Are you confident you’re meeting your fiduciary responsibilities under today’s complex health plan regulations?
Take our quick self-assessment to find out where you stand—and what you can do to strengthen your compliance position.
Why It Matters
As a plan sponsor, fiduciary responsibility for your health benefits is no longer just about offering coverage—it’s about governance, transparency, and regulatory compliance. Mistakes can lead to penalties, audits, or lawsuits. This quick, confidential assessment will help you evaluate your preparedness and uncover areas that may need attention.
Get Your Score in Minutes
Answer a few yes/no questions about your health plan compliance in these key areas:
Fiduciary governance
Gag clause prohibition compliance
RxDC reporting
Broker/consultant compensation disclosures
Mental health parity (NQTL analysis)
Benchmarking practices
Documentation and audit readiness
Ready to Improve Your Score?
Submit your results and get a complimentary consultation with our Compliance Team.
We’ll walk you through next steps and actionable fixes—no obligation.
Register for Your Personalized Recommendations
Fill out the form below, then take our quick assessment to get your fiduciary confidence score:
Take the Assessment
Complete the questions below to get your fiduciary confidence score:
Question 1 of 9
Medical Plan Fiduciary Confidence Score – Initial Questions
Have you established a fiduciary committee for your health benefits?
A fiduciary committee will streamline your compliance and aid in addressing any gaps.
Medical Plan Fiduciary Confidence Score – Initial Questions
Have you created a charter that names members and roles?
A committee charter outlines the responsibility of each member and delegates duties. The charter should include how minutes will be collected and the meeting schedule for the committee.
Medical Plan Fiduciary Confidence Score – Initial Questions
Do you have fiduciary insurance and confirmed it covers medical plan fiduciaries?
Fiduciary insurance may aid in protecting your organization from financial risks associated with a potential lawsuit.
Gag Clause Prohibition Compliance Attestation
Have you ensured that gag clauses are removed from all carrier contracts?
Gag clauses allow a party to a contract to withhold information and data from the other. Ensuring these provisions have been removed is crucial to transparency. Plan sponsors must annually attest that gag clauses have been removed from carrier contracts.
RxDC Reporting
Do you have proof of RxDC submissions?
Plans and issuers must annually submit several data files (RxDC files) to CMS outlining several data points including, the 50 most costly drugs, 50 most frequent brand drugs, and the 50 drugs by spending increase. In many cases a plan sponsor's carriers will handle the submission on their behalf; however, this is not always the case. Plan sponsors should ensure they maintain records of the files being timely submitted to ensure compliance.
Broker and Consultant Compensation Disclosure
Do you receive and review Broker and Consultant Compensation Disclosures annually?
Brokers and consultants who expect to receive at least $1,000 in direct and indirect compensation are required to provide plan sponsors with a written compensation disclosure. Plan sponsors should review the disclosures for accuracy and reasonability upon receipt.
NQTL Analysis
Have you conducted the Nonquantitative Treatment Limitation (NQTL) analysis under the Mental Health Parity and Addiction Equity Act (MHPAEA)?
Group health plans and issuers must conduct an NQTL analysis to ensure the treatment limitations applied to mental health and substance use disorder benefits are in parity with those applied to medical and surgical benefits. Although enforcement of the 2024 Final Rule has been paused, plan sponsors are still responsible for ensuring this analysis has been completed as outlined in the CAA.
Benchmarking
Have you used benchmarking to review your plans and costs for reasonableness and appropriateness?
Benchmarking is a helpful tool to ensure your plans are running effectively. Consider evaluating your plan using benchmarking tools, document the results, and discuss with the members of the fiduciary committee prior to making plan changes.
Final Question
Have all the actions above been documented?
In light of the rise in fiduciary class actions against plan sponsors, it is crucial for plan fiduciaries to ensure they have evidence of compliance with their fiduciary obligations.
Your Fiduciary Confidence Score
Good
Your Results Have Been Submitted!
Thank you for completing the assessment. We'll be in touch with your personalized recommendations soon.
