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California Dental Summary of Benefits and Coverage (SBC) Requirement

California Dental Summary of Benefits and Coverage (SBC) Requirement February 2023 A California law (SB 1008) was passed in 2018 and went into effect for plan years beginning on or after January...

Webinar Replay: RxData Reporting Round 2

RxData Reporting Round 2 As we begin to think about the next round of Rx Reporting due to CMS in June for 2022 data, some vendors are clarifying which parts of the reporting will be handled on beha...

Rx Reporting - Round Two! (Sorry, you can't ignore it this time.)

Rx Reporting – Round Two! (Sorry, you can’t ignore it this time.) February 15, 2023 We’ve made it through the first round of prescription drug reporting (a/k/a RxDC reporting) required by the Co...

Compliance Checklist for Short Plan Years

Compliance Checklist for Short Plan Years February 2023 When there is a need to discontinue benefit offerings, or a need to adjust the benefit plan year, employers may need to run a short plan y...

Sutter Health Plus RxDC Premium Reporting for Employers

The Consolidated Appropriations Act of 2021 (Section 204) requires insurance companies and employer-based health plans to submit information to the federal government about: Spending on prescrip...

Webinar Replay: Proposed Contraceptive Coverage Changes & Ending the National and Public Health Emergencies

February 1, 2023 The agencies have proposed yet another change to how exemptions and accommodations could be handled for the ACA’s requirement to cover contraceptives with no cost-sharing. In addit...

Webinar Replay: Employee Payroll Contributions

January 18, 2023 This webinar covers ‘tax favored’ benefits, benefits not eligible for tax relief, and Cafeteria Plan Election Rules. Replay this webinar to understand the different benefits and...

Employer Quick Hit - Use of the Look-Back Measurement Method

Use of the Look-Back Measurement Method For purposes of reporting full-time employee counts on the Form 1094-C, as well as reporting full-time versus part-time status by month on Form 1095-Cs, appl...

Aetna Grow with Us Producer Program, 2023

Grow with Aetna and earn more It’s simple. Just sell Fully Insured or Aetna Funding AdvantageSM plans to groups with 101 – 5,000 eligible employees. When you do, you’ll receive credits based on the...

Aetna CVS Health Virtual Care Solutions

Care anytime, anywhere. With Aetna virtual care and telemedicine options, members can talk to a doctor by phone 24/7. If a member can’t make an in-person visit or wants to avoid the ER, they have conv...

Sutter Health Plus Health Plan Provider Agreement Update

In an ongoing effort to keep you informed and assist with questions from your clients, we want to remind you that the Sutter Health provider agreement with Aetna is set to expire on June 30, 2023. ...

Kaiser Permanente's® 1095B Tax Form Q & A

You and your clients have enough to think about. Kaiser® keeps tax filing simple by providing easy access to 1095-B forms and information on what to expect next. Subscribers have the ability to acc...

Cigna and Prescription Drug and Health Care Spending Report

Health plans (which include employers that offer medical benefit plans to their employees) must report information on plan medical costs and prescription drug spending to the Secretaries of the U.S. D...

Anthem Changes to Prescription Drug Data Collection Reporting (RxDC) for Self-Funded Groups

Changes to 2023 CAA RxDC Reporting For Self-Funded Groups In response to recent federal regulatory guidelines, Anthem is changing the submission process for Prescription Drug Data Collection (RxDC)...

UnitedHealthcare Aims to Simplify 6055 Reporting For Your Small Groups

Health benefit taxes and reporting requirements can be confusing to small businesses To simplify IRS reporting requirements for small businesses, a 6055 Membership Report will be available for grou...

Reminder - Medicare Part D Creditable Coverage Due to CMS by March 1, 2023

Reminder - Medicare Part D Creditable Coverage Reporting Requirement to CMS is Due By March 1, 2023 for Calendar Year Plans In addition to the disclosure requirements to individuals, plan sponsors ...

1095-B Tax Form Available Electronically for Employees of Cigna Fully-Insured Clients

Effectively 1/1/23, Cigna transitioned from physically mailing 1095-B tax forms to on-demand electronic availability for customers on fully-insured client medical plans. Just one way Cigna is makin...

Blue Shield of California COVID-19 Update: End of the Public Health Emergency

On January 31, 2023, the Biden Administration announced that the federal public health emergency (PHE) will officially end May 11, 2023. Fully-Insured Group Plans and IFP Plans Impacts to fully-...

Health Net Prescription Drug Data Collection Reporting (RxDC) Requirements

As part of the Consolidated Appropriations Act, Health Net is required to submit information about prescription drug and health care spending on behalf of all fully insured groups to several federal r...

UnitedHealthcare Pharmacy Drug Cost Reporting (RxDC) Update

2023 UnitedHealthcare approach to CAA Prescription Drug Data Collection (RxDC) Reporting Under the Consolidated Appropriations Act (CAA), health insurers offering group or individual health coverag...

White House Ending National & Public Pandemic Emergencies May 11, 2023

Biden Administration Announces Plans for End of Covid-19 National Emergency and Public Health Emergency On January 30, 2023, the Biden administration announced its plans to end the COVID-19 nationa...