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June 22, 2026Health & Welfare

The Daily Brief for Benefits Professionals

BenefitsWire

Health & Welfare Plans

June 22, 2026

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11 items · ~2 min read

Top of the Brief

Auditing the adviser business model in a fiduciary era

“Most employers are overpaying for healthcare by about $4,000 per employee each year, and the first step in reclaiming that lost profit is establishing proper governance and oversight.”

In this issue

Expert Analysis (7)  ·  Regulatory Action and Guidance (2)  ·  ERISA Litigation (2)

Expert Analysis

7 items
Auditing the adviser business model in a fiduciary era

“Most employers are overpaying for healthcare by about $4,000 per employee each year, and the first step in reclaiming that lost profit is establishing proper governance and oversight.” MORE >>

Source: Employee Benefit News

Developing The New IDR Operations Final Rule: What Employer Group Health Plan Fiduciaries Need to Know

“The Departments of Health and Human Services, Labor, and the Treasury, as well as the Office of Personnel Management (Departments) recently finalized the Independent Dispute Resolution (IDR) Operations rule under the No Surprises Act (NSA).” MORE >>

Source: Thompson Hine (ERISA Litigation & Compliance)

SHRM members ‘struggling’ to fund GLP-1 drugs, pulling back on mental health benefits

“However, the HR organization’s latest annual employee benefits survey also revealed greater investment in menopause- and pet-related benefits, analysts said at SHRM26. ORLANDO, Fla.” MORE >>

Source: HR Dive

Inflation, Higher Federal Program Premiums Drive Up Healthcare Costs for 2026 Retirees

“The average healthy 65-year-old couple retiring this year is projected to spend up to $637,000 on healthcare expenses over the course of their remaining lifetimes, according to the 2026 Milliman Retiree Health Cost Index.” MORE >>

Source: PLANSPONSOR

How Enterprise Employers Are Pursuing Cost Control Without Benefit Cuts in 2026

“See how enterprise employers are approaching benefits cost control in 2026 through healthcare cost management, self-funding, wellbeing program evaluation, and family-forming benefits strategies.” MORE >>

Source: Sequoia

Soon-to-Be Retirees Face Rising Healthcare Costs, per Milliman

“The average healthy 65-year-old couple retiring this year is projected to spend up to $637,000 on healthcare expenses over the course of their remaining lifetimes, according to the 2026 Milliman Retiree Health Cost Index.” MORE >>

Source: PLANADVISER

[Regulatory Action and Guidance]

The Senate HELP Committee Just Took Real Steps on Drug Affordability — But One Amendment Could Undo the Progress

“The Senate Health, Education, Labor and Pensions (HELP) Committee voted to advance two important pieces of drug affordability legislation: the Medication Affordability and Patent Integrity Act (S.” MORE >>

Source: ERIC

Regulatory Action and Guidance

2 items
Request for Information; Comprehensive Review of the Essential Health Benefits Framework and Typical Employer Plan Standard

“This site displays a prototype of a “Web 2.0” version of the daily Federal Register. It is not an official legal edition of the Federal Register, and does not replace the official print version or the official electronic version on GPO’s govinfo.” MORE >>

Source: Federal Register

FDA Proposes Revised Payor Communications Draft Guidance to Formally Include Devices and Reflect New Statutory Safe Harbor While Balancing Substantial Government Interests

“On June 3, 2026, the U.S. Food and Drug Administration (FDA or the Agency) issued a new draft guidance titled Drug and Device Manufacturer Communications With Payors, Formulary Committees, and Similar Entities — Questions and Answers (the 2026 Draft Payor Guidance).” MORE >>

Source: Arnold & Porter

ERISA Litigation

2 items
When Confusing Appeal Instructions Backfire: Southern District of New York Denies Hartford Summary Judgment in ERISA Disability Exhaustion Fight

“66 Franklin Street, Suite 300 Oakland, CA 94607 In Lucas v. Hartford Life and Accident Insurance Company, No. 24-CV-7561 (VEC), 2026 WL 1759034 (S.D.N.Y.” MORE >>

Source: Roberts Disability Law

Shotgun Pleadings and ERISA Disability Claims: Northern District of Georgia Dismisses Complaint Against Hartford and Allsup With Leave to Replead

“66 Franklin Street, Suite 300 Oakland, CA 94607 In Isoviv v. Hartford Life and Accident Insurance Company, No. 1:25-CV-5865-TWT, 2026 WL 1760334 (N.D. Ga. June 18, 2026), United States District Judge Thomas W.” MORE >>

Source: Roberts Disability Law

Also of Note

BenefitsWire · A digest for ERISA attorneys, third-party administrators, actuaries, recordkeepers, and benefits consultants.
An informational digest, not legal advice.
BDK2, LLC, 2503D N Harrison St PMB 2091, Arlington, VA 22207-1640

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