Group Health Plans: Current Trends and Compliance Planning

Lorman Education Services

The last two years have witnessed seismic changes affecting employer-sponsored group health plans as a result of new laws, regulations, judicial discissions, and policy initiatives. At the epicenter of the new order are the No Surprise Billing and Transparency rules enacted by the Division BB of the Consolidated Appropriations Act, 2021. These provisions have unleashed a torrent of new regulations with which employers, providers, and others must contend. There is also the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization relating to women’s health care.

The presentation will address these issues and more from the employer’s perspective. The CAA Transparency rules, in particular, impose a host of new obligations on plan sponsors that will require robust management and oversight under the ERISA fiduciary rules, among (many others).

The panelists will endeavor to summarize the new rules and place them in context. They will also flag important issues and provide actionable steps to enable and ensure compliance. 

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