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The insurer did not give an explanation for the reversal of coverage for a midwife, leaving a couple with no recourse after exhausting all processes within the claims processing, including a formal appeal, which was denied.

Many employers and insurers are opting to wait out the appeals process before considering whether to make changes to their health plans' coverage of recommended preventive services, says this ERISA litigation attorney.

Companies should consider their industry and their working environment before simply making changes and should continue to deal with requests for accommodation in accordance with best practices and the law.

Employers often cite wanting to help older workers close to the end of their working years as a main reason for offering in-plan benefits, while enhancing negotiating power with recordkeepers is another reason, says a survey.

How health insurers hide behind HIPAA in sharing any meaningful claims data with you about your employees while farming every imaginable fact about all plan members.

The National Association of Government Defined Contribution Administrators sent a letter to the IRS and the Treasury, urging clarification on age-60 catch-up contributions and plan participation for part-time workers.

The mandatory SECURE 2.0 provisions that must be implemented within the next two years are generally action items for human resource and benefits professionals, benefits committees, and recordkeepers.

The article argues that, given the federal government's endorsement of RBP and its proven efficacy in reducing employer costs and expanding participant options, it is now virtually impossible for a plan fiduciary to lawfully discharge their duties in accordance with ERISA without at least considering the implementation of RBP.