In this episode of Troutman Pepper Locke’s Employee Benefits and Executive Compensation podcast, hosts Lydia Parker and Lynne Wakefield explore the complex legal landscape surrounding the coverage of GLP-1s prescribed for weight loss purposes within self-insured medical plans. As these medications gain popularity, plan sponsors face the challenge of controlling costs while meeting participant demand and maintaining legal compliance. The discussion covers various design alternatives, including cost-sharing strategies, waiting periods, and wellness program rewards, while addressing potential legal risks under HIPAA, the Affordable Care Act, and the Americans with Disabilities Act. Tune in to explore how plan sponsors can navigate these issues effectively as a means to attract and retain employees, while mitigating financial exposure.

Transcript: Navigating Legal Strategies for Covering GLP-1s in Self-Insured Medical Plans (PDF)

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Photo of Lydia Parker Lydia Parker

Lydia is a partner in the Employee Benefits + Executive Compensation Practice Group. She assists clients with the design and implementation of employee benefits plans, and regularly advises clients on the wide variety of compliance issues that arise in the administration of those…

Lydia is a partner in the Employee Benefits + Executive Compensation Practice Group. She assists clients with the design and implementation of employee benefits plans, and regularly advises clients on the wide variety of compliance issues that arise in the administration of those plans. Lydia has broad experience with both tax-qualified retirement plans, such as 401(k), 403(b) and defined benefit plans, and nonqualified plans. She has worked extensively with clients on compliance issues related to both self-insured and fully-insured health and welfare benefits plans, including group health plans, severance plans, life insurance plans, and disability plans. Her experience with health and welfare benefits plans includes advising on ACA, COBRA, HIPAA, ERISA, and Internal Revenue Code compliance. Lydia also assists clients with the benefits and compensation aspects of mergers and acquisitions, the negotiation of administrative services agreements and other vendor contracts, governance and fiduciary issues, and the administration of claims and appeals.

Read more about Lydia Parker
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Photo of Lynne Wakefield Lynne Wakefield

Lynne regularly assists clients with issues relating to employer-sponsored health and welfare benefits, including the design, implementation, and administration of group health plans, cafeteria plans, health savings accounts (HSAs), health reimbursement arrangements (HRAs), wellness programs, and retiree medical and private exchange coverage.

Read more about Lynne Wakefield
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