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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 […]

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 […]

Unraveling Post-Dobbs Implications

The legal environment relating to abortion coverage has become quite complex following the U.S. Supreme Court decision in Dobbs v. Jackson Women’s Health Organization. Health plan sponsors should review their coverage of abortion services to ensure that their health plans reflect the […]