Compliance & Regulatory Support

Navigating complex regulations

Guidance on ERISA, ACA, HIPAA, and other regulatory requirements affecting health benefits

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Why does compliance support matter?

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Health benefit regulations are complex and constantly changing. Non-compliance creates legal liability, penalties, and employee harm. Compliance support ensures plan design and administration meet regulatory requirements.

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See where your benefit plan is leaking

Find out what gaps exist — and what you can do without changing your plan.

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We'll show you where money is leaking, risks are growing, and what you can fix within your current structure. No pressure to change brokers, carriers, or benefit design. Just clarity.

  • Gap analysis based on your actual plan structure


  • Clear findings you can share with your broker


  • Recommendations that layer on — no disruption required
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Get a FREE assessment today!

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ACA Compliance

Ensuring compliance with Affordable Care Act requirements: employer mandate, reporting, affordability standards, and coverage requirements.

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ERISA Requirements

Meeting ERISA obligations for plan documentation, fiduciary responsibility, claims procedures, and disclosure.

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HIPAA Privacy & Security

Protecting employee health information in accordance with HIPAA privacy and security rules.

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State Regulation Navigation

Navigating state-specific requirements that may exceed federal standards.

What is Compliance & Regulatory Support?

Compliance & Regulatory Support helps employers navigate the complex regulatory environment affecting health benefits.

Health benefits are subject to multiple overlapping regulations: ERISA, ACA, HIPAA, COBRA, state insurance laws, and more. Requirements change frequently. Non-compliance carries penalties, lawsuits, and operational disruptions.

Support ensures plan design and administration meet current requirements while anticipating regulatory changes.

Why Is Health Benefit Compliance So Complex?

Most employers renew their health plans year after year without questioning the underlying assumptions. Brokers present options, carriers set rates, and leadership approves budgets based on incomplete information.


The result? Companies overpay for benefits employees don't use while missing coverage gaps that create real risk. They accept premium increases as inevitable rather than addressable. They lack visibility into where their money actually goes.


A Healthcare Risk Assessment changes that. It gives you the data and insight to make informed decisions, negotiate from a position of strength, and take control of one of your largest operating expenses.

How It Works

Compliance support ensures regulatory requirements are met.

Compliance Assessment

Evaluating current compliance posture: what requirements apply, where gaps exist, what risks are present.

Gap Remediation

Addressing identified gaps: documentation, process changes, plan amendments as needed.

Ongoing Monitoring

Monitoring regulatory changes and communicating implications for your plan.

Issue Resolution

Assisting with compliance issues when they arise: audits, complaints, or enforcement actions.

When Is Compliance Support Most Critical?

Compliance attention is needed:

• At plan establishment—getting foundations right
• At renewals—when plan changes may affect compliance
• When regulations change—adapting to new requirements
• When issues arise—responding appropriately
• Continuously—compliance isn't a one-time event

Where Do Compliance Requirements Apply?

Compliance affects all aspects of benefits:

• Plan design and coverage requirements
• Documentation and disclosure
• Administrative procedures
• Privacy and data security
• Reporting requirements
• Employee communications

Who Needs Compliance Support?

All employers offering health benefits:

• Those establishing new plans
• Employers making design changes
• Organizations facing regulatory changes
• Any employer wanting compliance assurance
• Those dealing with compliance issues

See What Our Customers Are Saying

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"What could have been data driven, was soon a conversation. Over 3 years with the best coaches, listeners, advisors you could ask for. If Monique didn't have an answer readily, she would note it, research it, and then update you on the answer. Always a positive meeting. Highly recommend!"

— Sue D.

“Our Medical Insurance Premiums were Out of Control! Thanks to Weltrio and their amazing team of healthcare experts, Weltrio is my single most-profitable cost center!”


— Cayuse CEO

Everything You Need to Know

At Weltrio, we are a medically trained team that works with HR and benefits partners at companies of all sizes to improve healthcare quality, reduce risk exposure, and optimize costs. We work within your existing plan structure—providing employers with clarity, trust, and transparency at every step. Whether you're upgrading your benefits plan or building from scratch, we've got you covered.

  • Is this the same as telemedicine?
    No. Clinical support provides guidance and triage, not diagnosis or treatment. We help employees decide when and where to seek care.
  • How many nurses will be assigned to our company?
    Assignment depends on your company size and typical utilization. Smaller companies may share a primary nurse with backup coverage. Larger organizations get dedicated teams. Either way, employees experience consistent relationships with clinical professionals who know them.
  • Who answers calls in the middle of the night?
    Board-certified nurses from your Weltrio clinical team. We staff night shifts with experienced nurses who have full access to your company's benefits information and employee interaction history. It's not an outsourced answering service.
  • What protocols do nurses use for triage?
    Our nurses use evidence-based clinical decision support protocols developed from emergency medicine and primary care best practices. These protocols are regularly updated based on current medical guidelines and are customized for telephone/virtual assessment settings.
  • How much does an unnecessary ER visit actually cost?
    Average ER visits cost $2,200 or more—even for minor issues. Add lab work, imaging, or specialist consultation and costs climb quickly. The same conditions treated at urgent care typically cost $150-300, and telehealth visits run $50-75.