NFP introduces the Insights from the Experts podcast series. Each episode will showcase timely perspective from members of the NFP community, delivering information, analysis and solutions that address our clients’ most significant challenges. You can find archived episodes of Innovation Conversations at https://soundcloud.com/user-939810789.
…
continue reading
NFP Benefits Compliance Podcasts

1
EP 157: U.S. Senate Takes Up the One Big Beautiful Bill via Budget Reconciliation—What Does it Mean?
22:14
22:14
Play later
Play later
Lists
Like
Liked
22:14In this episode, Suzanne Spradley and Chase Cannon break down the Senate’s version of the One Big Beautiful Bill, released on June 16, 2025. Suzanne outlines the budget reconciliation process and how the so-called “Byrd Rule” comes into play. Suzanne and Chase discuss the similarities and differences between the House and Senate versions of this bi…
…
continue reading

1
EP 156: Benefits Provisions in the Proposed Congressional “Big, Beautiful Bill”
19:08
19:08
Play later
Play later
Lists
Like
Liked
19:08In this episode, Chase Cannon and Suzanne Spradley outline the latest proposed bill from the U.S. House of Representatives, potentially up for a vote in the coming weeks. Chase outlines a key element missing from the proposed bill ‒ caps, cuts, or elimination of the so-called employer tax exclusions for health insurance ‒ and explains why it’s impo…
…
continue reading

1
EP 155: Discussion: Recent Study on Impacts of Capping Employer Healthcare Tax Benefits
19:57
19:57
Play later
Play later
Lists
Like
Liked
19:57In this episode, Suzanne Spradley and Chase Cannon review a recent industry focus-study on the economic impact of capping or eliminating the tax benefits associated with employer-provided health plans. Suzanne begins by providing a background on the employer-sponsored insurance tax breaks, their impact on employers and employees, and why Congress i…
…
continue reading

1
EP 154: Some Beginning-of-Year FAQs on HSAs and HSA Eligibility
17:51
17:51
Play later
Play later
Lists
Like
Liked
17:51In this episode, Chase Cannon and Suzanne Spradley discuss some interesting questions relating to health savings accounts (HSAs), including basic eligibility, impermissible coverage, and employer responsibility when determining an individual employee’s HSA eligibility. Chase jumps in on a response to a question about HSA eligibility regarding a hea…
…
continue reading

1
EP 153: New Proposed HIPAA Security Rule Regulations Potential Impact on Employer Group Health Plans
21:44
21:44
Play later
Play later
Lists
Like
Liked
21:44In this episode, Suzanne Spradley and Chase Cannon discuss recently published proposed regulations relating to HIPAA’s Security Rule. Suzanne leads off with an overview of the HIPAA privacy and security rules generally, focusing on security — the usage of personal health information in electronic form. Suzanne and Chase discuss potential changes in…
…
continue reading

1
EP 152: Understanding the Debate Surrounding Employer-Sponsored Insurance Tax Exclusion
21:57
21:57
Play later
Play later
Lists
Like
Liked
21:57In this episode, Suzanne Spradley and Chase Cannon discuss the debate relating to employer-sponsored group health plan coverage and insurance tax exclusion. Suzanne describes what is meant by employer-sponsored insurance (ESI) and the background on the tax breaks that employers and employees receive when it comes to ESI. Suzanne and Chase walk thro…
…
continue reading

1
EP 151: Problematic Wellness Indemnity Arrangements Bubbling Up Again!
22:36
22:36
Play later
Play later
Lists
Like
Liked
22:36In this episode, Chase Cannon and Suzanne Spradley discuss the recent revival of vendor-promoted pre-tax wellness arrangements that promise large tax savings for employers and employees with little employer investment. Chase leads off with a brief description of these programs and their purported claims on employment tax savings for both employees …
…
continue reading

1
EP 150: PBM Regulation and Litigation and a Review of the J&J Case
21:46
21:46
Play later
Play later
Lists
Like
Liked
21:46In this episode, Suzanne Spradley and Chase Cannon review the current state and federal regulation of pharmacy benefit managers (PBMs), focusing on litigation surrounding recent state-enacted PBM rules. Suzanne starts off with a high-level description of PBMs and the role they play in the group health plan context. Suzanne and Chase discuss the ple…
…
continue reading

