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Small Employers Can Save Big with Aetna Funding Advantage™

Now small employers can take advantage of lower monthly payments and a claims surplus opportunity at annual renewal. They also get fixed monthly payments and monthly reporting with Aetna Funding Advan...

Accessing Care is Easier with Kaiser Permanente's® New Travel Card for Members

When employees receive in-person urgent or emergency care from providers in non-Kaiser Permanente states, they will soon have the option of showing their digital ID card in the Kaiser Permanente mobil...

Kaiser Permanente® Adds New Enhancements to Group Bills

Following Kaiser Permanente's® recent feedback, employer groups will begin seeing new enhancements to commercial group invoices on their December or January bills (depending on billing cycles). Lea...

Sutter Health Plus and Prescription Drug Data Collection Reporting (RxDC) Requirements

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...

Blue Shield of California and Prescription Drug Data Collection Reporting (RxDC) Requirements

Blue Shield of California is preparing to submit data files as required by the Consolidated Appropriations Act, Section 204 – Pharmacy Drug Cost Reporting for reports due December 27, 2022. This feder...

CCSB Introduces Family Glitch Toolkit

In October 2022, the U.S. Department of the Treasury's bureau of Internal Revenue Service (IRS) released a final rule to address the “family glitch” issue. The family glitch deemed that employer-spons...

Sutter Health Plus Rate and Benefit Pass 2nd Quarter 2023

Sutter Health Plus has announced a rate pass for Q2 2023. Quoting will be available soon! There are no network or benefit changes. Remember that available January 1, 2023 Sutter Health Plus adde...

Compliance Considerations When Moving from Fully-Insured to Self-Funded

Employers may choose self-funded group health plan coverage to obtain more flexibility with plan design and hopefully save some money. However, in doing so, there are additional responsibilities and c...

UnitedHealthcare Consumer Price Transparency Tool Available on January 1, 2023

UnitedHealthcare will provide members with a new tool to estimate and compare select health service costs based on CAA requirements. Beginning Jan. 1, 2023, price comparison information for a speci...

Cigna Vision Reminder: Enhancements Coming In 2023

Cigna is enhancing the Cigna Vision Plan experience and the benefits are clear to see! In alignment with Cigna's mission to provide whole health solutions that are simple and affordable, they are ...

Blue Shield of California: Choice Medical Group Network Termination

Blue Shield of California has yet to reach an agreement on rates and terms of contracts with Choice Medical Group Apple Valley and Choice Medical Group Barstow, and the current agreement will end on J...

Health Net Offers Flu Shots at No Charge Through Network Pharmacies

Many of you asked that flu shots be made available in a pharmacy setting for HMO members. Health Net heard you and they are happy to share that they’ve increased access so that members can obtain a...

Transparency in Coverage: Prescription Drug Data Collection Reporting (RxDC) Requirements, December 2022

The RxDC reporting provision of the Consolidated Appropriations Act (CAA) requires reports on drug utilization and spending trends to be submitted to U.S. Department of Health and Human Services begin...

New PCORI Fee Announced

At the time we originally distributed the announcement for the IRS and ACA limits for 2023, the new PCORI Fee amount was projected to be $2.93 for Plan Years ending on or after October 1, 2022 and bef...

Kaiser Permanente® Is Offering Extra Ways to Earn!

Kaiser Permanente is offering extra ways to earn and provide a quality health-care solution that values the health and well-being of your clients in 2023. Kaiser wants you to unlock your sales potenti...

Earn a Small Group New Year Bonus Through Kaiser Permanente® While You Can!

Kaiser Permanente® Reminds You To Earn a Small Group New Year Bonus! For all new small groups sold to effective December 1, 2022 through January 1, 2023, Kaiser Permanente® has a $100 bonus per enr...

Kaiser Permanente® Releases Update About the Consolidated Appropriations Act & Transparency in Coverage

Kaiser Permanente is reaching out to employer groups to streamline compliance with the Consolidated Appropriations Act, 2021 and Transparency in Coverage requirements. These regulations require publis...

Sutter Health Plus Walk-In Care Holiday Schedule

While many doctor’s offices may be closed, Sutter Walk-In Care will be open from 11 a.m. to 6 p.m. on Christmas Eve and New Year’s Eve, and closed Christmas Day, and New Year's Day. Hours may vary by ...

Sutter Health Plus Reminder: No-Cost Flu Vaccine For Members

It's not too late to get a flu shot. As a reminder, Sutter Health Plus members can get flu vaccines at no cost at a Sutter Walk-In Care, a network pharmacy when available, or their physician's office....

Sutter Health Plus New Portal Enhancements

Sutter Health Plus is pleased to share new enhancements to their Broker portal, designed to improve the user experience in navigating to important documents. On your Broker Portal, you will now see di...