Attend this month’s webinar for an in-depth look at the ERISA fiduciary duties related to managing group health plans of all sizes and funding structures.

Key takeaways:​​

• Gain insight into the responsibilities of the plan administrator and their interaction with pharmacy benefit managers (PBMs) and third-party administrators (TPAs).
• Learn how to navigate the Gag Clause Prohibition on price transparency, oversee provider networks, and ensure HIPAA compliance.
• Understand conflicts of interest that could jeopardize the integrity of the health plan.

Attend this month’s webinar to hear answers to the most frequently asked questions received by the UBA Compliance Help Desk regarding employee benefit compliance.

Key takeaways:​​

• Gain practical insight into common compliance challenges faced by employers, such as navigating healthcare regulations, understanding reporting requirements, managing benefits administration, and complying with ERISA, HIPAA, the ACA, and COBRA.
• Learn how to avoid compliance pitfalls and strengthen your understanding of employee benefit compliance through real-world examples.
• Understand what employers consider to be their day-to-day challenges in managing a compliant employee benefit group health plan.

Attend this month’s webinar to gain a foundational overview of the Affordable Care Act (ACA) including historical context and political challenges to its goal of expanding healthcare coverage, improving quality, and containing costs.

Key takeaways:​​

• Learn about key components, such as managing variable-hour and seasonal employees, understanding affiliation rules and controlled group regulations, and navigating the transition of part-time employees to full-time status.
• Understand how group size impacts the ACA requirements.
• Get guidance on ACA reporting requirements and compliance strategies.

Key takeaways:

•  Gain insight into the DOL’s enforcement priorities that can trigger an audit, especially regarding compliance with the ACA, Mental Health Parity and Addiction Equity Act, and No Surprises Act provisions.
•  Learn how to avoid common pitfalls in plan design, documentation, employee communications, and reporting.
• Understand the documentation needed to be ready for a DOL audit at a moment’s notice.

Key takeaways:

• Learn to navigate the complexities of Medicare as it relates to employer-sponsored health plans.
• Explore Medicare eligibility, its interaction with HSAs, coordination of benefits for claims and eligibility, reporting requirements, online disclosure, and creditable coverage notices.
• Gain insight into the obligations and best practices for Medicare in the workplace and how to avoid discrimination penalties.

Key takeaways:

•  Understand the key provisions of the CAA.
• Gain insight into the latest compliance obligations under the CAA, including new transparency rules, reporting requirements, and fiduciary responsibilities for plan sponsors, TPAs and PBMs.
• ​Learn how legislation is evolving on patient cost-sharing, qualifying payment amount (QPA) methodology, and independent dispute resolution (IDR).

Key takeaways:

• Focus on the rules and regulations surrounding qualifying events that trigger special enrollment periods in group health plans.
• Take an in-depth look at life events that allow employees to modify their health plan choices outside of the standard open enrollment period.​
• ​Understand allowable benefits and classes, non-discrimination and irrevocability issues, proper documentation, and best practices for effective plan management.

Key takeaways:​

• Learn about state and federal compliance issues affecting small and large group health plans, including growth through mergers and acquisitions.
• Explore specific for COBRA, FMLA, and ACA compliance requirements, and the latest reporting and disclosure obligations under federal and state laws.
• Gain insight into strategies to navigate complex regulatory landscapes and ensure that group health plans remain compliant under changing size and funding structures.

Attend this month’s webinar to learn about the growing range of consumer directed health plan options available to employers and employees.

Key takeaways:​​

• Explore tax-favored plan options such as Individual Coverage Health Reimbursement Arrangements (ICHRA), Lifestyle Spending Accounts (LSA), Health Reimbursement Arrangements (HRA), Health Savings Accounts (HSA), Flexible Spending Accounts (FSA), and other benefit programs like tuition assistance, adoption assistance, and doula services.
• Gain insight into implementing and managing these plans, how they interact with group health coverage, COBRA and leave of absence, and the potential benefits for both employers and employees in promoting flexibility, savings, and personalized care options.
• Understand how the IRS identifies pre- and post-tax benefits.

Attend this month’s webinar to learn about the Family and Medical Leave Act (FMLA) and state-specific paid family and medical leave programs.

Key insights:​​

• Understand the key provisions of paid leave laws, including employee eligibility, covered leave events, job protection, and wage replacement options.
• Learn about employer obligations in administering these programs, navigating the overlap between federal and state laws, and ensuring compliance.
• Gain practical tools for managing family and medical leave requests and coordinating with state-mandated leave and internal leave programs.

Key takeaways:​​

• Understand employer obligations in safeguarding protected health information (PHI), complying with HIPAA’s privacy and security rules, and preparing for potential data breaches.
• Learn the roles and responsibilities of insurance carriers, TPAs, and PBMs.
• Gain insight into cybersecurity best practices and steps to take in the event of a breach.

Attend this month’s webinar to learn about the broad range of compliance obligations under the Employee Retirement Income Security Act (ERISA).

Key takeaways:​​

• Gain insight into ERISA’s application to health and welfare plans, including health insurance, disability, and more.
• Learn about reporting and disclosure requirements, including annual notices, the Summary Plan Description, and Summary of Benefits and Coverage for small and large groups, fiduciary duties, and common compliance pitfalls.
• Understand how adherence to ERISA safeguards your organization from Department of Labor audits and fines.