The notice said that list would be reviewed periodically to determine whether more items should be included if they are proven to either prevent certain conditions or improve chronic disease diagnoses.

A recent Pennsylvania ruling striking down Tower Health's tax-exempt status sent a warning shot to the roughly 3,000 nongovernment tax-exempt hospitals nationwide, as states consider legislation to better define charity care.

Most plan sponsors are monitoring regulatory changes, properly managing plan operations and have appropriate fund and investments offerings, but even with diligent effort, mistakes will happen.

Offering employees advice about their personal finances needs to be balanced with concern for their privacy, which is why leveraging technology to drive employee financial wellness is key.