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CAA

02/05/2025

Reminder of RxDC Resources at Amwins Connect

RxDC Resources at Amwins ConnectYou are probably receiving questions from your clients asking you what the carriers are doing or what are they not doing in order to meet the compliance deadline to CMS...
02/03/2025

2025 UnitedHealthcare/Oxford Approach to CAA Prescription Drug (RxDC) Reporting

UnitedHealthcare and Oxford fully insured and self-funded/level funded groups must complete the online tool for CAA RxDC reporting between February 1, 2025, and March 31, 2025.
11/21/2024

Allstate Benefits CAA Gag Clause Prohibition Attestation

Allstate Benefits sent an email communication to all level funded groups with instructions for completing the CAA Gag Clause Prohibition Attestation.
11/20/2024

Trustmark Benefits CAA Gag Clause Attestation Requirements

Trustmark Benefits does not submit the CAA Gag Clause Prohibition Attestation on behalf of its groups. However, they provide instructions and guidance so that groups may submit it themselves.
09/09/2024

Aetna 2024 Gag Clause Compliance Approach

Aetna will file on behalf of all self-funded (including AFA), insured and split-funded plan sponsors that had active coverage in 2024.
09/05/2024

UnitedHealthcare Gag Clause Confirmation of Compliance

UnitedHealthcare has provided a Confirmation of Compliance to support customers who must complete the required attestation.
07/12/2024

Compliance News Week Ending July 12, 2024

Compliance News Week Ending July 12, 2024 In this Article: Change Healthcare - HIPAA Breach Notifications Supreme Court Decision - Change in Administrative Power Federal Trade Commission ...
06/03/2024

Blue Shield of California: Confirmation of RxDC Report Submission

Data submitted is for the preceding year, 2023. Blue Shield will also reach out to groups, informing them of the data submission.
05/15/2024

Employer Compliance Tips

Employer Compliance Tips Advance Explanation of Benefits (EOB) IRS Priority Guidance Plan (ACA Rules and Reporting) IRS Request for Comment - ACA Employer Reporting 1094/1095C Forms ...
05/07/2024

RxDC Reporting is Due June 1, 2024

RxDC Reporting is due to CMS by June 1, 2024 2023 Prescription Drug Data reporting is due June 1, 2024. As of the publication of this article, reporting of Rx Data is due to CMS in a little over...
04/11/2024

Blue Shield of CA | Prescription Drug Cost Reporting - Deadline to Submit D1 Data: April 19, 2024

Blue Shield of California is collecting D1 Premium Contribution data as part of the Consolidated Appropriations Act, Section 204 (2021)– Prescription Drug Cost Reporting regulation, on behalf of Blue ...
04/04/2024

RxDC Resources at Amwins Connect

RxDC Resources at Amwins Connect As we get closer to the deadline, you are probably receiving questions from your clients asking you what the carriers are doing or what are they not doing in order ...

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