08/09/2022
Featured
08/09/2022
Compliance Brief: Gender Nondiscrimination Considerations
Coverage for gender-related treatment and services is an evolving issue. Over the past decade, however, legislation, regulations and court decisions all suggest that failure to provide equal access t...
08/09/2022
Update to the Women’s Preventive Services Guidelines
This is a reminder that the HHS Health Resources and Services Administration (HRSA) issued updated prevent services guidelines for women and it was approved December 30, 2021. Non-grandfathered pla...
08/08/2022
Health Net Network Update
Health Net's relationship with Tenet Healthcare Corporation is longstanding and valued. Structural contract changes are being negotiated to keep increases in health care costs in check. Health Net ...
08/04/2022
Health Cost Transparency Guide for Employers
The Consolidated Appropriations Act (CAA), No Surprises Act (NSA), and the Transparency in Coverage Final Rule (TiC Final Rule) impose several new requirements on employer-sponsored group health plans...
08/04/2022
2023 Affordability Percentage Decreased
In Revenue Procedure 2022-34, the IRS slightly decreased the affordability percentage from 9.61% to 9.12% for 2023. This percentage determines which applicable large employers may face penalties under...
08/03/2022
Anthem Blue Cross First Month Premium Deferral for New Business
As we approach peak season Anthem wants to encourage you to submit your September – January cases early to ensure members have their coverage in place and ID cards in hand. Anthem realizes that mon...
08/02/2022
Health Net's Large Group Portfolio: New and Improved for 2023
For 2023, Health Net will transition to Enhanced Choice as the single quoted portfolio for California Large Group. Enhanced Choice will continue to utilize the “Pick Your Plan, Pick Your Network” stra...
08/02/2022
7 Crucial Trends in Group Health Insurance
The Agency for Healthcare Research and Quality released a comprehensive survey of employer-sponsored health insurance including offer rates, enrollments, deductibles, and premiums. While many fact...
07/28/2022
MetLife Legal Plans For Employees When They Need It Most
MetLife Legal Plans provide easy-to-use, cost-effective legal services for employees. With a legal plan, groups can provide real value to the employee benefits package by giving employees access to at...
07/28/2022
Sutter Health Plus Retroactive Membership Changes
Based upon a federal mandate, retroactive enrollment requests for members may be submitted up to one year following the member’s effective date; this will remain in place until 60 days after the feder...
07/27/2022
Blue Shield of California Specialty DPPO and DINO plans will be Withdrawn in 2023
Five DPPO plans and five DINO plans (listed here) will be withdrawn from the Blue Shield 1-100 Specialty portfolio beginning January 1, 2023, as part of their product transformation and portfolio simp...
07/27/2022
Blue Shield of California Q4 2022 Cycle Launch Recap
Earlier this month Blue Shield announced their Q4 2022 rate book is available on the dedicated Rates page on Broker Connection. The fourth-quarter 2022 rate action is a statewide average of 2.9% and t...
07/26/2022
How Expanding HSA Coverage Has Affected Premiums
On July 17, 2019, the IRS released Notice 2019-45, which expands the list of permissible preventive care benefits for high deductible health plans. The Employee Benefits Research Institute (EBRI) ...
07/26/2022
MetLife Strategies For Block Opportunities
Consolidating multiple product offerings with a single carrier streamlines the end-to-end service experience and creates valuable administrative efficiencies for you and your clients. MetLife will...
07/22/2022
Anthem Blue Cross Promotions & Reminders
More Network Flexibility through December 2022 Effective Dates For groups effective August 1, 2022 through December 15, 2022, Anthem Small Group will be allowing additional network flexibility allo...
07/22/2022
Health Net Finalizes 2018 through 2020 Off Cycle MLR Results
The Affordable Care Act (ACA) requires health carriers to maintain an MLR of at least 80 percent for Individual and Small Group Plans and 85 percent for Large Group Plans. The MLR is the percentage of...
07/20/2022
Webinar Replay: Updated Rx Reporting Instructions
In this webinar, our partners at BenefitComply will discuss the details of the instructions, including what responsibilities may lie with employers with the updated instructions from CMS for the Rx re...
07/19/2022
HR Execs Are Overwhelmed About Benefits
HR execs are facing challenges on all fronts. Sixty-three percent say they feel overwhelmed about making the best employee benefit choices for employees, according to a survey by Quest Diagnostics...
07/18/2022
CaliforniaChoice® Rate Update for Q4 2022
CaliforniaChoice has issued new medical rates for Q4 2022 effective dates. Quoting is now available. Overall there is a small rate adjustment for Q4 2022.
07/18/2022
