11/16/2022
Featured
11/15/2022
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 ...
11/15/2022
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...
11/14/2022
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...
11/14/2022
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...
11/10/2022
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...
11/10/2022
Kaiser Permanente and Prescription Drug Data Collection Reporting (RxDC) Requirements
As part of the Consolidated Appropriations Act, Kaiser Permanente is required to submit information about prescription drug and health care spending on behalf of all fully insured and self-funded grou...
11/10/2022
Kaiser Permanente® Announces Health Views For Business Webinar: Reimagining Benefits For Your Diverse Workforce
Kaiser Permanente® would like to invite you to the final 2022 webinar in their quarterly series that provides fresh perspectives on industry and business dynamics to help your clients better support e...
11/10/2022
Health Net's Extra Measure of Protection For Members
The flu season is here and Health Net understands members have no time to get sick. This year, they have partnered with Kinsa to pilot a program offering free local illness alerts. By signing up, memb...
11/09/2022
Aetna and Prescription Drug Data Collection Reporting (RxDC) Requirements
As part of the Consolidated Appropriations Act, 2021 (CAA), which was signed into law on December 27, 2020, health insurance issuers and group health plans are required to submit information about pre...
11/09/2022
Sharp Health Plan and Prescription Drug Data Collection Reporting (RxDC) Requirements
The Transparency in Coverage rule requires health plans to share health care costs for members to make informed decisions on how they receive care. There are two main phases of the rule. The first ...
11/09/2022
UnitedHealthcare and Prescription Drug Data Collection Reporting (RxDC) Requirements
Under the Consolidated Appropriations Act (CAA), health insurers offering group or individual health coverage and self-funded (ASO) group health plans are required to report data annually regarding pr...
11/09/2022
Anthem and Prescription Drug Data Collection Reporting (RxDC) Requirements
Anthem sent an email to employers in September outlining Prescription Drug Data Collection (RxDC) reporting requirements that begin December 27, 2022. The RxDC reporting provision of the Consolidat...
11/04/2022
Why CCSB for SEP?
With the Special Enrollment Period (SEP) approaching, Covered California for Small Business (CCSB) is a great way to give employees choice. CCSB's goal is to provide access to medical insurance for Ca...
11/04/2022
Kaiser Permanente®: Covid-19 Vaccine Boosters for People 5 and up
With holiday gatherings just around the corner, it’s important for employees to protect themselves and their loved ones by getting an updated COVID-19 booster and/or a Flu Shot. To better protect a...
11/03/2022
Health Net's Notice of Changes to Coverage Terms for 2023
Health Net Commercial Small and Large Group Evidence of Coverage (EOC) booklets, for plans effective January 1, 2023 and later, will contain the updates as shown in the Notice of Changes links below. ...
10/27/2022
Sutter Health Plus Premium Payment Options
Sutter Health Plus accepts premium payments online or by bill pay, check, automated clearing house, or wire. Options for conveniently making payments online now include: Initial Premium Payment – N...
10/26/2022
Webinar Replay: Notices and Disclosures
In this webinar, our partners at BenefitComply discuss common questions about required notices and a compliant method of distribution as we approach open enrollment season. In this presentation we wil...
10/24/2022
MediExcel Q1 Updates at a Glance
2023 Portfolio updates MediExcel's Q1 rates are now available for quoting. Plans remain the same with some slight benefit changes. Rates MediExcel's full network HMO plans show a statewide in...
10/24/2022
Blue Shield of California and Aspire Health Team Up
On October 24, 2022, Blue Shield of California issued a press release outlining their partnership with Aspire Health. In the release, Blue Shield states their partnership will create a new health main...
10/21/2022
