A union health plan is suing in federal court and hopes to represent a class that will include self-insured employer plans.

"I think enforcement is, at this point, warranted," PBGH head Elizabeth Mitchell testified at a House Energy health cost hearing.

William Ziebell told analysts that interest in retention has helped keep the overall benefits market growing.

In five states, the average premium for fully insured small-group coverage rose by more than 40%.

The case could affect what self-insured employers with a specific plan summary provision pay for care.

The number of small employers actually adopting the plans is "growing but "still limited," Michael Uretsky says.

The NAIC is asking officials to apply new rules only to mandates imposed in 2027 and later.

The sponsors want to let states set their own rules for employers' self-funded dental plans.