Benefits Think What the HHS prescription drug rules mean for employer-sponsored plans

Published Updated 4 Min Read

Did you fully digest the final regulations the Department of Health and Human Services released this spring regarding prescription drug coupons and employee cost-sharing in health plans?

Because the regulations used the term insurer, I initially read them as applying to the fully-insured side. However, the regulations also apply to most employer-sponsored self-funded medical plans. Because more than 60% of American workers receiving health benefits at work are covered by an employer-sponsored self-funded plan, why is the term health insurer still so commonly used by regulators and elected representatives?

Zack Pace
Senior vice president, benefits consulting

Zack Pace is senior vice president, benefits consulting at CBIZ, Inc.


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