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Delta Dental: What Does My Dental Insurance Cover?

While more than 3 out of 4 Americans have dental insurance, many don’t fully understand what dental insurance does and doesn’t cover. This quick guide to dental insurance can help you get a better und...

Sharp Health Plan Rate Update, April 2024

Sharp Health Plan has issued a rate update for Q2 2024.  Plans will increase 2.7%.

Aetna Rate Update, April 2024

Aetna small group has issued a rate update for Q2 2024. Quoting is now available!

An Update On Payer Negotiations with Sutter Health Plus

Sutter Health is pleased to share that renewal negotiations are complete with all carriers for 2024. This will help ensure thousands of Northern Californians can continue accessing care with their Sut...

Health Net Q2 2024 Updates at a Glance

Health Net's Q2 2024 rates are now available for quoting!  Overview of Rate Action: PPO: 0.3% statewide average and HMO: 2.5% statewide average

UnitedHealthcare Q2 2024 Updates at a Glance: California

UnitedHealthcare has announced a 0.8% statewide average increase on PPO plans and a 1.1% statewide average increase on HMO plans.

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...

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...

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. ...

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 ...

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...

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...

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 ...

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.

UnitedHealthcare Care Cash Program Enhancements in 2024

UnitedHealthcare is announcing exciting enhancements to the Care Cash® program, effective January 1, 2024.

Anthem Reduces EOI Requirements for VSTD Members

Anthem has simplified their underwriting requirements for Voluntary Short Term Disability (VSTD).

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 ...

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 ...

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 ...

Blue Shield of CA | Network Update: Adventist Health Remains In-Network

UPDATE:  Blue Shield of CA and Adventist Health reach a successful contract negotiation.

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...