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64 Matching News Items

1.  Brown & Brown, Inc. Link to more items from this source
Nov. 4, 2025
"For fertility benefits to be considered an independent, noncoordinated excepted benefit under the regulations, [FAQs Part 72] confirms the benefits must satisfy [three specific] requirements ... The FAQs also describe situations where fertility benefits can qualify as an excepted benefit under the category of limited excepted benefits. "
2.  Brown & Brown, Inc. Link to more items from this source
Oct. 21, 2025
"[1] New drugs influencing benefits ... [2] Federal regulatory activity impacting drug costs ... [3] Vaccine confusion ... [4] State legislation altering pharmacy benefits ... [5] New and expanding use of GLP-1s ... [6] Anti-inflammatory biosimilar use shifting mix of injectable drugs."
3.  Brown & Brown, Inc. Link to more items from this source
Oct. 17, 2025
"Self-funded and fully insured employers are expected to cover the COVID-19 vaccines for eligible members at no cost to members without limitations on coverage based on medical indication or the requirement provider's prescription. This clarification was confirmed ... ahead of the CDC's formal adoption of the ACIP recommendations."
4.  Brown & Brown, Inc. Link to more items from this source
Oct. 16, 2025
"As a reminder, these annual adjustments are permissive, meaning employers/plan sponsors are not required to adopt [the] plan limit adjustments within their plan. If an employer/plan sponsor chooses to adjust their employee contribution/reimbursement amounts, they should reflect such changes within their accompanying document(s) that describe the plan(s)."
5.  Brown & Brown, Inc. Link to more items from this source
Sept. 29, 2025
"[1] Leverage data analytics for early identification ... [2] Implement robust care management programs ... [3] Adopt a Centers of Excellence (COE) strategy ... [4] Optimize pharmacy benefit management ... [5] Incorporate stop-loss insurance with data-driven underwriting ... [6] Promote employee engagement and health literacy ... [7] Review and update plan design regularly ... [8] Coordinate with point solutions -- but avoid fragmentation."
6.  Brown & Brown, Inc. Link to more items from this source
Sept. 17, 2025
"Self-funded employers are expected to retain flexibility to cover the COVID-19 vaccines at no cost to members. Health plans and pharmacy benefit managers are awaiting confirmation. Fully insured employers, on the other hand, may face more limitations. ... [as they] are subject to the carrier's interpretation of federal and state guidance. If the vaccine is not broadly recommended for healthy individuals under 65, carriers may limit coverage to only those with a medical indication or a provider's prescription."
7.  Brown & Brown, Inc. Link to more items from this source
Sept. 3, 2025
"Generic and biosimilar savings help offset growing brand drug expenses, make medications more accessible for patients and support the sustainability of prescription benefits. This Capsule article explores metrics to monitor the use of generics and biosimilars, examines marketplace changes impacting these metrics and reviews benefit options that support the use of these lower-cost options. How close are your generic and biosimilar metrics to optimal performance levels?"
8.  Brown & Brown, Inc. Link to more items from this source
Aug. 19, 2025
19 pages. Covers [1] Eligibility, [2] Contributions, [3] Distributions and [4] Reporting.
9.  Brown & Brown, Inc. Link to more items from this source
Aug. 5, 2025
"[T]he IRS issued Revenue Procedure 2025-25, announcing the 2026 indexed contribution percentage amount for determining the affordability of an Applicable Large Employer's plan under the [ACA]. The IRS also announced the 2026 inflationary adjustment to the employer shared responsibility payment amounts a few days later. Employers should be aware of the significant increase in both the affordability percentage and the employer shared responsibility payment amounts for 2026."
10.  Brown & Brown, Inc. Link to more items from this source
July 21, 2025
"[1] New drugs influencing benefits ... [2]  Legislation impacting drug costs ... [3] Vaccine season is approaching ... [4] Maximizing use of biosimilars ... [5] What’s next for GLP-1s?"
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