1
EP 149: Updates on Prescription Drug Importation in the US
17:36
17:36
Play later
Play later
Lists
Like
Liked
17:36In this episode, Suzanne Spradley and Chase Cannon discuss the US importation policies and rules aimed at lowering domestic prescription drug costs. Suzanne walks through the legalities of drug importation generally and then outlines the specific programs by which states can develop importation plans. Chase and Suzanne discuss several state importa…
…
continue reading

1
EP 148: IRS Reminders: Employer Reporting Deadlines, Annual Numbers and an Alert on Wellness Vendors
21:50
21:50
Play later
Play later
Lists
Like
Liked
21:50In this episode, Chase Cannon and Suzanne Spradley remind employers about important ACA employer mandate reporting deadlines with the IRS, including a change in electronic reporting in 2024 for smaller employers. Chase also outlines some updated numbers relating to the federal poverty line (FPL), ACA affordability calculations and ACA penalty amoun…
…
continue reading

1
EP 147: Background & Developments on the No Surprise Act & Independent Dispute Resolution Process
21:07
21:07
Play later
Play later
Lists
Like
Liked
21:07In this episode, Suzanne Spradley and Chase Cannon give an overview of the No Surprises Act (NSA) — a consumer health protection law that places certain requirements on providers and payers (insurers and group health plans). Suzanne describes the main requirements under the NSA and introduces the Independent Dispute Resolution (IDR) process, which …
…
continue reading

1
EP 146: Recent HIPAA Settlements Shed Light on Employer Compliance w/ HIPAA Privacy & Security Rules
20:10
20:10
Play later
Play later
Lists
Like
Liked
20:10In this episode, Chase Cannon and Suzanne Spradley discuss employer compliance with the HIPAA privacy and security rules via lessons learned from three new HHS HIPAA settlement announcements. Chase leads off with a high-level review of the HIPAA rules for both fully and self-insured plans and the importance of safeguarding protected health informat…
…
continue reading

1
EP 145: Recent Court Case on Interfering with Plan Participant’s ERISA 510 Rights
17:38
17:38
Play later
Play later
Lists
Like
Liked
17:38In this episode, Suzanne Spradley and Chase Cannon discuss a recent circuit-level decision relating to employee termination and its interaction with a participant lawsuit based on ERISA Section 510 (which prohibits an employer’s interference with a plan participant’s right to benefits). Suzanne provides background on ERISA 510 and how it applies to…
…
continue reading

1
EP 144: Recent Developments at the State Level in CA, NY, TX, IL, OR, and ME
21:22
21:22
Play later
Play later
Lists
Like
Liked
21:22In this episode, Chase Cannon and Suzanne Spradley take a tour across the nation as they review several new regulatory developments in six states that could impact employers with employees or fully insured plans in those states. Chase outlines new or recently effective paid family leave rules in New York, Oregon, and Maine. Chase and Suzanne delve …
…
continue reading

1
EP 143: Recent Court Case Addresses ERISA Preemption of Oklahoma PBM Law
18:17
18:17
Play later
Play later
Lists
Like
Liked
18:17In this episode, Suzanne Spradley and Chase Cannon address a recent appellate-level court case that addresses ERISA preemption of a recently enacted Oklahoma state law regulating pharmacy benefit managers (PBM). Suzanne begins by laying the groundwork and history of ERISA and ERISA preemption. Suzanne and Chase discuss the Oklahoma state PBM law an…
…
continue reading

1
EP 142: Recent DOL Enforcement on MHPAEA and Applied Behavior Analysis (ABA) Therapy Exclusions
19:15
19:15
Play later
Play later
Lists
Like
Liked
19:15In this episode, Chase Cannon and Suzanne Spradley discuss recent enforcement on MHPAEA. Chase jumps in with a description of DOL’s enforcement approach, including working through TPAs to identify plans that have or had ABA therapy exclusions. Suzanne and Chase discuss the administrative challenges with reprocessing ABA exclusion claims, which the …
…
continue reading

