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UnitedHealthcare EAP and Mental Health Provider Information

UnitedHealthcare has seen increasing interest in their Employee Assistance Program (EAP) and mental health offerings in recent weeks. Here you can find the latest information.

UnitedHealthcare Peloton App Membership Offer Ends July 1

The UnitedHealthcare Peloton App Membership offer will be sunsetting for all groups on July 1, 2023.

Covered California Planned Maintenance Announcement

CCSB will be conducting planned maintenance their CRM; the CCSB portal is still available for transactions.

A Guide to Non-Discrimination Rules and Testing for Self-Insured Group Health Plans

A Guide to Non-Discrimination Testing for Self-Insured Group Health PlansMost employer group benefit plans provide tax-advantaged benefits and are subject to non-discrimination rules to discourage emp...

Anthem CA Plans for End of the Public Health Emergency (PHE)

COVID-19 PHE benefits extended six months in California for fully insured - option for ASO groups The federal COVID-19 public health emergency (PHE) will end May 11, 2023. California state law exte...

A Guide to Non-Discrimination Rules and Testing for Fully Insured Group Health Plans

A Guide to Non-Discrimination Testing for Fully Insured Group Health PlansMost employer group benefit plans provide tax-advantaged benefits and are subject to non-discrimination rules to discourage em...

UnitedHealthcare Plans for End of COVID-19 Public Health Emergency (PHE)

[Updated] UnitedHealthcare has released their guidelines for COVID-19 coverage after May 11, 2023. These apply to their fully insured plans, and are recommended for their self-funded customers.

UnitedHealthcare New Sales and Conversion Bonus

Sell new fully insured or level-funded plans and earn a bonus between now and September 30, 2023. Plus, earn even more bonuses for converting fully insured plans to level-funded plans!

Health Net Plans for End of COVID-19 Public Health Emergency (PHE)

The Federal Public Health Emergency (PHE), as related to the COVID-19 pandemic, will end on May 11, 2023. Although the Federal PHE ends on May 11, 2023, California state laws add six months to the ...

§4980H (Employer Mandate) Requirements and Penalties

Reminder: The employer mandate under §4980H of the ACA remains in effect and requires compliance to avoid potential penalties for applicable large employers (ALEs).

The Braidwood Decision and Coverage of Preventive Health Services

The Braidwood Decision and Coverage of Preventive Health Services Date Issued: April 2023 Background The Affordable Care Act (ACA) amended the Public Health Service (PHS) Act to require non-g...

Webinar Replay: Braidwood Preventive Care Decision

Do Plans Still Have to Cover ACA Preventive Care? April 19, 2023 Following a recent U.S. District Court decision placing a national injunction on the enforcement of certain agency recommendation...

Aetna Releases Plan Changes for the End of the Public Health Emergency (PHE)

Aetna has released a summary of the plan changes that will occur as a result of the end of the Public Health Emergency, which will be shared with plan sponsors.

Western Health Advantage A Note From Their Pharmacy Director: Insulin Pumps

Effective March 1, 2023, WHA began covering the Omnipod DASH and the Omnipod 5 insulin management delivery systems for insulin-dependent diabetes with prior authorization through the pharmacy benefit....

Western Health Advantage COVID-19 Public Health Emergency (PHE) Ending Approaches

The end of the public health emergency (PHE) is coming on May 11, 2023. However, in California, most mandates under the current COVID-19 PHE continue to apply. At this point, WHA will continue to asse...

Health Net Large Group Enhanced Choice Rate Cap Program

Qualified new groups can take advantage of a second-year rate cap on all Enhanced Choice plans for effective dates 1/1/2023 through 2/29/2024. Rate cap eligibility is determined on a case-by-case basi...

Healthcare Right in Members' Hands: the GeoBlue Mobile App

Help your customers discover the benefits of the GeoBlue mobile app, which puts international medical insurance information right in members' hands.

Aetna Extends AFA Credits through September 2023

New clients brought to Aetna Funding Advantage℠ plans with 2–100 employees will continue to earn admin fee credits and guaranteed surpluses through September 1, 2023, effective dates.

Aetna Webinar: Strategies for Employers to Help Overcome Barriers to Mental Health Care

Join Aetna's May Webinar to learn how employers can continue to emphasize mental health well-being and increase access to quality care.

Blue Shield of California Plans for End of COVID-19 Public Health Emergency (PHE)

The federal COVID-19 public health emergency (PHE) will officially end next month, on May 11, 2023, impacting coverage for COVID-19 services, as well as eligibility for individuals enrolled in Medi-Ca...