Observations

Jul 29, 2025

Navigating ERISA’s Voluntary Plan Safe Harbor

Voluntary benefits (also referred to as supplemental or worksite benefits) are gaining traction as a budget-sensitive strategy for enhancing total rewards. With options like critical illness, accident, hospital indemnity, life, disability, dental, vision, pet insurance, and ID theft coverage, these offerings allow employers to support diverse employee needs without significant financial outlay. Often structured to minimize employer involvement...

Jul 1, 2025

Point Well Taken: Determining Whether Your Point Solution Program Is a Group Health Plan

In the evolving landscape of employee benefits, “point solution” programs have emerged as targeted offerings designed to address specific health and wellbeing needs that may not be fully covered by an employer’s primary group health plan. These solutions ‒ ranging from physical fitness programs to mental health counseling, chronic condition management, fertility services, or musculoskeletal care ‒ are offered by specialized vendors and marketed as enhancements to the overall welfare benefits package. Depending on the nature and scope of services provided, a point...

May 20, 2025

Handle with Care: A Self-Insured Employer’s Role in Health Plan Appeals

Self-insured group health plans have become increasingly popular among employers seeking greater control over their healthcare expenses and flexibility in designing benefits that suit their workforce. Self-insuring can lead to significant cost-savings but also brings certain administrative and regulatory responsibilities and increased exposure to ERISA breach of fiduciary duty lawsuits. For instance, employers sponsoring group health plans...

Apr 23, 2025

MHPAEA Compliance in an Uncertain Regulatory Environment

The Mental Health Parity and Addiction Equity Act (MHPAEA) aims to ensure equitable coverage for mental health and substance use disorder benefits. However, recent developments have cast a shadow of uncertainty over its rules and enforcement. The Trump administration has announced plans to reexamine and potentially roll back regulations issued late in the Biden administration, which could include the new MHPAEA comparative analysis regulations. Additionally...

Apr 22, 2025

MHPAEA Compliance in an Uncertain Regulatory Environment

The Mental Health Parity and Addiction Equity Act (MHPAEA) aims to ensure equitable coverage for mental health and substance use disorder benefits. However, recent developments have cast a shadow of uncertainty over its rules and enforcement. The Trump administration has announced plans to reexamine and potentially roll back regulations issued late in the Biden administration, which could include the new MHPAEA comparative analysis...

Mar 26, 2025

Calling All Group Health Plan Sponsors! Time for a Post-Pandemic Checkup of Your Telehealth Program

Telehealth benefits experienced a rapid surge in utilization during the COVID-19 pandemic. Even now, almost two years after the national public health emergency was declared over, telehealth benefits remain a popular component of many group health plans and is poised to take on an even greater role as AI expands the personalization, integration, and availability of virtual care. However, with the expiration of the pandemic-era relief measure in 2024, employers should now review their telehealth programs to ensure compliance with current regulations. 

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PPI Benefit Solutions does not provide legal or tax advice. Compliance, regulatory and related content is for general informational purposes and is not guaranteed to be accurate or complete. You should consult an attorney or tax professional regarding the application or potential implications of laws, regulations or policies to your specific circumstances.

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