1
EP 141: Proposed Congressional Bills Aimed at Transparency and Pricing
17:38
17:38
Play later
Play later
Lists
Like
Liked
17:38In this episode, Suzanne Spradley and Chase Cannon review several new pieces of proposed federal legislation coming out of the House. Suzanne discusses the Transparency in Billing Act, which requires hospitals to have better and more accurate billing practices, policies and procedures with respect to outpatient departments. Suzanne and Chase dive i…
…
continue reading

1
EP 140: IRS Weighs in on Wellness Payments of Employer-Funded Fixed Indemnity Plans
18:25
18:25
Play later
Play later
Lists
Like
Liked
18:25In this episode, Chase Cannon and Suzanne Spradley discuss a recent IRS memo on wellness benefit payments via employer-funded fixed indemnity plans. Chase outlines the various iterations and structure of vendor-promoted wellness programs, which usually purport huge employment tax savings for employers. Chase and Suzanne outline the relevant tax rul…
…
continue reading

1
EP 139: Guidance and Litigation Relating to CAA Gag Clause Prohibitions
18:31
18:31
Play later
Play later
Lists
Like
Liked
18:31In this episode, Suzanne Spradley and Chase Cannon review the CAA’s prohibition on gag clauses in TPA and service provider contracts, as well as the employer’s obligation to attest to the removal of gag clauses (due December 31, 2023, for the first time). Suzanne outlines the challenges employers and plans face when working with TPAs, and explores …
…
continue reading

1
EP 138: Preventive Care Litigation, HSA Updates and Some Interesting Issues on Form 5500 Schedule As
19:48
19:48
Play later
Play later
Lists
Like
Liked
19:48In this episode, Chase Cannon and Suzanne Spradley discuss updates on the ACA preventive care mandate litigation, including a stay issued by the Fifth Circuit Court of Appeals. HSA contribution limits become a topic of discussion, as the IRS recently published updated numbers. Chase and Suzanne also discuss a common problem for employers filing For…
…
continue reading

1
EP 137: National Debt, Debt Ceilings and the Impact on Healthcare and Group Health Plans
19:04
19:04
Play later
Play later
Lists
Like
Liked
19:04In this episode, Suzanne Spradley and Chase Cannon have a look at the national debt and debt ceiling and how they impact employers and their group health plans. Suzanne leads off with a discussion on the national debt and how Congress sets the debt ceiling. Suzanne and Chase go in depth on what a failure to raise the debt ceiling and/or default on …
…
continue reading

1
EP 136: Recent HIPAA Violation Settlements from OCR
28:55
28:55
Play later
Play later
Lists
Like
Liked
28:55In this episode, Chase Cannon and Suzanne Spradley review several recent HIPAA violation settlements from the HHS Office for Civil Rights. Chase starts off by reviewing the general HIPAA obligations of fully and self-insured plans, including the importance of a HIPAA risk assessment. Chase and Suzanne discuss three real-life scenarios outlining way…
…
continue reading

1
EP 135: Texas Court Invalidates a Portion of the ACA’s Preventive Services Coverage Requirement
20:16
20:16
Play later
Play later
Lists
Like
Liked
20:16In this episode, Suzanne Spradley and Chase Cannon discuss a recent Texas court ruling that invalidates a portion of the ACA’s preventive services coverage requirement. Suzanne provides a background of the plaintiffs and their arguments, including a Constitutional problem with the way the government appointed officers under the ACA and a religious …
…
continue reading

1
EP 134: IRS Mandates Electronic Filing for Smaller Employers
16:08
16:08
Play later
Play later
Lists
Like
Liked
16:08In this episode, Chase Cannon and Suzanne Spradley address recent IRS guidance that mandates electronic filing of certain tax forms – including Forms 1095-C – for smaller employers. Chase describes the background from Congress and the IRS and explains what it means now that any employer filing 10 or more forms (previously, this was 250) will be req…
…
continue reading

