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ERISA applies to health and welfare plans as well as to retirement plans. However, for years after its enactment, the predominant focus of ERISA-related regulatory activity, plan sponsor compliance and litigation was on retirement plans. Following the enactment of the Affordable Care Act and with the upcoming roll out of transparency regulation requirements, there has been increased regulatory and judicial scrutiny focused on ERISA’s: (i) health plan-related compliance requirements, as well as (ii) fiduciary provisions, and liability for failure to comply. Accordingly, health plan sponsors, and those making decisions (including an “inadvertent fiduciary”) involving health plan operations need to be aware of these considerations; as do plan service providers, including insurers and PBMs. Another compliance area involves utilization of sponsor services, or products, by employees covered by the sponsor’s health plan.
This program will focus primarily on the range of ERISA considerations applicable to health plans, from documentary compliance through health plan operational issues.
What You Will Learn
Upon completing the program, the attendee will be able to:
- Recognize and explain the compliance obligations that rest with ERISA plan sponsors
- Identify litigation and regulatory enforcement trends
- Evaluate risks in current plan design and practices, and
- Employ compliance “best-practices” to mitigate risk
- Convenient half-day program format
- NY Transitional credit available