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The benefits industry is awaiting several rulings from the Supreme Court of the United States expected in 2016 that could have far-reaching effects on the administration and cost of operating employee benefit plans.
Reimbursement of payments
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Between 70% to 90% of benefits carrier invoices contain at least one discrepancy. AI can help identify them, avoiding high-cost losses.
Advisers should ensure clients have a realistic payment-integrity solution on the front end and robust claims recovery program on the tail end for capturing overpayments.
Experts suggest that process and disclosure matter more than ever in the face of class-action lawsuits alleging overpayments on voluntary benefits premiums.
Transparency is becoming the baseline, with visibility into compensation streams and financial relationships increasingly expected rather than optional.
As Washington revisits the tax-favored status of health benefits, a longtime policy expert explains why replacing group plans could cost far more.
