Jun. 6, 2025. "Instructions for Recipient: You are receiving this Form 1095-C because your employer is an Applicable Large Employer subject to the employer shared responsibility provisions in the [ACA]. This Form 1095-C includes information about the health insurance coverage offered to you by your employer." [Also available: 2025 Form 1094-C: Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns]  MORE >>

"An SPD will be required for your company's new health FSA because it is an ERISA plan. This is the case regardless of your company's size, as the SPD requirements do not include an exception for small welfare plans."  MORE >>

"As of ... October 1, 2025, Nebraska employers must allow employees to earn and use up to 40 or 56 hours of paid sick time per benefit year, depending on employer size.... [O]ver the last four months Nebraska ... [has seen] amendments to the statute, multiple rounds of FAQs ... a separate 'guidance document' ... model posters and notices, and a revamped website."  MORE >>

"Essentially, AB 144 freezes in place, for California health plans, the federal vaccine and preventive service recommendations that were in effect prior to Secretary of Health and Human Services (HHS) Robert F. Kennedy, Jr. taking the helm at HHS. It simultaneously authorizes California regulators to supplement and modify those recommendations for the purposes of state and federal preventive coverage mandates."  MORE >>

"The decision underscores a recurring issue in ERISA litigation: whether plaintiffs may plead procedural violations of ERISA as independent claims for relief." [Blackett v. Unum Life Ins. Co. of Am., No. 24-2259 (D. Md. Sep. 30, 2025)]  MORE >>

"Even though patients should not have to pay anything for covered preventive services, insurers must still cover the cost of these services. The price of each preventive service is the total amount paid by insurance for the service and represents what patients could pay if the service no longer qualified as no-cost preventive care. [A table illustrates] the price of selected preventive services."  MORE >>

"As cancer incidence rises among younger populations, particularly women, and as new regulations reshape diagnostic coverage, employers must adapt their approach to prevention, detection, navigation and support."  MORE >>

"Considerations for employers on this topic include: Understanding MSP laws governing your size company Tapping into resources available from consultants and service providers Engaging with employees to understand their concerns about their next steps. Communicating with a strategy, including providing access to a third party who can individually consult with employees prior to age 65."  MORE >>

"TrumpRx is the administration's latest move to bring down U.S. drug prices, but it's unlikely to save much for the 92% of Americans with health insurance. The site, intended to launch next year, functions as a sidecar to recent White House agreements with drugmakers meant to cut U.S. costs."  MORE >>