Newsroom

California’s infertility and IVF mandate for fully insured plans just got a last-minute extension to January 1, 2026. The Legislature approved the change via a late-June budget trailer bill. Here’s what benefits professionals need to know about the delay — and what hasn’t changed.

PCORI fee season is here – but if your clients only offer fully insured plans, you can skip this one. For self-funded, level-funded, and certain HRA arrangements, however, the July 31 filing deadline matters. This column breaks down who files, how much to pay, and what’s excluded.

Clients often need to access Rx benefits before receiving their health plan ID Cards. Our handy Small Group Rx BIN and PCN table can provide the information they need.

The 6/1 deadline for RxDC reporting is approaching; group health plans must submit data on drug costs and healthcare spending. While carriers handle reporting for fully insured plans, employers still have responsibilities. For self-funded plans, the employer is responsible. Learn what’s required.

We break down the San Francisco HCSO – a local health care spending law that can apply to employers both inside and outside California. Whether fully insured or self-funded, employers with even one SF-based employee are generally subject to HCSO’s spending, reporting, & compliance requirements.

Paul Roberts breaks down ACA IRS reporting requirements for Applicable Large Employers (ALEs) and all employers with self-funded plans, California’s individual mandate reporting, reporting relief for employers impacted by LA fires, and new federal laws designed to ease reporting burdens.

Paul Roberts outlines key annual compliance responsibilities for 2025, including ACA employer mandate requirements, IRS reporting, COBRA compliance, and more. Learn how to navigate these complexities and leverage resources to ensure your clients stay informed and compliant throughout the year.