Email Banner Compliance Ofc Hrs - Considerations for Self-Insured Plans

Employers with self-insured health plans (including level funded plans) have additional compliance considerations to address under the ACA, CAA, HIPAA, and other group health plan laws.

 

This session of Newfront Office Hours covers the key compliance items employers need to be aware of when offering a self-insured health plan.



Thursday, July 16, 2026

10:00 AM - 10:45 AM PT




Topics for Discussion

 

  • ACA Reporting: Additional §6055 reporting required in Part III of the Form 1095-C
  • CAA: Satisfying notice and filing requirements, plus ensuring delegation of multiple items to TPAs
  • HIPAA: A brief overview of the primary privacy and security matters (full training required)
  • ERISA: Fiduciary issues and preemption of state insurance mandates for self-insured employers
  • PCORI: Fee paid by employers for self-insured medical plans
  • §105(h): Understanding the nondiscrimination rules that apply to self-insured health plans
  • Checklist: A review of the primary compliance considerations for self-insured health plans
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Brian Gilmore

Lead Benefits Counsel, VP

Brian Gilmore is the Lead Benefits Counsel at Newfront, now part of WTW. He assists clients on a wide variety of employee benefits compliance issues. The primary areas of his practice include ERISA, ACA, COBRA, HIPAA, Section 125 Cafeteria Plans, and 401(k) plans. Brian also presents regularly at trade events and in webinars on current hot topics in employee benefits law.