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HHS announces support from insurers for changes to prior authorization

U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. announced this summer that the country’s largest health insurers have voluntarily pledged to standardize and reform their prior authorization processes.  [Get the news brief here] Questions?   If you have questions, contact TruePlan . Our team of advisors can help you with questions within the scope of employee benefits .   This content is for informational purposes only. It has been partially generated from an AI language model, which may not always be exhaustive or tailored to individual circumstances. We encourage you to contact one of our experts for more information. We assume no liability arising from any use of this content. 

HHS revises cost-sharing limits for 2026 plan years

  U.S. Health & Human Services Department (HHS) recently published a final rule that updates how the Affordable Care Act (ACA’s) maximum annual limitation on cost sharing is calculated. Based on this update, HHS revised the maximum cost sharing limits to $10,600 for self-only coverage and $21,200 for family coverage for 2026 plan years.   [Get the legal update here]  Questions?   If you have questions, contact TruePlan . Our team of advisors can help you with questions within the scope of employee benefits .     This content is for informational purposes only. It has been partially generated from an AI language model, which may not always be exhaustive or tailored to individual circumstances. We encourage you to contact one of our experts for more information. We assume no liability arising from any use of this content. 

2025 State of the Market Survey: Attraction and retention insights

This 2025 State of the Market Survey provides insights into employers’ perspectives on the current market landscape and broader business environment. It found key insights into:  the current state of attraction and retention;  what strategies employers are pursuing; and   how employers expect the labor market to shift during the remainder of 2025.  [Get the deep dive here]   Questions?   If you have questions, contact TruePlan . Our team of advisors can help you with questions within the scope of employee benefits .     This content is for informational purposes only. It has been partially generated from an AI language model, which may not always be exhaustive or tailored to individual circumstances. We encourage you to contact one of our experts for more information. We assume no liability arising from any use of this content. 

Summer mental health checklist: Infographic inside!

  Summer is often seen as a time for fun and relaxation, but it can also bring unique mental health challenges. Use this checklist to stay grounded, balanced and mentally well throughout the summer.  [Download my FREE checklist]   Questions?   If you have questions,  contact TruePlan . Our team of advisors can help you with questions within the scope of  employee benefits .     This content is for informational purposes only. It has been partially generated from an AI language model, which may not always be exhaustive or tailored to individual circumstances. We encourage you to contact one of our experts for more information. We assume no liability arising from any use of this content. 

Federal agencies aim to reduce drug costs by aligning with global prices

On May 12, President Donald Trump issued an executive order (EO) that aims to bring the prices Americans pay for prescription drugs in line with those paid by similar nations. This legal update summarizes the EO and recent federal agency developments in response to the order.  [Download the full PDF update here]   Employers, providers and payers should stay informed as this directive evolves into actionable policies.  Questions?  If you have questions, contact TruePlan . Our team of advisors can help you with questions within the scope of employee benefits .    This content is for informational purposes only. It has been partially generated from an AI language model, which may not always be exhaustive or tailored to individual circumstances. We encourage you to contact one of our experts for more information. We assume no liability arising from any use of this content. 

How to make the most of Dependent Care Assistance Programs (DCAPs)

Many employers offer a Dependent Care Assistance Program (DCAP) that lets you set aside pre-tax dollars to pay eligible dependent care expenses. This article highlights dependent care benefits and how to make the most of them.  [Download the full PDF here]   Making the most of DCAP  If you’re balancing work and caregiving responsibilities, a DCAP can help ease the financial burden. Also known as a dependent care flexible spending account, a DCAP allows you to set aside pre-tax dollars to pay eligible dependent care expenses — offering valuable tax savings for working families.  Here’s what to know:  Pre-tax savings: Contributions reduce your taxable income, which can lower your overall tax bill.  Qualified expenses: Eligible costs may include day care, preschool, after-school programs and adult day care for dependents who require supervision.  Who qualifies: Care must be provided for children under age 13 or for dependents who are physically or mental...

Health plan deductibles and OOPMs: Key concepts for employers

Deductibles and out-of-pocket maximums (OOPMs) are important cost-sharing parameters for health plans. This compliance overview summarizes key rules for employers regarding these limits, including the special limits for high-deductible health plans (HDHPs) and the Affordable Care Act’s (ACA) OOPM on essential health benefits.  [Download the full PDF report]   Understanding deductibles and OOPMs  Deductibles and OOPMs play a central role in how health plan costs are shared between the plan and the enrollee. Here’s  important terms employers need to know:  Deductible: The amount a member must pay out-of-pocket for covered services before the health plan begins to contribute.  Out-of-Pocket Maximum (OOPM): The annual cap on what a member pays for covered services. Once reached, the health plan covers 100% of additional covered costs for the rest of the year.  Premium trade-off: Plans with higher deductibles and OOPMs often come with lower monthly premium...