Here is a summary of recent developments and updates on state-mandated paid family and medical leave (PFML) programs and paid leave laws for 2026.
Medicare Birthday Rule: How State Rules Affect Medigap Plan Changes
Learn how Medigap enrollment limits work, what the Medicare birthday rule allows and which states offer annual flexibility to change plans.
Choosing a Stop Loss Carrier
for Your Self-Funded
Health Plan
Learn how stop loss insurance protects self-funded health plans and what to consider when evaluating carriers for financial strength & long-term stability.
IRS Releases One
Big Beautiful Bill Act (OBBBA)
Guidance on HSAs
On December 9, 2025, the IRS provided clarifying guidance regarding certain HSA expansion provisions in the One Big Beautiful Bill Act (OBBBA).
Reporting Employer-Sponsored Health Coverage on 2025 Form W-2
The deadline to file (and furnish to employees) 2025 Forms W-2s, Wage and Tax Statements, is quickly approaching. Here’s a helpful overview for employers.
CMS Proposes Two Significant Medicare Part D Creditable Coverage Changes for 2027
On November 28, 2025, CMS released a proposed rule for 2027 impacting the Medicare Part D prescription drug benefit program.
FAQs Released Related to Fertility Benefits
On October 16th, a set of FAQs was released that clarifies how employers may offer fertility benefits as an excepted benefit under existing regulations.
Transforming Specialty Pharmacy: A Holistic Approach to Better Outcomes
Discover how specialty pharmacy is evolving through data integration, AI, patient-centric care, and regulatory innovation to drive better outcomes.
Compliance Reminder: Upcoming Group Health Plan Gag Clause
Attestation Deadline
Employers sponsoring group health plans are required to submit their annual gag clause prohibition compliance attestations for 2025 by December 31, 2025.
PCORI Fee Amount
Increase for 2026
The IRS just released Notice 2025–61, increasing the fees paid by group health plans to fund the Patient-Centered Outcomes Research Institute (PCORI).
