For Immediate ReleaseApril 30, 2025 – Employee communication and engagement veteran Susan Pippin has joined Bolton to establish a new consulting practice, Bolton Communications. This new venture reaffirms Bolton’s commitment to providing clients with a full suite of benefits and HR consulting solut…Continued
Group health plans and health insurance issuers must annually submit detailed information on prescription drug and health care spending to the federal government. This reporting is referred to as the “prescription drug data collection” (or “RxDC report”). This is an annual reporting requirement—pla…Continued
Since the Consolidated Appropriation Act of 2021 was passed, increased scrutiny of medical and pharmacy carrier practices has led to lawsuits by health plans suing carriers and TPAs for suppression of data, improper out-of-network charges and hidden fees. More recently, health plan members and reti…Continued
What HappenedOn January 5, 2025, the Social Security Fairness Act became law. The Act abolishes two long-standing provisions of the Social Security benefits structure:WEP – Windfall Elimination ProvisionGPO – Government Pension OffsetThe new rules apply to all payments payable for January 2024 and …Continued
Employers should be aware of the top compliance issues that may impact their health plan coverage for 2025. Some of these compliance issues are established requirements for employers, such as the new simplified reporting under the Affordable Care Act (ACA). Other compliance issues are anticipated d…Continued
In 2024, employers of all sizes and industries faced several trends affecting the employee benefits market. Rising health care costs, a competitive labor market and regulatory concerns all shaped how employers navigated operational challenges. A number of these concerns, such as health care costs a…Continued
