01/04/2024
Featured
01/03/2024
Anthem Wellbeing Solutions is Easy to Start and Administer
Anthem’s health and wellness programs focus on employers’ top concerns, including behavioral health, maternity, and program engagement. Anthem leverages a whole-heath approach to wellness with integra...
01/02/2024
Medicare Part D Creditable Coverage Disclosure to CMS
Medicare Part D Creditable Coverage Disclosure to CMS Background Each year, plan sponsors must disclose to the Centers for Medicare and Medicaid Services (CMS) the group health plan’s creditable...
01/02/2024
Sutter Health Plus 2023 Premium Reporting for Employers - Update
The Consolidated Appropriations Act of 2021 (Section 204) requires insurance companies and employer-based health plans to submit information to the federal government about premiums and cost-sharing. ...
01/02/2024
Sutter Health Plus Enrollment Processing Update
Sutter Health Plus is diligently processing a large volume of new and renewing enrollments for plans effective Jan. 1, 2024. While they strive to process eligibility files and manual enrollments in a ...
12/28/2023
Another Reminder - ACA Employer Reporting is Just Around the Corner
Another Reminder - ACA Employer Reporting is Really Just Around the Corner 'Final' versions of the ACA Reporting forms were released a while back. Since our last reminder in November, a few date...
12/28/2023
A New California Bill Bans Surprise Ambulance Bills
A New California Law Bans Surprise Ambulance Bills for Out-of-Network Ground Ambulance Services A new California law, effective January 1, 2024, targets the kind of ‘surprise ambulance bills’ the c...
12/28/2023
Webinar Replay: Holiday Trivia
Holiday Trivia 12-20-2023 Join the Benefit Comply staff this week for some benefit compliance trivia to celebrate the holiday season. Replay this webinar to test your knowledge and have some ...
12/27/2023
UnitedHealthcare Updates to Specialty Medical Injectable Drug Program (December 2023)
UnitedHealthcare has announced new specialty medical injectable updates and requirements, effective December 1, 2023, and January 1, 2024.
12/27/2023
UnitedHealthcare Care Cash Program Enhancements in 2024
UnitedHealthcare is announcing exciting enhancements to the Care Cash® program, effective January 1, 2024.
12/26/2023
Anthem Reduces EOI Requirements for VSTD Members
Anthem has simplified their underwriting requirements for Voluntary Short Term Disability (VSTD).
12/26/2023
Set Your CoPower Groups Up For Success With These Admin Reminders
Set your CoPower groups up for success with these admin reminders. Retroactive Member Terminations Retro terminations are not allowed. Member terminations should be reported within 15 days of the ...
12/26/2023
Anthem | Gag Clause Attestation Submitted December 22, 2023
On December 22, 2023, Anthem submitted Gag Clause Prohibition Compliance Attestations on behalf of their fully insured clients for the benefits they administer and maintain. ASO clients who completed ...
12/22/2023
Blue Shield of CA | Price Check My Rx Tool Offers Cost Control
Blue Shield members now have a better way to manage their medication costs online. The Price Check My Rx tool creates a personalized experience with real-time information from the member’s formulary ...
12/22/2023
Blue Shield of CA | Network Update: Adventist Health Remains In-Network
UPDATE: Blue Shield of CA and Adventist Health reach a successful contract negotiation.
12/22/2023
California is Easing Some COVID-19 Notice Requirements But Not ALL
California Is Easing Some COVID-19 Notice Requirements But Not All! While the rest of the nation has moved on from COVID-19 workplace regulations, California employers still have some compliance ob...
12/21/2023
Anthem Webinar | A Consumer-Focused Approach to Improving Healthcare
Anthem invites you to join a half-hour webinar on Tuesday, January 16, 2024, at 1 p.m. ET/10 a.m. PT as Executive Vice President of Commercial and Specialty business, Morgan Kendrick, discusses Anthem...
12/19/2023
UnitedHealthcare Expands Virtual Specialists Program
UnitedHealthcare's Virtual Specialists program now includes access to specialists in sleep care and women's health, in applicable locations.
12/18/2023
Sutter Health Plus Gag Clause Prohibition Compliance Attestation
As you may be aware, the Consolidated Appropriations Act of 2021 prohibits gag clauses in contracts between insurance plans, insurance issuers and providers. Health plans are required to attest to the...
12/18/2023
Sutter Health Plus Maintenance Choice Program Now Available at Costco
The Maintenance Choice program from CVS Caremark® allows members to fill up to a 100-day supply, as their benefit plan allows, of long-term (maintenance) drugs for chronic conditions such as high bloo...
12/18/2023