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State Regulators Address Insurers’ Use of AI: 11 States Adopt NAIC Model Bulletin

McDermott Will & Emery Employee Benefits

In December 2023, the National Association of Insurance Commissioners (NAIC) adopted a Model Bulletin on the Use of Artificial Intelligence (AI) Systems by Insurers. The model bulletin reminds insurance carriers that they must comply with all applicable insurance laws and regulations (e.g.,

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Employee Benefits Providers: What Employers Need to Know

Empuls

  These providers handle the complex tasks of negotiating with insurance companies, managing enrollment processes, and ensuring compliance with regulations. They help identify the most suitable benefits, such as health insurance, retirement plans, and wellness programs.

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Broker Compensation Disclosure Rule: New Legislation for Brokers

Total Employee Benefits

The insurance carrier is generally responsible for plan compliance in a fully insured policy. In the end, whether an organization is fully insured or self-funded, they should make sure their insurance carrier or TPA is ready to meet the demands of this new legislation.

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3 Critical Keys to Negotiating Benefit Renewals

Corporate Synergies

Knowing how to approach the annual renewal with health insurance carrier, pharmacy benefits manager (PBM) and other players can help the savvy employer save some money while maintaining the same level of benefits as before. A good carrier relationship can help you come to an agreement when negotiating benefit renewals.

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Co-fiduciary Can’t Be Sued for Indemnification in 8th or 9th Circuits First Reliance Standard Life Ins. Co. v. Giorgio Armani Corp. U.S. No. 21-861, Cert. Denied 2/22/22

Benefits Notes

Section 405 of the Employee Retirement Security Act of 1974 (ERISA) provides for joint liability for co-fiduciaries of a pension, health or welfare benefit plan. In this case, there was an enrollment error in signing up an employee for life insurance coverage with his employer – Georgio Armani Corp.

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Pharmacy Benefit Costs Untenable? Choosing the Right PBM

Corporate Synergies

Healthcare plan participants typically use pharmacy benefits more than any other part of the health & welfare program. There are typically three ways employers work with PBMs: A PBM bundled with the insurance carrier. A “third party carve-out,” in other words, a PBM that is separate from the insurance carrier.

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ASO vs. PEO: What’s the difference?

Genesis HR Solutions

Health and welfare benefits and COBRA. Both options manage insurance partners (but in different ways). Both ASOs and PEOs take on the burden of managing vendors, but the difference is that an ASO could potentially be managing an insurance carrier for each of its clients, while a PEO has a single carrier and a team.