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Compliance Matters Newsletter | October 2026

… 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.This field is hidden when viewing the formLead 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

https://www.epicbrokers.com/insights/compliance-matters-newsletter-october-2026/

Compliance Matters Newsletter | September 2026

… offering to clients before offering customized contract terms 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

https://www.epicbrokers.com/insights/compliance-matters-newsletter-september-2026/

By Design or by Default: A U.S. Captive Question for European Headquarters

… risk managers first encounter captives through the language of premium savings. That is understandable, but incomplete. A captive is most powerful when it changes the company’s relationship with risk itself. A well-designed captive can formalize risk already retained through deductibles, self-insured retentions, exclusions, uninsured exposures and collateralized arrangements. It can help preserve underwriting profit where experience is favorable, accumulate surplus, improve claims visibility, tailor coverage and align risk, finance, treasury, legal and operations. Those benefits are not automatic. They depend on credible data, appropriate capitalization, actuarial discipline, compliance and strong governance. For a first-time buyer, the …

https://www.epicbrokers.com/insights/us-captive-question-european-headquarters/

Rethinking U.S. Liability: Why Tort Reform Matters More Than You Think

Authors: Tandis Nili & Haendel Conil For European risk managers, the United States has long represented a liability system that behaves differently in a fundamental way. The contrast is structural, not merely one of degree. In Germany and across continental Europe, civil liability is determined by professional judges rather than lay juries, legal costs are borne by the losing party, contingency fee arrangements are largely prohibited, and damages remain anchored to actual economic harm. These features compress uncertainty as cases progress, with exposure narrowing as facts are tested. In the U.S., exposure has historically expanded over time, driven by how …

https://www.epicbrokers.com/insights/why-tort-reform-matters/

Rethinking U.S. Liability: Why Tort Reform Matters More Than You Think

Authors: Tandis Nili & Haendel Conil For European risk managers, the United States has long represented a liability system that behaves differently in a fundamental way. The contrast is structural, not merely one of degree. In Germany and across continental Europe, civil liability is determined by professional judges rather than lay juries, legal costs are borne by the losing party, contingency fee arrangements are largely prohibited, and damages remain anchored to actual economic harm. These features compress uncertainty as cases progress, with exposure narrowing as facts are tested. In the U.S., exposure has historically expanded over time, driven by how …

https://www.epicbrokers.com/services/epic-web-accordion-admintech/

Life, Absence & Disability

… design for PTO, parental/family leave, and sick leave Federal, state, and local leave law compliance navigation and ongoing monitoring Statutory benefit strategy and funding analysis Custom benchmarking against market and peer programs Vendor sourcing for leave and disability management platforms and tools Benefit design and plan funding for complex arrangements, including carve-outs, retiree buy-outs, and settlements Insured vs. self-insured plan design evaluation Internal and external process reviews to improve the employee and employer experience Why Clients Choose EPIC Multi-state compliance, handled. With an increasing number of states mandating paid family and medical leave, and more …

https://www.epicbrokers.com/services/life-absence-disability/

2026 Trends in Drug Benefit Design Report

PSG, EPIC’s Pharmacy Solutions Practices, announces the results of its extensive research on the latest trends in drug benefit design. Plan sponsors face complex decisions and challenges as they build and implement their drug benefit. PSG’s 2026 Trends in Drug Benefit Design Report provides a view into how plans work to achieve access and affordability for members while controlling their pharmacy spend. The report contains valuable insights from benefits leaders representing plans nationwide. Key Findings Unbundled PBM Service Arrangements: Payers’ perception of value in unbundled PBM service arrangements increased year-over-year, and over half say they would …

https://www.epicbrokers.com/insights/2026-trends-in-drug-benefit-design-report/

Compliance Matters Newsletter | June 2026

… insured plan sponsors can rely on their carriers to submit the fee on their behalf, but fully insured plan sponsors that sponsor a self-funded plan component, such 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 …

https://www.epicbrokers.com/insights/compliance-matters-newsletter-june-2026/