ACA Limits, Penalties and Fees – 2014-2019
Employer Shared Responsibility (Employer Mandate)
Employer Mandate Penalties – Calendar Year
Market Rules
Fees – Paid by Health Plan (per Covered Life)
Featured News & Insights
Affordable & Compliant Benefits: Protecting Your Hourly Workforce and Your Bottom Line
Blog12/02/2025
employee-benefits
As a mid-size or growing employer, you may be challenged to balance competitive benefits offerings at a reasonable cost in a compliant manner. The IRS regulations around Affordable Care Act (ACA) ...
California Enacts SB 41: New Rules for Pharmacy Benefit Managers
Blog11/25/2025
employee-benefits
On October 11, 2025, Governor Gavin Newsom signed into law SB 41, enacting a broad set of changes to the ways in which pharmacy benefit managers (PBMs) can do business in the State of California....
Decoding the Specialty Drug Pipeline: Why Independent Prior Authorization Will Define 2026
Blog11/13/2025
employee-benefits
Specialty medications continue to dominate the pharmacy landscape. At net prices, drug spend in the United State reached $487 billion in 2024, an increase of 11.4% from the year before. Perhaps the...