1
EP 133: PBM Transparency: Potential State and Federal Activity
24:35
24:35
Play later
Play later
Lists
Like
Liked
24:35In this episode, Suzanne Spradley and Chase Cannon discuss potential activity at the federal and state level relating to PBM transparency. Suzanne begins the discussion by outlining a few proposals from Congress that attempt to hold PBMs accountable for unfair and deceptive practices that may be driving up prescription drug costs. Suzanne then addr…
…
continue reading

1
EP 132: Public Health Emergencies, Telehealth Extensions & State Compliance Considerations – 2023
26:03
26:03
Play later
Play later
Lists
Like
Liked
26:03In this episode, Beth Allen and Chase Cannon look at several new developments for plan compliance in 2023. The two start with the recent announcement on the end of the COVID-19 public health emergency, which impacts the outbreak period and extension of timeframes for certain compliance deadlines. Chase then dives in on the CAA 2023 extension of rel…
…
continue reading

1
Ep 131: Healthcare Policy and Compliance Issues for Employers to Consider in 2023
24:25
24:25
Play later
Play later
Lists
Like
Liked
24:25In this episode, Suzanne Spradley and Chase Cannon highlight several areas of healthcare policy and compliance that will be on center stage in 2023. Suzanne starts with a discussion of transparency in healthcare and prescription drug costs, including several compliance requirements that will take effect in 2023. Suzanne and Chase discuss state comp…
…
continue reading

1
Ep 130: More COBRA Cases — Class Actions and COBRA Election Notices
18:37
18:37
Play later
Play later
Lists
Like
Liked
18:37In this episode, Suzanne Spradley and Chase Cannon discuss several recent COBRA cases. Suzanne starts by outlining several class action lawsuits filed against employers and plan sponsors relating to deficiencies in an employer health plan’s COBRA election notice. Suzanne and Chase discuss the use of the DOL’s Model Election Notice and how that usag…
…
continue reading

1
Ep 129: Recent Court Rulings on COBRA and the ACA
22:44
22:44
Play later
Play later
Lists
Like
Liked
22:44In this episode, Chase Cannon and Suzanne Spradley discuss three recent court rulings—all at the district court level. Chase outlines the first case relating to a COBRA election notice failure, including takeaways for employers to enhance their notice distribution procedures. Chase and Suzanne dive into an ACA-related case challenging gender-affirm…
…
continue reading

1
Ep 128: Fall Bills: Congress Considers Mental Health Services Proposals
20:03
20:03
Play later
Play later
Lists
Like
Liked
20:03In this episode, Suzanne Spradley and Chase Cannon walk through recent activity in the House and Senate relating to several new laws under consideration on coverage of mental health services. Suzanne starts by reviewing some potential changes relating to Medicare coverage of mental health services, such as required behavioral health monitoring for …
…
continue reading

1
Ep 127: Benefits Aspects of the Inflation Reduction Act
17:24
17:24
Play later
Play later
Lists
Like
Liked
17:24In this episode, Chase Cannon and Suzanne Spradley discuss the benefits provisions of the recently-enacted Inflation Reduction Act. Chase walks through the extension of premium tax credit expansions through 2025, and the impact on employers with respect to the employer mandate penalties. Next, Chase and Suzanne discuss Medicare prescription drug co…
…
continue reading

1
Ep 126: Post-Dobbs Executive Orders, HHS Guidance and State Developments
18:30
18:30
Play later
Play later
Lists
Like
Liked
18:30In this episode, Chase Cannon and Suzanne Spradley recap the past few weeks’ guidance relating to Post-Dobbs considerations on employer coverage and reimbursement of abortion-related services. Chase starts by comparing the approaches of two different states – Texas and New Jersey – with respect to the legality of abortion services. New laws and dev…
…
continue reading
In this episode, Suzanne Spradley and Patrick Myers discuss recent guidance concerning the interaction between FMLA and mental health conditions. Suzanne provides some context for this guidance and a brief refresher on FMLA itself. Suzanne and Patrick then discuss how mental health conditions can apply in a FMLA context, including when a mental hea…
…
continue reading

