Week of November 07 2025 - SSG Insights

PCORI Fee Amount Adjusted for 2026

The IRS has released Notice 2025-61, which provides the adjusted PCORI fee amount for plan years ending on or after Oct. 1, 2025, and before Oct. 1, 2026. Employers with self-insured health plans must pay the PCORI fee by July 31, 2026.

Prescription Drug Formularies and Tiers

When it comes to your health care benefits, understanding how prescription drug coverage works can help you make informed decisions and potentially save money. This SSG Insight explains prescription drug formularies and tiers and how they impact out-of-pocket costs.

2026 Health Plan Compliance Deadlines & Annual Enrollment Notices

Employers must comply with numerous reporting and disclosure requirements throughout the year in connection with their group health plans. This SSG Compliance Advisor explains key 2026 compliance deadlines for employer-sponsored group health plans and also outlines group health plan notices that employers must provide annually.