03/01/2023
Featured
03/01/2023
Health Net and Prime Care Medical Group of Chino Valley Contract Termination
Effective June 1, 2023, Prime Care Medical Group of Chino Valley PPG will no longer be a part of the following Health Net networks across their Commercial lines of business: WholeCare UC Blue ...
03/01/2023
Webinar Replay: UnitedHealthcare Briefing On Redetermination And Other Regulatory Changes
Watch the Replay: A UnitedHealthcare Briefing on redetermination and other regulatory changes With the public health emergency scheduled to end on May 11, questions may remain about how this change...
02/23/2023
Webinar Replay: Applicable Large Employer (ALE) Refresher
Applicable Large Employer (ALE) Refresher Benefit Comply has been answering lots of questions during recent plan renewals and this employer reporting season related to how to determine applicable l...
02/23/2023
Cigna Request Information For Client Reporting
In compliance with the Consolidated Appropriations Act, Title II, Section 204, Cigna will produce medical and/or pharmacy spending reports annually for both fully insured and self-funded (ASO) clients...
02/22/2023
Blue Shield of California Pharmacy Drug Cost Reporting (RxDC): Collecting D1 Premium Data
Last month, brokers and groups received an email communication stating they would be responsible for submitting D1 Premium and Life year data (D1) to the Centers for Medicare and Medicaid Services (CM...
02/21/2023
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...
02/18/2023
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...
02/17/2023
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...
02/17/2023
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...
02/16/2023
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...
02/16/2023
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...
02/16/2023
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...
02/16/2023
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...
02/15/2023
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...
02/15/2023
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...
02/14/2023
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. ...
02/14/2023
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...
02/13/2023
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...
02/10/2023
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)...
02/10/2023
