On this podcast, Harvey Cotton, Bill Littell, and Darien Saft from Ropes & Gray’s benefits consulting group delve into the intricacies of the Lewandowski v. Johnson & Johnson ERISA class action lawsuit. They discuss the allegations of fiduciary breaches in the administration of J&J's pharmacy benefit and explore the potential implications of these alleged breaches for employers who provide self-insured medical and Rx benefits to their employees. The team also provides an overview and analysis of ERISA fiduciary duties as they relate to employer-sponsored health insurance plans, the role and complexities of pharmacy benefit managers (PBMs) within the health plan offering, and best practices for plan sponsors to ensure there are processes in place to benchmark and manage health plan costs effectively for their employees.