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2025 California Legislative Enacted Laws

2025 California Legislature Enacted Laws AB 1048 Dental Benefits and Rate Review From the Bill AB 1048This bill, on and after January 1, 2025, would prohibit a health care service plan or health insu...

Telehealth Services Exemption for High Deductible Health Plans (HDHP) Will Expire December 31, 2024

Telehealth Services Exemption for High Deductible Health Plans (HDHP) Will Expire December 31, 2024 President Biden signed the American Relief Act of 2025 (H.R. 10545) on December 21, 2024. This funds...

Signed Bills - ACA Employer Reporting Changes

Updated - ACA Employer Reporting Changes Last week we posted this information about two bills specific to the Affordable Care Act (ACA) employer reporting under §6055 and §6056. The bills were approv...

Blue Shield | 2025 Pharmacy Change: Amazon Pharmacy Home Delivery

Prescription drug home delivery will shift from CVS Caremark Mail Service Pharmacy to Amazon Pharmacy on January 1, 2025.

ACA Employer Reporting Changes

ACA Employer Reporting Changes As mentioned in previously posted articles, two bills specific to the Affordable Care Act (ACA) employer reporting under §6055 and §6056 have been approved by Congress a...

Blue Shield | Gag Clause Attestation Due End of Year

Blue Shield of California confirms it is compliant and has successfully submitted the attestation to Centers for Medicare and Medicaid (CMS) services.

Compliance News Week Ending December 20, 2024

Updated - Compliance News Week Ending December 20, 2024 In this ArticleUPDATED- Telehealth HSA Relief Extension is On It's Way (Probably)Hospital Indemnity Notice Requirement Struck Down Telehealth H...

MediExcel Q1 2025 Carrier Update

MediExcel has finalized their rates for Q1 2025Plan TypeHMONetworkFullStatewide Changes4.1%Region 13 - Imperial, Inyo, Mono4.1%Region 19- San Diego4.1%Quoting is now available!MediExcel keeps healthca...

Important Update on the Beam Perks Program

The program will conclude by May 2025. Read more for transition details.

Webinar: New Level Funded Carrier Angle Health

Please join us for an educational session featuring a new nationwide level funded carrier, Angle Health!

Health Net | February and March Renewals Now Available

Health Net's February and March renewals have been posted on Health Net's online portal.

Webinar Replay: Benefit Compliance Trivia

Benefit Compliance Trivia This webinar will test your knowledge on some of the latest regulations as well as some of the more confusing regulations. Have fun with the 10 trivia questions.Watch the vi...

Unum | HR Connect Benefits data integration comparison guide

From automated tasks to real-time data transfers that eliminate file feeds, the right integrations save HR valuable time and get employees the help they need, faster.How APIs drive automation Unum's e...

ACACSS 1094/1095-C Filing Season is Just 2 Weeks Away

Filing season is almost here!With only two weeks left until the filing season begins, it's the perfect time to partner with ACA Compliance Solution Services (ACACSS) for a seamless and successful 1094...

Blue Shield's Biosimilar Strategy for Humira

Blue Shield commercial members switching to the biosimilar (adalimumab-aacf) will have $0 cost share.

Anthem | Help for Members Impacted by the Earthquake in Northern CA

Anthem expands temporary changes to health plan benefits to provide relief and ensure healthcare access for members impacted by the earthquake in northern California.

UnitedHealthcare/Oxford Level Funded HealthiestYou Pricing Update

UnitedHealthcare/Oxford has announced an updated pricing list for HealthiestYou services, effective January 1, 2025.

Aetna Update on Negotiations with Trinity Health

Negotiations with Trinity Health are continuing for in all states where Trinity participates.

Health Net Earns Top Accreditation in Multiple Lines of Business

Health Net has been awarded the Health Equity Accreditation Plus (HEA+) certification by the National Committee for Quality Assurance (NCQA).

Congress Passes Two Acts - Modifying ACA's 1094 and 1095 Tax Form Reporting

Congress Passes Two Acts – Eases Some ACA Reporting Rules for EmployersCongress recently passed the Paperwork Reduction Act and the Employer Reporting Improvement Act and the President is expected to ...

UnitedHealthcare Q2 2025 Update (California)

UnitedHealthcare has announced rate updates for Q2 2025 in California.