Health Care

Using Spousal Surcharges and Carve-Outs as Health Cost Management Strategies

Anne Newhouse, CEBS
 

With open enrollment right around the corner, employers are already contemplating strategies to help lower their health plan costs. Spousal surcharges or carve-outs are two options, but how prevalent are they? Surcharge vs. Carve-Out A spousal surcharge is an additional employee contribution […]

Organizations Adding More Fertility and Adoption Support

Cara McMullin
 

Fertility and family-planning benefits remain top of mind for many organizations as they evaluate benefit packages for the year ahead. The advantages of these benefits include attracting and retaining key talent; saving on health care costs; matching benefits to diversity, equity and […]

Understanding ERISA Liability in the Context of Pharmacy Benefits

Anne Newhouse, CEBS
 

Fiduciary responsibility has always been a concern for retirement plans governed by the Employee Retirement Income Security Act of 1974 (ERISA). The language on the Department of Labor (DOL) Fiduciary Responsibilities webpage explains, “The primary responsibility of fiduciaries is to run the […]

Multiemployer Plan and Public Employer Coverage of GLP-1 Drugs

Cara McMullin
 

New Survey Data Reveals Total Reported Annual Claim Representation for GLP-1 Drugs for Weight Loss Is Almost Ten Percent A new survey report from the International Foundation of Employee Benefit Plans reveals updated U.S. employer and plan sponsor coverage surrounding glucagon-like peptide-1 […]

Health Plan Oncology Offerings—Designing the Best Possible Benefit

Anne Newhouse, CEBS
 

In recent years, various sources including SunLife and the Business Group on Health have reported that cancer leads high-cost health claims for self-funded plans. Claims data shows the top three diagnoses currently driving claims are cancer, cardiovascular and musculoskeletal diseases. It’s no […]