Employer Resources

Self-Funded Health Plans

How self-funding works, stop-loss protection, TPA selection, and ERISA fiduciary obligations.

Stop-Loss Insurance

Specific vs. aggregate coverage, attachment points, lasering, and carrier evaluation.

Medical Captives

Group captive arrangements, risk pooling, underwriting requirements, and governance.

PBM Consulting

Spread pricing, rebate pass-through, contract audit rights, and PBM negotiation strategy.

Pharmacy Cost Containment

Formulary design, specialty drug management, biosimilars, and site-of-care optimization.

ACA Compliance

ALE status, affordability safe harbors, 1094-C/1095-C reporting, and penalty avoidance.

ERISA Compliance

Plan documents, SPDs, fiduciary duty, claims and appeals, and ERISA preemption.

Employer Compliance

COBRA notices, FMLA obligations, PCORI fees, annual notice requirements, and DOL audit readiness.

Health Rosetta Framework

The eight principles of high-performance health plan design — from DPC to reference-based pricing.

Employee Benefits Strategy

Benefits philosophy, benchmarking, vendor ecosystem, and long-term plan strategy.

Employer Compliance

COBRA notices, FMLA obligations, PCORI fees, annual notice requirements, and DOL audit readiness.

Employee Benefits Strategy

Open enrollment communication, handbook guidance, HSA limits, and key employee retention tools.

Self-Funded Health Plans

Calculators and frameworks to evaluate whether self-funding is right for your organization.

Medical Captives

Group captive feasibility, risk-sharing structures, and captive vs. fully-insured comparison.

Stop-Loss Insurance

Attachment point analysis, lasering risk, and carrier contract comparison tools.