- videocam Live Online with Live Q&A
- calendar_month December 4, 2025 @ 1:00 PM E.T.
- signal_cellular_alt Intermediate
- card_travel ERISA
- schedule 90 minutes
AI in Employee Benefits Administration: Navigating the Legal Framework, Fiduciary Considerations, State Law Issues
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Description
Third-party administrators (TPAs) and insurers are using AI tools to add reliably and efficiency to the administration of employee benefit plans and services. Plan sponsors and their counsel must have a complete understanding of the challenges and risks associated with the use of AI, including but not limited to the current regulatory landscape for AI, data privacy, cybersecurity, and ensuring that they are protected when TPAs and insurers incorporate a variety of AI tools in providing services.
As the legal landscape continues to evolve, the role of AI in the employee benefits plan administration has expanded. AI tools are used by plan administrators to assess claims on behalf of health plan participants, generate summaries of key details of plans for employees, and detect fraud, among other key elements impacting the efficiency of plan administration. However, these uses of AI, along with other potential applications of AI in employee benefits plan administration, are riddled with challenges that plan sponsors and counsel must be equipped to handle.
Listen as our panel discusses the regulatory landscape for the use of AI in employee benefits administration, key risks and challenges, and legal issues and fiduciary risks that must be considered when TPAs and insurers utilize AI tools.
Presented By
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Mr. Bianchi is an experienced Employee Benefits and Executive Compensation lawyer who advises corporate, not-for-profit, governmental, and individual clients on a broad range of executive compensation and employee benefits matters, including qualified and non-qualified retirement plans, health, and welfare plans. He represented the Romney Administration in connection with the historic 2006 Massachusetts health care reform act, and he testified before the Senate Finance Committee in the lead-up to the Affordable Care Act. Mr. Bianchi published works include the Bloomberg/Bureau of National Affairs Health Care Reform Advisor (T.M. 335), a comprehensive study of the impact of the Affordable Care Act on employers and employer-sponsored group health plans. In 2025, he earned a certificate in AI in Health Care: From Strategies to Implementation from Harvard Medical School Executive Education, reflecting a growing focus on AI in health care for plan sponsors. Mr. Bianchi is a past chair of the Bloomberg Tax Compensation Planning Journal Advisory Board, and he was awarded the 2023 Bloomberg Tax Leonard L. Silverstein Award for Distinguished Service in Tax.


Ms. Raaii devotes her practice to issues impacting group health and welfare benefit plans by counseling employers, digital health and point solution clients, plan administrators, insurers, consultants and other health plan service providers. She advises her clients on healthcare reform issues; consumer-driven health benefits; self-funded and fully insured health plans; data privacy and the Health Insurance Portability and Accountability Act (HIPAA); wellness programs; cafeteria plans; and regulatory, sub-regulatory and legal compliance. Ms. Raaii provides guidance on the Affordable Care Act (ACA); the Employee Retirement Income Security Act (ERISA); health plan transparency; mental health parity; the No Surprises Act; the Consolidated Omnibus Budget Reconciliation Act (COBRA); flexible benefit plans; health reimbursement accounts (HRAs); health savings accounts (HSAs); plan network design; multiple employer welfare arrangements (MEWAs); association health plans; captive insurance arrangements; and other health benefits issues.
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This 90-minute webinar is eligible in most states for 1.5 CLE credits.
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Live Online
On Demand
Date + Time
- event
Thursday, December 4, 2025
- schedule
1:00 PM E.T.
Outline
I. Current regulatory landscape of AI
II. Use of AI in plan administration; risks and challenges
III. Navigating federal and state privacy and data security laws
IV. Minimizing fiduciary liability and best practices for counsel
Benefits
The panel will discuss these and other key issues:
- What is the current regulatory landscape in the use of AI?
- How is AI being used in employee benefits plan administration?
- What are the risks and challenges of the use of AI tools by TPAs and insurers?
- How can plan sponsors and fiduciaries ensure compliance with federal and state privacy and data security laws?
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