Broker Regulation

Compliance with the CAA is now top of mind for health plan sponsors that need to elevate their fiduciary responsibilities.

Data from Insurity's 2024 AI in Insurance Report show consumers are against AI in underwriting and claims management.

An employee is suing Johnson & Johnson for breaching their fiduciary duty of effectively managing their health benefits. This could drive major change in the industry.

The Centers for Medicare & Medicaid Services' final rule aims to stop brokers from steering beneficiaries to certain plans in exchange for higher reimbursement from insurers, while giving them more predictable compensation.

Sixty-nine percent of brokers cited ever-changing federal and state mandates as a leading market force driving their firms to add new products and service offerings.

The plaintiffs allege that Change Health said that "'electronic payment functionality will be available for connection beginning March 15,'" and that they would "'reestablish connectivity to [their] claims network and software on March 18, restoring service through the week.'" However, those promises have gone unfulfilled, according to the plaintiffs.