"[P]lan sponsors reported a near equal focus on financial wellness for participants (39%) ... ensuring regulatory compliance (37%) and reducing costs (36%) in their plan.... 44% [state] that AI will have the greatest impact on the success of their plan over the next three- to five-year period.... 29% reported they are currently using or considering a MEP or PEP specifically as a way to lower plan costs.... 67% of plan sponsors said they are considering switching to a MEP or PEP or may consider it in the future. " MORE >>
"Enhancing operational efficiency, strengthening compliance and risk functions, and staying competitive with peers are leading reasons in-house counsel cited as primary motivations to implement Al." MORE >>
"AI is being used to streamline tasks such as verifying eligibility, adjudicating claims, and reconciling payroll. Service providers are deploying systems that can detect anomalies in claims data and tailor outreach based on participant demographics and financial needs.... Errors, such as misclassified procedures or misallocated funds, can occur, and accountability ultimately rests with the plan fiduciary, regardless of the technology involved.... Vendor relationships should be structured to allow for ongoing monitoring and documentation of AI-driven decisions." MORE >>
"Fiduciaries cannot outsource prudence. ... If anything, relying on these tools raises the stakes for 401k plan fiduciaries. The potential for biased outcomes, opaque algorithms, and data privacy breaches now sits squarely within the plan sponsor’s oversight responsibility. ... With AI advice tools embedded in recordkeeping and advice platforms, what due diligence steps must fiduciaries take to evaluate transparency, mitigate bias, and stay compliant under ERISA?" MORE >>
"TPAs will have to decide whether to buy, build, or outsource their AI technology.... [T]he speed at which AI enhancements are coming to market may sway the calculus for many TPAs.... Traditional TPAs that underinvested in technology because there wasn't an overriding demand now realize they must embrace automation tools, platforms and systems or be left behind." MORE >>
"Plan Sponsors: Start with simple, broadly appealing features like retirement income estimation and financial goal tracking before introducing more complex tools. Positioning AI as a complement to human advisors can reinforce that AI use increases -- not replaces -- engagement with financial professionals." MORE >>
"AI-enabled tools promise improved efficiency, cost savings, better clinical outcomes, and streamlined administrative processes. Yet, their adoption in group health plans raises complex regulatory, fiduciary, and ethical questions, particularly under [ERISA] ... [I]ssues that require immediate attention by plan sponsors and plan administrators alike: claims adjudication, fiduciary oversight, and vendor contracts." MORE >>
"AI tech itself isn't the end goal -- better outcomes are. And AI is only one tool ... High-tech has to meet up with high-touch.... Personalization must be redefined to meet people 'in the moment.' ... Remove friction from the benefits experience." MORE >>
"[C]overed insurers should begin preparing now to meet the new governance, risk management, and reporting requirements: ... [1] Compare existing governance and risk management frameworks against the Amended Regulation's requirements ... [2] Ensure directors and senior executives are prepared to oversee ECDIS and Model use ... [3] Monitor forthcoming guidance ... on testing requirements and evaluate whether current internal testing practices can be adapted to satisfy Division standards." MORE >>
"Though many of the solutions are geared toward individual investors, they can work for retirement plan participants. Even so, personalized retirement planning powered by AI is in its infancy, and plan sponsors are hardly early adopters of the shiny new tool. But the possibility of tailoring strategies to individual needs -- income, expenses, risk tolerance and long-term goals -- while keeping planning simple and accessible is becoming an increasingly feasible solution." MORE >>
"As AI models improve, they will get better at replacing the 'human connection' that advisors bring to the table. The good news for advisors is that AI has a hard time establishing a high degree of trust." MORE >>
"[Advisors] don't see AI as a threat. Rather, they view it as an extension of the tech innovation that's been going on for decades; it can be used for certain tasks ... to make them more efficient and create more capacity.... AI will not be able to replicate the human connection advisors have with their clients." MORE >>
"While most Americans want a person to lead the planning process, younger generations increasingly expect that person to be tech-savvy.... 54% of both Gen Z and Millennials prefer to work with a financial advisor who uses AI as a tool -- not to replace human judgment, but to enhance it. Compare that to just 36% of Boomers+ who feel the same." MORE >>
