Employer Health Plans in 2025: Navigating the New Horizon

ALI CLE [American Law Institute Continuing Legal Education]

Today’s employer-sponsored health plans are more customized and cutting-edge than ever before. Congress, federal agencies, and states are responding at lightning speed to regulate new developments – and these new rules are constantly changing, often with informal guidance and court orders. Employees are sharing trends from their own employer plans (and their opinions of these trends) in real-time. It can be hard to keep up.

In this webcast, three experienced benefits lawyers will break down the latest benefit designs they are seeing, real-life questions they are receiving from plan sponsors, and issues to consider to help plans navigate these shifting seas.

What You Will Learn

Our panelists will dive into the most innovative health plan trends and the critical considerations that come with them, including:

• Exploring cutting-edge benefit designs—from GLP-1 drug coverage and weight loss programs to gene therapy, gender-affirming care, fertility/infertility support, and menopause benefits
• Identifying smart delivery pathways—leveraging Centers of Excellence, add-on benefit providers, travel benefits, and wellness programs to meet evolving employee needs
• Spotlighting hot trends in Rx coverage—including the growing use of copay maximizer programs
• Anticipating privacy and compliance shifts—navigating HIPAA reproductive health care rules, cybersecurity under HIPAA and ERISA, and the implications of AI
• Avoiding common pitfalls in fast-paced rollouts—staying ahead on plan amendments, clear communications, governance, and tax compliance
• Looking ahead to what’s next—uncovering emerging trends and how to stay ready

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