 2022, Maryland enacted a PFML insurance program, providing partially compensated, job-protected employee leave for reasons related to the health and well-being of employees and their families.

Employers that sponsor HDHPs should review their plan’s cost-sharing limits when preparing for the plan year beginning in 2023.

The agencies warned that algorithmic decision-making tools may discriminate against people with disabilities.

The Wage and Hour Division of the DOL has released new resources on workers’ rights to leave under FLMA for mental health conditions.