1
Ep 124: Hospital Prices and Group Health Plan Costs
17:52
17:52
Play later
Play later
Lists
Like
Liked
17:52In this episode, Suzanne Spradley and Chase Cannon discuss hospital prices and their impact on employer group health plans. Suzanne describes this issue as it relates to the new transparency in coverage rules. Suzanne and Chase review a recent study that reviews hospital prices nationwide, including Medicare-certified, short-stay and other facility…
…
continue reading

1
Ep 123: Point Solution Programs and Compliance Issues
21:30
21:30
Play later
Play later
Lists
Like
Liked
21:30In this episode, Chase Cannon and Suzanne Spradley look at the recent rise in so-called “point solution programs.” These add-on programs enhance or expand on a group health plan offering and have benefits such as mental health, musculoskeletal, life coaching and fertility. Chase explains some of the compliance challenges that arise from offering th…
…
continue reading
In this episode, Suzanne Spradley and Chase Cannon update us on employer compliance obligations under the Transparency in Coverage (TIC) rules. Suzanne begins with an overview of the TIC rules and how they are meant to address consumerism and rising health care costs. Suzanne and Chase then hone in on the actual requirements, including posting of p…
…
continue reading

1
Ep 121: Looking Ahead: The Impact of the 9th Circuit’s Reversal on Wit v. United Behavioral Health
21:39
21:39
Play later
Play later
Lists
Like
Liked
21:39In this episode, Chase Cannon and Sarah Burns revisit recent mental health claims litigation under the Employee Retirement Income Security Act (ERISA) and the Mental Health Parity and Addiction Equity Act (MHPAEA). Sarah begins with a discussion of the class action lawsuit Wit, et al. v. United Behavioral Health, overturned by the 9th Circuit on Ma…
…
continue reading

1
Ep 120: Mark Rieder Visits Naviant’s “Digital Transformation Talks: Start Your Innovation Journey”
12:29
12:29
Play later
Play later
Lists
Like
Liked
12:29Join NFP’s own Head of Innovation, Mark Rieder, as he discusses what innovation looks like at NFP and how to start your own innovation journey with Naviant’s Ema Roloff on their “Digital Transformation Talks” podcast series. Discussion points include: • How to engage a team in innovation• How to support continual education within an organization • …
…
continue reading

1
EP 119: Mental Health Parity Civil Litigation and Administrative Action
18:36
18:36
Play later
Play later
Lists
Like
Liked
18:36In this episode, Patrick Myers and Suzanne Spradley review recent litigation and administrative action brought under the Mental Health Parity and Addiction Equity Act (MHPAEA). Suzanne begins the discussion by providing background on the requirements imposed on plans by MHPAEA, with a particular focus on non-quantitative treatment limitations (NQTL…
…
continue reading

1
EP 118: Explanations on Recently Asked Compliance Questions on Part D Disclosures/HSAs/COBRA Notices
23:37
23:37
Play later
Play later
Lists
Like
Liked
23:37In this episode, Chase Cannon and Suzanne Spradley outline a few explanations on recently-asked benefits compliance questions. First, Chase describes the challenges relating to the requirement to provide a Medicare Part D creditable disclosure to CMS and individuals. Chase and Suzanne then dig into HSA eligibility where an employee has a spouse or …
…
continue reading

1
Ep 117: The Agencies Revisit the ACA’s Provider Nondiscrimination Rules
17:33
17:33
Play later
Play later
Lists
Like
Liked
17:33In this episode, Suzanne Spradley and Chase Cannon discuss the ACA provider nondiscrimination rules — the idea that individuals have the right to access health services from the full range of providers licensed and certified in their state. Suzanne leads off with a background on why Congress felt it necessary to include the provider nondiscriminati…
…
continue reading

1
Ep 116: US Supreme Court Weighs in on Vaccine Mandates
20:16
20:16
Play later
Play later
Lists
Like
Liked
20:16In this episode, Chase Cannon and Suzanne Spradley break down the recent Supreme Court decision relating to the vaccine mandates for large employers and healthcare workers. Chase starts by outlining the large employer vaccine mandate, including the OSHA emergency temporary standard, or ETS rule, that was challenged in the courts. Next, Chase and Su…
…
continue reading

