Shielding American businesses who are NOT the criminals in the modern healthcare equation.

Fiduciary Auditing Services

Innovative Service You Can Rely On

The current TIDAL WAVE OF CLASS ACTION LAWSUITS initiated by the unprecedented Johnson & Johnson case from earlier this year put self-funded plans in the litigation crosshairs for overcharges and undisclosed or inappropriate additional costs.

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Employer legal fiduciary responsibility was recently established and upheld in court over 401(k) plan fees, and the litigation waters are now being tested to see if prosecutors can extend the fiduciary requirements and liability to employee health plans as well. 

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Only this time... it's personal!

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Executives and HR are being PERSONALLY NAMED AS DEFENDENTS alongside their companies, and must now lawyer up and defend their choices in brokers, plans, pharmacy benefit managers, and administrators selected for their employees' health plans.

Good people and hard-working leaders will have to step up to the witness stand and be examined and cross-examined on every single underlying aspect, minor detail, and tiniest charge in their health plan design, fielding questions such as "Why did you agree to allow your PBM to utilize a drug formulary that reclassified generic drugs as specialty drugs, thus costing your employees thousands more than if they had no insurance at all?"

These folks are tasked with running a business, not being licensed insurance brokers, well-equipped to identify and expose the criminal underpinnings of their carrier relationships. And they are most certainly NOT the criminals in the Modern Mafia equation.

These witch-hunting lawsuits DEMAND a response.

Integrity Benefit Partners immediately stepped in for our valued executive and HR partners and became the FIRST TO MARKET with our revolutionary new offering: independent fiduciary audit services to evaluate an employer's self-funded health offering for hidden Mafia relationships, higher-than-standard fees, inappropriate overcharges, and ))))))) in your employee health plan designs that may expose you to litigation. 

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These consultative deep dive, limited scope audits will help protect companies, hard-working executives, and HR staff from litigation by demonstrating you have fulfilled your compliance with their employee health plan fiduciary duties in the event of litigation. 

If upheld, this will rock the employer world as we know it, as healthcare and prescription drug costs are exploding, and Human Resource staff members do not have the professional licenses, industry knowledge, or effective tools to examine or understand all the ways health plan costs may be affected by hidden charges, preferred relationships, kickbacks, spread pricing of prescription drugs, etc.

With one current CPA, two former internal auditors, and all fully licensed insurance producers with extensive self-funded health plan expertise on staff, we believe we are nearly the first to the market to offer this service. 

As opposed to an external audit where the auditor may have no industry-specific understanding, we will be performing a deep dive audit as brokers, designed specifically to uncover hidden fees, kickbacks, and overcharges in a client's employee health plan offering.

Interested in learning more about these services? Get in touch!