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Officials accused UMR, a UnitedHealth TPA, of basing ER claim decisions on diagnosis codes rather than symptoms.

In addition, 90% of all nonprofit employees are eligible to participate in plans, a survey high, and likely expanded due to another SECURE 2.0 provision allowing long-term, part-time employees to participate, according to a PSCA survey.

In this interview, we discuss fiduciary responsibilities, PBM contracts, and litigation risks with two industry experts.

As 2025 unfolds, organizations that manage remote and hybrid workforces can benefit from putting an action-packed calendar of varied team building events and activities in place.

The group also dislikes provisions in contracts between payers and health systems that may hurt competition.

The lawsuit, like many 401(k) lawsuits filed by employees over the last year, challenged HP’s decision to use “forfeitures” to reduce employer contributions rather than to pay administrative costs.

We believe that the FTC rule banning noncompetes, the enforcement of which is currently enjoined by a federal district court in Texas, is unlikely to survive for two reasons.

Ken Paxton's opinion puts Texas on a collision course with employer groups that say ERISA should shield the plans from the state rules.