1
Ep 115: Majesco Podcast Features NFP’s “What If” Mindset, Insights on Voluntary Benefits
21:53
21:53
Play later
Play later
Lists
Like
Liked
21:53Join Mark Reider, NFP's own Head of Innovation, as he discusses the future of the ever-changing insurance marketplace with Denise Garth, Chief Strategy Officer at Majesco on their "The Future of Insurance: Industry Leaders" podcast.Discussion points include:• How employers can utilize innovative thinking to boost employee retention• What emerging t…
…
continue reading

1
Ep 114: OSHA’s Guidance (ETS) on Employer COVID-19 Vaccine and Testing Mandate
32:27
32:27
Play later
Play later
Lists
Like
Liked
32:27In this episode, Chase Cannon and Suzanne Spradley break down the recent OSHA guidance (emergency temporary standard, or ETS) relating to the employer COVID-19 vaccine and testing mandate. Chase outlines the general requirement for employers with 100 or more employees to ensure employees are vaccinated or tested regularly. Suzanne and Chase discuss…
…
continue reading

1
Ep 113: HIPAA Violations and Recent Enforcement Actions
14:41
14:41
Play later
Play later
Lists
Like
Liked
14:41In this episode, Suzanne Spradley and Patrick Myers discuss the growing trend of HIPAA breaches, particularly those that involve ransomware attacks and employee errors. Suzanne points out how the pandemic and the increased use of telehealth encouraged a growing reliance on electronic transmission and data. Suzanne and Patrick discuss HIPAA privacy …
…
continue reading

1
Episode 112: NFP’s CaptivePlus Group Medical Stop Loss Captive
31:14
31:14
Play later
Play later
Lists
Like
Liked
31:14In this episode, Kim Bell, EVP, Head of Health and Benefits and Dale Sagen, VP and Leader of Group Captive Solutions focus on NFP’s newest launch, our Medical Stop Loss Captive, sharing an overview of our captive practice, and the benefits of leveraging this type of program.By NFP's Insights from the Experts
…
continue reading

1
Ep 111: Vaccine Mandate/Surcharge Updates and COVID-Related Notices for Open Enrollment
19:40
19:40
Play later
Play later
Lists
Like
Liked
19:40In this episode, Chase Cannon and Patrick Myers provide an update on vaccine mandates and surcharges, including some helpful governmental guidance on HIPAA wellness program rule application to vaccine surcharges. Chase then digs in on some end-of-year and open enrollment considerations for pandemic-related compliance obligations. Chase and Patrick …
…
continue reading

1
Podcast Episode 110: Potential Legal Challenges to Biden’s Vaccine Mandates
22:10
22:10
Play later
Play later
Lists
Like
Liked
22:10In this episode, Chase Cannon and Suzanne Spradley discuss the history of, and legal challenges to, OSHA's Emergency Temporary Standards (ETS), the format for the Biden administration’s recently announced vaccine mandate and COVID-19 testing alternative for employers. Suzanne begins with an overview of the likely legal challenges to the use of the …
…
continue reading

1
Ep 109: Biden’s Vaccine Mandates & Testing Alternatives
23:47
23:47
Play later
Play later
Lists
Like
Liked
23:47In this episode, Chase Cannon and Suzanne Spradley outline the Biden administration’s recently announced vaccine mandate and COVID-19 testing alternative for employers. Chase begins with an overview of the mandate, the testing alternative and which employers are impacted by the requirements. The two spend the rest of the podcast issue spotting for …
…
continue reading

1
Ep 108: Compliance Perspective on Employer Vaccine Mandates and Incentives
23:54
23:54
Play later
Play later
Lists
Like
Liked
23:54In this episode, Chase Cannon and Suzanne Spradley discuss the compliance angle of employer-initiated vaccine mandates and incentives. Chase begins by outlining the ADA and EEOC rules relating to vaccine mandates, while Suzanne jumps in for a discussion on reasonable accommodations for those that have legitimate medical or religious objections to t…
…
continue reading