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… On September 23, 2026, the Internal Revenue Service (IRS) released an updated set of Frequently Asked Questions (FAQs) originally issued in March 2023. Those FAQs address expenses related to nutrition, wellness, and general health that are eligible for reimbursement through health savings accounts (HSAs), flexible spending accounts (FSAs), health reimbursement arrangements (HRAs), and Archer medical spending accounts (MSAs) only when they primarily diagnose, treat, mitigate, prevent a specific disease or affect a body structure or function. The gray-area items that are not a simple yes or no answer, mostly depend on a physician-diagnosed condition. Nutritional counseling, weight-loss …

… or in connection with, information submitted through this website. Insurance coverage cannot be bound or altered via submission of this online form.This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.Lead SourceMARCOM – Website Submit Additional Updates & Resources ICHRA is Now CHOICE The Centers for Medicare and Medicaid Services (CMS) and the Small Business Bureau (SBA) announced that the Individual Coverage Health Reimbursement Arrangement (ICHRA) has been renamed the Custom Health Option and Individual Care Expense (CHOICE) Arrangement. The rules for how an ICHRA, now called a CHOICE Arrangement, operate are unchanged. CMS

… This settlement, while unique to Caremark, will influence PBM industry standards, particularly in areas such as formulary management, rebate pass-throughs, participant cost sharing, insulin affordability programs, transparency reporting, and PBM compensation. These settlements highlight the increased scrutiny on PBMs and the importance of plan sponsor fiduciary responsibilities. Employers and plan sponsors should use upcoming contract renewals and negotiations as an opportunity to assess whether their PBM arrangements remain prudent, transparent, cost-effective, and aligned with participants’ best interest. California Managed Care Organization Tax Update We reported in the August 2026 Compliance Matters Alert on California’s Senate Bill 125

… as a health reimbursement arrangement (HRA), will need to file and pay for the self-funded component plan. Payment amounts due in 2026 will differ based on the employer’s plan year. The Internal Revenue Service (IRS) provides a chart showing applicable fee amounts depending on the plan’s year-end date. The fees due in July 2026 are as follows: $3.47 per covered life for plan years ending after September 30, 2024, and before October 1, 2025 $3.84 per covered life for plan years ending after September 30, 2025, and before October 1, 2026 Self-funded …