Episode Description
We bring compliance specialist Carol Taylor back to unpack why employers keep getting blindsided by benefit plan obligations like RXDC reporting, PBM disclosures, and fiduciary duties under ERISA. We map the real-world risks, the paperwork traps that cause rejected filings, and the simple audit habits that keep penalties from stacking up.
• RXDC reporting basics and why it exists
• why employers still miss RXDC years later
• where legal responsibility lands even when vendors file
• practical steps for HIOS access and employer uploads
• CAA 2026 expansion of PBM disclosure and rebate rules
• what PBM transparency can reveal about pricing and compensation
• ERISA fiduciary exposure for employers and individual decision-makers
• how advisors draw boundaries to avoid functional fiduciary status
• renewed ACA employer mandate enforcement around 1094 and 1095 filings
• why a mental health parity enforcement pause does not remove MAPEA duties
• ongoing No Surprises Act IDR problems and cost impacts
• using a compliance audit checklist and reviewing E&O coverage limits