"While use of artificial intelligence in the administration of health insurance continues to be controversial, even litigious, UnitedHealth Group is banking on AI to help restore its financial house.... Optum rolled out a new AI-powered revenue cycle management solution in May 2025 ... Core RCM functions include things like clinical documentation review, medical coding, and billing -- all within a unified interface." MORE >>
"[T]echnology [is available] to record and transcribe our meetings, ... but there are associated risks, starting with whether you really want all of your clients' meetings to be recorded and available to be included as an exhibit in future litigation or disclosed to a regulatory agency.... [E]nsure you understand which tools your firm allows you to leverage and which information will be kept forever.... [D]epending on the AI tool or capability, many of these tools are publicly available. If you add your client's non-public personal information and hit 'summarize for me,' that may be a violation of the confidentiality provisions of the agreement with the plan sponsor or the participant. " MORE >>
" 'Private equity appears safer and more diversifying than it really is because it controls its own marks. This undermines the integrity of asset allocation models and can lead to over-allocation, particularly in pensions, endowments, and TDFs,' the A.I. companion opines." MORE >>
"[T]he SEC's marketing rule was the top compliance concern for three years in a row, but it was overtaken last year by concerns about off-channel communications. This year's results ... underscore a rapidly evolving regulatory landscape, with AI, anti-money laundering (AML), and cybersecurity emerging as the top three 'hot' compliance topics. These areas ... align closely with the SEC's exam, enforcement, and rulemaking priorities." MORE >>
"AI technologies are already being integrated into various aspects of Plan management and operations. Fiduciaries should understand how these technologies can benefit participants and beneficiaries -- and how to mitigate associated risks.... Recommended action items include: [2] Integrate AI risk management into the Plan's overall governance strategy. [2] Evaluate and document how AI tools impact investment selection, recordkeeping, and participant advice. [3] Review and revise service provider contracts to include AI-specific clauses. [4] Conduct initial and periodic due diligence on vendors, involving technical experts as needed." MORE >>
"New York is the first state to enact mental health-focused statutory provisions for 'AI Companions,' requiring user disclosures and suicide prevention measures for emotionally interactive AI systems.... [C]hatbots, digital wellness tools, mental health apps or even productivity assistants with emotionally aware features could fall within the scope of AI Companions depending on how they interact with users[.]" MORE >>
"The healthcare sector is undergoing a significant AI-driven transformation. From clinical decision support and diagnostics to patient triage, claims handling, and predictive analytics, AI offers significant benefits in speed, accuracy, and efficiency. Yet alongside this progress comes a harder truth: AI is introducing new types of risk -- algorithmic bias, opaque accountability, system error.... While the promise of AI in healthcare is clear, the protection around it still needs work." MORE >>
"Artificial Intelligence (AI) offers healthcare finance professionals powerful tools to shift denial management from reactive to proactive, significantly enhancing operational efficiency and financial performance. This article explores the use of AI technologies in preventing and managing denials, outlines an implementation strategy, presents case studies, and discusses challenges and future trends." MORE >>
"Even in these days of its early development, it appears that Artificial Intelligence may already be helpful in explaining the complexities of public pension-private equity corruption and, in so doing, AI will hopefully expose and end these costly abuses." MORE >>
"The latest technology revolution will eventually eliminate some of the public funds' internal staff. To avoid being AI roadkill, pension systems and key employees need to take the initiative collectively." MORE >>
20 pages. "In March 2025, the SOA Research Institute convened a panel of industry experts to discuss the advancements and implications of generative AI (GenAI) in the insurance industry.... [T]he panelists discussed and covered the following key topics with respect to AI: [1] How GenAI is currently being used; [2] Using vendor tools or building tools in-house; [3] Privacy; [4] Compliance, governance and ethics; [5] Risk management; [6] Model validation; [7] Challenges; [8] The impact on actuaries." MORE >>
"As some health insurance companies have come under fire for allegedly using computer systems to shoot down claims, an Arizona law will soon make the practice illegal ... House Bill 2175 requires a physician licensed in the state to conduct an 'individual review' and use 'independent medical judgment' to determine whether the claim should actually be denied." MORE >>
