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UnitedHealthcare Renews Network Relationship With Providence Health In California

UnitedHealthcare and Providence Health (Providence) have reached a multi-year agreement that ensures UnitedHealthcare’s members enrolled in employer-sponsored and individual commercial plans, as well ...

WHA’s Transition to Optum for Behavioral Health Services

WHA is pleased to share that their transition to Optum as their behavioral health partner for mental health and substance use disorder services is on track for January 1, 2023. This move to Optum expa...

WHA's New ID Cards Are Coming

Western Health Advantage (WHA) has a new logo and new ID cards. Members will receive new ID cards for 2023, which will be mailed in December to all WHA members. The new cards will confirm the medic...

ACA Reporting and Other Employer Mandate Compliance Changes for the Upcoming New Year

Recent federal policy changes will impact compliance for Self-Funded Plans, Group Health Plans, and all Applicable Large Employers (ALEs). ALEs are those employers offering group health plans that ...

Humana 2023 Producer Partnership Plan

Humana is excited to let you know the 2023 Producer Partnership Plan for group insurance producers is now available. What’s new for bonuses and commissions? Specialty Growth Bonus: When you r...

Aetna Webinar: Supporting Your Clients Through The Transparency In Coverage (TiC) And No Surprises Act (NSA) Requirements

Join to hear Aetna’s TiC and NSA experts guide you through the upcoming compliance requirements. Learn about Aetna’s Cost Estimator Tool and RxDC reporting and participate in an interactive Q&A...

Sutter Health Plus New 2023 Small Group Plan Designed For Affordability

Sutter Health Plus is now offering a new 2023 Gold-tier HDHP to the small group market. The new plan, Gold SD02 HDHP HMO, offers 20% coinsurance after deductible for all non-preventive services. Pharm...

Aetna Extends AFA Credits Through June 2023

Now Extended Through June 2023! Your clients want to save money, and you want to make it happen for them. Aetna has extended their restructured Aetna Funding AdvantageSM admin fee credit program. D...

Aetna Attain Program Sunset

Aetna has made the decision to end the Attain by Aetna program to make way for future wellness programs that could have a greater impact for members. Aetna's priority is health and wellness, and they ...

Blue Shield of California Offers New Prescription Savings Program for 2023

Starting January 1, 2023, Blue Shield of California will be offering a Prescription Savings Program to Commercial plan members with outpatient prescription drug benefits through Blue Shield. This SMS ...

Humana Adds Walmart and Sam's Club to Vision Network 1/1 January 2023

Walmart® and Sam’s ClubTM vision and optical centers joining the Humana Vision network January 1 Humana Vision offers one of the largest vision networks available with a choice from more than 135,0...

Health Net's Mobile App has Retired

Health Net is always working to improve member experience. Part of that is retiring their Mobile app, which is no longer available with this update. The new Member Online Account is now available! ...

Kaiser Permanente's® November Health Awareness Dates

Kaiser Permanente® would like to point out that the month of November brings National Family Health History Day, Lung Cancer Awareness Month, and American Diabetes Month. Use these resources and encou...

Kaiser Permanente's® Expanded Access to Care with Cigna

Offer your clients access to a high-quality network of providers and help reduce the cost of claims across the regions. Beginning January 1, 2023, the collaboration between Kaiser Permanente and Cigna...

New California Law Requires Broker License Number on Emails

Starting January 1, 2023, a new law will require most types of insurance producers, as well as independent insurance adjusters, public insurance adjusters, and analysts, to include their license numbe...

Blue Shield of California: UCSD joins Trio and Local Access+ networks in San Diego for 2023

Expanding networks in San Diego County Blue Shield is excited to share that UC San Diego (UCSD) Health will join the Trio HMO and Local Access+ HMO networks for San Diego County effective January 1...

UnitedHealthcare Provides Important Update on Negotiation with Providence Health

For the last several months, UnitedHealthcare has been meeting regularly with Providence Health (Providence) in California to renew its hospital and physician contracts so that members have continued ...

Sutter Health Plus Updates Underwriting Requirements and Adds New Small Group Plan

Underwriting Updates DE9C Requirements Effective immediately for groups 1-9 eligible, Sutter Health Plus will accept either a reconciled DE9C or a reconciled current premium invoice. For group 1...

Anthem Dental Members Can Direct Claim Payments To Out-Of-Network Dentists Beginning January 1, 2023

Anthem currently sends claims payments directly to dentists when services are performed by a network dentist. Claims payments for out-of-network dentists are paid to the member. The member then has to...

Aetna Funding Advantage 1095-B Tax Forms

Aetna helps make tax time easy You and your clients have enough to think about. That's why Aetna keeps their AFA product simple, especially at tax time. In fact, Aetna handles 1095-B forms for your...

MediExcel Health Plan and Prescription Drug Data Collection Reporting (RxDC) Requirements

The following information is provided regarding the compliance of prescription drug data collection (RxDC) reporting by MediExcel Health Plan. Prescription drug data collection (RxDC) reporting sta...