Businessolver® Client Newsletter
08/19/2025
Join Us at HR Tech!
See you there Sept. 16-18
Headed to HR Tech this year? We’d love to connect with you! Check out all the places you can find us (or tell us how we can find you!)
- September 16: We’re hosting a welcome reception at Rhythm & Riffs inside Mandalay Bay at 7:00 p.m. with our Pinnacle Partners Securian Financial, Norton LifeLock, and Sword. We’ll have appetizers, contests, live music, and more to kick off the conference with good vibes.
- September 17: We’re hosting a speaking session with a fellow client on how the right technology can drive effective benefits engagement for the emerging workforce.
- September 18: We’re sponsoring a morning refreshment break to help you recharge and refuel for the last day of the conference. Enjoy a coffee on us!
Plus, we’re always happy to connect in our vendor meeting room. Are you going?
If so, RVSP to our reception, add our breakout session to your calendar, or schedule a meeting!
MyChoice® Accounts Resources Available
Member resources, product updates, and admin info
MyChoice Accounts clients, don’t miss out! Access the MyChoice Accounts Client Hub from multiple places – your Tech with Heart Resources page, your Benefitsolver® admin home page, and your MyChoice Accounts admin dashboard. There, you’ll find IRS resources, process information, a member toolkit for member communications, and lots of product updates.
Recap: Benefitsolver and MyChoice Accounts System Updates
Check out our exciting enhancements ahead of annual enrollment
We’ve been hard at work the last few months preparing for this annual enrollment season. Over the last few issues, we’ve shared these updates in more detail but we wanted to round them up to ensure you didn’t miss any of these impactful enhancements.
These items are coming soon:
- Verification Status Tracker: Benefitsolver’s new verification experience will give employees clearer, real-time visibility into dependent verification status, streamlining documentation and reducing confusion post-enrollment.
- SofiaSM Updates: Sofia’s upgraded Agentic Workflow now delivers fully AI-assisted, personalized support by pulling from member data and chat history—making benefits conversations more accurate and intuitive, provided reference center content is kept up to date.
- Member Services Updates: Businessolver is enhancing its call center experience with customizable vendor prioritization and a new Agentic IVR system—set to launch after hours in October—to deliver faster, more personalized support and reduce member frustration.
- Enrollment Experience Enhancements: We’re launching a redesigned enrollment interface with improved navigation, clearer benefits explanations, and contextual support from Sofia to help employees make more informed choices.
- MyChoice Mobile App Upgrades: The MyChoice Mobile App now offers a cleaner design, company or division-level branding, and smarter chat interactions with Sofia, creating a more engaging and intuitive mobile benefits experience.
- Debit Card Activation: In addition to the phone number, members can now activate their MyChoice Accounts debit cards online, via the mobile app, or the IVR.
- New HSA ‘Save’ Category: MyChoice Accounts HSA members can now grow their funds via our ‘Save’ category, which allows them to invest in a money market fund and even set up auto sweep to reach their savings goals.
- Beneficiary Designation Enhancement: MyChoice Accounts HSA members can now designate and update their beneficiaries online via the member portal.
Watch last month’s product update for more detail on many of these updates.
What’s New in Compliance?
MyChoice Accounts clients: NDT requests for 2025 due by Aug. 30
MyChoice Accounts is scoping operations work needed through the end of the year. If you plan to run non-discrimination testing in the remainder of 2025, please submit your request to your client service lead by Fri., Aug. 29, so they can initiate the process. Requests received after Sept. 2 may not be processed.
New state laws target pharmacy benefit manager practices
Several states have recently passed legislation that significantly changes how pharmacy benefit managers (PBMs) operate. These laws aim to improve transparency and reduce conflicts of interest in prescription drug pricing—changes that could directly affect employer-sponsored health plans.
Key updates include shifting PBM compensation models from drug price-based structures to flat service fees, requiring rebates from drug manufacturers to be passed directly to consumers, restricting PBMs from owning pharmacies, and imposing fiduciary duties in certain states. Because these laws vary by state, employers and plan sponsors should carefully review PBM-related requirements in the states where their employees live. These changes may affect plan design, vendor relationships, and overall prescription drug costs.
Federal agencies clarify Qualified Payment Amount rules under the No Surprises Act with FAQ documentation
The Departments of Health and Human Services, Labor, and Treasury have released updated guidance in the form of FAQs to help group health plans comply with provisions of the No Surprises Act (part of the Consolidated Appropriations Act, 2021) and the Affordable Care Act (ACA).
The FAQs focus on how to calculate the Qualified Payment Amount (QPA) for out-of-network services. Due to ongoing litigation in the Fifth Circuit, plans are currently expected to use a good faith, reasonable interpretation of the 2023 methodology when determining QPAs.
The guidance also outlines updated disclosure requirements to nonparticipating providers and facilities, including what must be included in QPA-related notices and when those notices must be delivered.
Group health benefits professionals should review these updates to ensure their plans remain compliant and that vendors are aligned with the latest federal expectations.
Review the FAQ document for more detail.
Upcoming Sessions
TODAY at 10 a.m. CT: Businessolver Roundtable // AE Season: Strategies for Driving Enrollment Outcomes
Join us today for this insightful roundtable! We’ll hear from your client peers about the good, the bad, and the ugly on getting ready for AE and share learnings and wins and how to clear the roadblocks for a successful AE season. Come ready to learn and share. Plus, we'll walk you through using your Benefits Insights Dashboards to get real time data before, during, and after enrollment.
Add to schedule
Thurs., Aug. 21 at 10 a.m. CT: MyChoice Accounts Training // MyChoice Accounts – AE Processing
It’s time for all things annual enrollment for MyChoice Accounts. We’re introducing some new and innovative processes to help you during enrollment time. Join our experts for this training to make sure we have everything ship-shape before enrollment to ensure a smooth transition into the next plan year.
Add to schedule
Tues., Sept. 9 at 10 a.m. CT: Benefitsolver Training // Reference Center Best Practices
Join this training to learn how you should set up your reference center for success. With all the product enhancements around search and AI retrieval, it’s more important than ever to have your reference center polished up. In doing so, you’ll make Sofia and the search function even more impactful for your members.
Add to schedule
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A Peek at Our Pinnacle Partners:
Care Navigation for Everyone
A clear starting point for all your employees’ healthcare need
Navigating health care can be overwhelming for employees—and costly for employers. That’s why we partnered with Rightway, a leading care navigation platform, to deliver a smarter, more empathetic health care experience.
Rightway combines high-tech innovation with high-touch clinical support, guiding employees to the highest-quality care and medications at the lowest possible cost. Through a mobile app, employees can connect with live clinical health guides who help with everything from finding providers and creating care plans to resolving billing issues and understanding benefits.
For HR and benefits teams, this means:
- Simplified employee engagement with health benefits
- Higher ROI through better care decisions and reduced waste
- Seamless integration with Businessolver’s benefits technology
By putting employee needs first, Rightway helps employers turn traditional health benefits into a personalized, value-driven experience.