February 18, 2025
Employee Benefits | Elevating Wellness
According to Gallup, employees who feel supported in their well-being are 69% less likely to seek new opportunities. Harvard Business Review reports that every dollar invested in wellness yields $3.27 in medical cost savings and $2.73 in reduced absenteeism. Companies should revisit wellness ...
February 13, 2025
Advocacy in Action | Negotiating Unexpected Claims
A member contacted The Purple Card® stating that she had just received a $621 balance bill from a provider‘s office for anesthesiology services. The member was unhappy because she had gone to an in-network doctor for the surgery and the member believed everything related to the surgery would be ...
February 11, 2025
Workplace Culture | Reversing Employee Disengagement
Employee disengagement is rising, and HR leaders are facing an urgent challenge. Economic uncertainty, shifting workplace dynamics, and increased workloads have left employees disconnected, decreasing job satisfaction and increasing retention risks. Addressing this issue requires proactive ...
February 7, 2025
Compliance Alert | CMS RxDC Submission Required
To comply with the legislation to report on pharmacy information under the Consolidated Appropriations Act, you are required to submit premium information to the Centers for Medicare & Medicaid Services (CMS) by June 1, 2025. You should be receiving an email or an online portal alert to ...
February 7, 2025
Compliance Recap | January 2025
January brought guidance on the management of taxes on state paid family and medical leave, and an update on the much-watched Johnson & Johnson fiduciary lawsuit. The Department of Health and Human Services provided the 2025 Federal Poverty Levels and FAQs clarify gag clause prohibitions ...
February 4, 2025
Dear HR Manager from Concerned Leader
Dear HR Manager, My team is increasingly having political discussions, and tensions are rising. How can I help my team navigate these conversations professionally? – Concerned Leader Dear Concerned Leader, Political discussions can be challenging, especially when they lead to division or ...
January 23, 2025
New ACA Reporting Rules
The Employer Reporting Improvement Act (ERIA), outlined in a recent Compliance Advisor, and the Paperwork Burden Reduction Act (PBRA) were signed into law by President Biden. Together, the new laws ease the burdens of furnishing copies of IRS Forms 1095-B and 1095-C to applicable individuals ...
January 23, 2025
Advocacy in Action | Recovering Claims Sent to Collections
A member had a preventative colonoscopy. All of his claims processed as preventative at 100% with the exception of the lab charges. The lab sent the member a bill for $730. The member contacted Purple Card for help. Our Patient Advocate reviewed the claims and then contacted the lab to make ...
January 22, 2025
Rising ERISA Class-Action Lawsuits Over Tobacco Surcharges in Health Plans
A wave of ERISA class-action lawsuits is challenging tobacco surcharge programs in employer-sponsored health plans across the U.S. These cases center on potential fiduciary breaches, with plaintiffs arguing that surcharges added to tobacco users’ premiums are not compliant with federal laws ...
January 21, 2025
Employee Benefits | Developing Effective Pulse Surveys
Organizations can use pulse surveys to ensure employee voices are heard regularly, leading to timely and practical improvements. These concise, frequent surveys provide a real-time snapshot of engagement, helping leaders make data-driven decisions that enhance workplace dynamics, culture, and ...
