08/24/2023
Featured
08/21/2023
Blue Shield of California State of Emergency Communication
Blue Shield of California has sent a communication to members affected by the recent storm. Here's how Blue Shield is working to ensure the safety and care of their members during this difficult time:...
08/21/2023
Brokers as a HIPAA Business Associate - The Minimum Necessary Rule Applies!
Brokers as a HIPAA Business Associates – The Minimum Necessary Rule Applies! August 2023 Background There are many rules about appropriate use and disclosure of protected health information ...
08/18/2023
Exactly Who Must Complete the 'Gag Clause Attestation' and Submit to the Departments by December 31, 2023
Exactly Who Must Complete the ‘Gag Clause Attestation’ and Submit to the Departments by December 31, 2023 Overview The Internal Revenue Service (IRS), Department of Labor (DOL), and Department o...
08/17/2023
Blue Shield of California: Pharmacy Care Reimagined
Blue Shield of California today announced a new pharmacy care model that is designed to fix problems in today’s broken prescription drug system
08/17/2023
Health Net PPO Members with Out-of-State Coverage: Employer and Member Letters Mailing Soon
View the sample letter being sent to Health Net PPO plan employers and members with out-of-state coverage that their network is changing!
08/16/2023
Sutter Health Plus Payer Negotiation and Renewal Update
In an ongoing effort to keep you aware of the Sutter Health Plus payer negotiations and renewal progress throughout the year, please note that the following health plan provider agreements are renewed...
08/16/2023
Guardian Now Offers Short-Term Disability Insurance Rider
Disability insurance benefit that can provide financial stability and support to new mothers.
08/15/2023
UnitedHealthcare Releases CAA Gag Clause Prohibition Attestation Requirements
[Updated] While UnitedHealthcare will complete the CAA Gag Clause Prohibition Compliance Attestation for its fully-insured customers, customers with other arrangements may need to take action.
08/15/2023
Amwins Connect - August Question of the Month
Amwins Connect - Question Of The Month August 2023 Question: When a covered employee’s dependent child attains age 26, when can the Group Health Plan terminate the dependent's coverage? Answe...
08/14/2023
Employee Navigator Announces Training Schedule for Ease Brokers and Licensees
Employee Navigator has received many requests from Ease brokers and licensees to begin using the Employee Navigator (EN) platform for the open enrollment season this fall. While most brokers will cont...
08/14/2023
Aetna 2022 MLR Experience Year Rebate Pools
Aetna, Innovation Health, Banner | Aetna, and Texas Health | Aetna plans are scheduled to receive rebates under the Health Care Reform Minimum Medical Loss Ratio (MLR) requirements. Rebates will be ma...
08/14/2023
UnitedHealthcare to Change Grandfathered & Transitional Relief HDHP/HSA Plans in 2024
On January 1, 2024, UnitedHealthcare will be making changes to Grandfathered and Transitional Relief plans in order to comply with new IRS guidelines.
08/14/2023
Reminder - Medicare Part D Creditable Coverage Notice and Reporting Requirements
Medicare Part D Creditable Coverage Notice and Reporting Requirements August 2023 Background The purpose of the notice is to assist individuals in making an informed decision about whether t...
08/12/2023
Coverage of Preventive Services Without Cost Sharing
Coverage of Preventive Services Without Cost Sharing August 2023 Background Non-grandfathered group health plans are required to cover those items considered to be preventive under provisions...
08/12/2023
Department of Labor Releases Updated CHIP Model Notice
Department of Labor Releases Updated Children's Health Insurance Program Model Notice August 2023 The Department of Labor (DOL), through its Employee Benefits Security Administration (EBSA), has...
08/12/2023
Webinar Replay: Mental Health Parity Guidance
Mental Health Parity Guidance and Enforcement 8-9-2023 The agencies recently released proposed rules, a technical release, and an enforcement report and FAQs focused on further clarifying and en...
08/10/2023
Kaiser Permanente® Shares CAA Gag Clause Compliance Approach
Each Kaiser Permanente health plan issuer will submit the attestation prior to the deadline of December 31, 2023. Take a look at their full approach!
08/10/2023
Unum Ends Payroll Deductions for Low-Enrollment Legacy Products
As of October 1, 2023, Unum will no longer support payroll deductions for certain legacy products when fewer than ten employees are enrolled in those products.
08/10/2023
Sutter Health Plus Is Transitioning To A New P.O. Box For Premium Payments
Sutter Health Plus is transitioning to a new P.O. Box for receipt of premium payments by U.S. Postal Service. Employers and IFP subscribers who wish to submit premium payments via mail should send the...
08/10/2023