third-party administrator Archives - EMPLOYEE BENEFITS BLOG

Employers on Hook for Mental Health Parity Despite New Target

by McDermott Will & Emery | Oct 20, 2021 | Employee Benefits, Health and Welfare Plans

The US Department of Labor (DOL) is casting a skeptical eye on health insurance companies’ inconsistent coverage of mental health and substance use disorder benefits. The DOL recently commenced litigation against an insurer to require mental health and substance use disorder coverage be on par with regular physical care.

In an article in Bloomberg Law, McDermott Partner Judith Wethall said employers are usually unaware about these violations. Self-funded employers typically simply accept whatever their third-party administrator (TPA) is offering.

“Sometimes a TPA does things behind the scenes that might violate mental health parity and an employer might not even know it,” Wethall said.

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ERISA Health Plan Fiduciaries Defeat DOL’s Excessive Fee Claims

by Erin Steele, Megan Mardy and Richard J. Pearl | Mar 26, 2019 | Benefit Controversies, Employee Benefits, Health and Welfare Plans

In one of the first ERISA cases to address claims against fiduciaries for excessive health plan fees, the court entered judgment in favor of the defendants on all counts. The decision addresses health plan fiduciary standards for reviewing plan fees and expenses.

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View From McDermott: Is Tibble the End of Revenue Sharing?

by Lisa Loesel and Mary K. Samsa | Mar 30, 2016 | Fiduciary and Investment Issues, Retirement Plans

Ten short years ago, revenue sharing seemingly presented a “win win” opportunity for third-party administrators (TPAs) and defined contribution plan sponsors. TPAs generally retained all revenue sharing payments received from plans’ investment fund companies in exchange for administrative services provided to the investment funds. In recognition of the revenue sharing received from the investment fund companies, TPAs often provided “free” plan administrative services to plan sponsors. Starting in the mid-2000s, however, more plan sponsors began to question the amount of money received by the TPAs under this arrangement, and plaintiffs’ lawyers and the DOL began to monitor and scrutinize revenue sharing.

This article summarizes the evolution of revenue sharing over the past ten years and examines its future through the lens of the recent U.S. Supreme Court decision in Tibble v. Edison and the subsequent uptick in 401(k) fee litigation.

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