A popular trend in employee benefit offerings relates to “point solution” programs, which are typically offered through third-party vendors to enhance an employer’s major medical plan or benefits program. Point solution programs often target services ranging from specific condition management to digital solutions and apps to overall benefit program simplification.
While point solutions can provide helpful supplements to an employer’s group health plan offerings, these types of add-on programs also give rise to several significant (and potentially problematic) compliance issues. This publication outlines several types of point solution programs and discusses the related compliance issues. Those include the application of federal group health plan laws (e.g., ERISA, COBRA, HIPAA, the ACA, and MHPAEA), interaction with HSA eligibility, plan documentation and administration, and taxation and reporting.
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