Employer-sponsored healthcare plans are increasingly subject to ERISA fiduciary standards, healthcare cost pressures, transparency requirements, regulatory scrutiny, and litigation. While fiduciary governance has long been recognized as a critical component of retirement plan oversight, many employers have not established comparable governance practices for their healthcare plans. The same disciplined governance framework that has become standard for retirement plans can help employers bring greater structure, accountability, and oversight to healthcare plan decision-making. As expectations surrounding healthcare plan governance continue to evolve, employers should be prepared to demonstrate a disciplined and well-documented fiduciary process.
Independent Fiduciaries
The Wealthspire Healthcare Fiduciary Group is a team of ERISA professionals who collectively bring decades of experience advising employers on fiduciary governance, compliance, and risk management. Drawing on that deep expertise, our team has developed healthcare fiduciary governance solutions designed to address the unique challenges facing employer-sponsored health and welfare plans.
Wealthspire provides healthcare fiduciary governance services independent from any carrier or brokerage relationship delivering tailored guidance focused solely on helping plan sponsors fulfill their fiduciary responsibilities. As healthcare regulation, litigation, and transparency requirements continue to evolve, we help employers navigate an area of ERISA compliance that has historically received limited attention and is increasingly subject to heightened scrutiny.
Forward-Thinking Governance
We help employers establish and maintain prudent governance processes for their health and welfare benefit plans. Our team continuously monitors emerging legislation, regulatory developments, litigation trends, and industry best practices, translating complex requirements into practical strategies and actionable governance frameworks.
By implementing these governance processes, employers gain greater visibility into how healthcare plan dollars are being spent, helping identify inefficiencies, hidden fees, and opportunities for cost savings that may otherwise go unnoticed. At the same time, our approach helps strengthen oversight, improve accountability, and support more informed decision-making.
Through fiduciary governance reviews, committee education, and ongoing compliance support, we help plan sponsors manage fiduciary risk while creating a disciplined framework for evaluating plan performance, service providers, and plan-related expenses. Our goal is to help employers protect the organization, protect participants, and maximize the value of their healthcare benefit investment.
Healthcare Fiduciary Governance Reviews
Fiduciary Committee Support
Regulatory & Legislative Monitoring
Vendor Oversight & Accountability
Fiduciary Education & Training
Educate committee members and other plan fiduciaries regarding their responsibilities, governance practices, and emerging risks.
Healthcare Plan Cost & Risk Analysis
Compliance & Documentation Support
Ongoing Fiduciary Governance Program
Provide year-round fiduciary governance support, monitoring, education, and committee assistance.

This information is intended for the exclusive use of clients or prospective clients (the “recipient”) of Wealthspire Institutional, a division of Wealthspire inclusive of Wealthspire Institutional, LLC and Wealthspire Retirement, LLC dba Wealthspire Retirement Advisory. This material was created to provide accurate and reliable information on the subjects covered but should not be regarded as a complete analysis of these subjects. Information was obtained from sources we believe to be reliable but is not independently verified. Any opinions expressed are subject to change without notice. It is not intended to provide specific legal, tax or other professional advice nor is it investment advice or financial planning. The services of an appropriate professional should be sought regarding your individual situation. This document is for informational purposes only and is not an offer to buy any security or instrument. Investment advisory services offered through Wealthspire Retirement, LLC dba Wealthspire Retirement Advisory, Wealthspire Institutional, LLC, or Wealthspire Advisors LLC, each separately registered investment advisers. Advisory services are offered to clients or prospective clients where representatives are properly licensed or exempt from licensure. No advice may be rendered unless an investment adviser agreement is in place. WS-2026-996