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BenefitsPRO.com is the leading source of employee benefits news, trends, opinions, and sales tips for benefit brokers, managers, and retirement advisors.
- 426articles · 180d
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- Mar 17, 2026earliest in window
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News
NAIC guide navigates shifting ERISA preemption battle over state PBM rules
5+ mon, 4+ day ago (460+ words) Stay up to date on the latest in voluntary benefits, group health care solutions, business best practices and more. Many state lawmakers and regulators want to set new rules for the pharmacy benefit managers, health plan provider networks, dental plans…...
Why smart benefits brokers are reframing PEO as a business strategy
4+ mon, 16+ hour ago (671+ words) For years, many benefits brokers viewed professional employer organizations (PEO) as competitors to their core offerings. In today's ecosystem, that perception is changing. Small and mid-sized businesses (SMBs) are facing pressures that extend far beyond health care costs. Talent shortages,…...
Federal regulators start to gather detailed PBM pay information
2+ mon, 3+ week ago (38+ words) BenefitsPRO Federal regulators start to gather detailed PBM pay information What You Need To Know - Congress put two sets of PBM rules in the Consolidated Appropriations Act, 2026 package....
No Surprises Act dispute resolution services award $1K for $81 ER visits
3+ mon, 3+ week ago (733+ words) The services' medan award for an hour of hospital observation services is 327.9 times the usual market rates. The independent dispute resolution services that handle fights over No Surprises Act claims decided 225,795 cases involving physicians who billed for "emergency department visits…...
Health claim experts eye the new No Surprises Act boxing rings
2+ mon, 3+ week ago (1233+ words) Experts predict that making doctors and hospitals give more details will help employers. Health insurance claim experts have had about two weeks to think about the new Trump administration interim final regulations for No Surprises Act claim fights. Providers and…...
What will new Medicaid work rules mean for employee benefits plans?
3+ mon, 1+ week ago (631+ words) One question is whether some employers will experience a surge in new hires with chronic health problems. Medicaid program managers in Washington want to require many adults who have Medicaid coverage to work or engage in work-like activities at least…...
New ACA rules may add employer "Priceline" health plan options
3+ mon, 3+ week ago (774+ words) Employers could also end up with more workers using catastrophic health plans. The administration of President Donald Trump is trying to offer users of the Affordable Care Act public exchange system access to two new types of coverage. The Centers…...
Employers, PBMs face heightened regulatory scrutiny under new federal laws
3+ mon, 3+ week ago (367+ words) "Employers must now prepare for dual compliance at both federal and state levels, and advisors play a critical role in ensuring they're ready," said Wes Hill, vice president, regulatory affairs, for RxBenefits. The regulatory environment for pharmacy benefits is changing…...
Employers' ICHRA plans get Medicare drug coverage notice exemption
5+ mon, 1+ week ago (66+ words) benefitspro.com Employers' ICHRA plans get Medicare drug coverage notice exemption What You Need To Know - The creditable coverage notices show whether workers have solid drug coverage. - Workers who retire use the notices to avoid Medicare prescription drug plan late-enrollment…...
Some 2027 ACA exchange plans could ditch provider networks
5+ mon, 2+ week ago (948+ words) A non-network plan proposal could help companies like Sidecar and Imagine360 compete with the HMOs and the PPOs. The regulators who oversee the Affordable Care Act public exchange system are wondering whether to treat "non-network plans" as major medical insurance coverage…...