02/08/2024
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02/08/2024
Anthem | Required Data Collection for CAA D1 Rx Drug Reporting
The next RxDC report is due by June 1, 2024. To meet the requirement, we will follow the same process as last year and file on behalf of our fully insured and ASO clients for the benefits we administe...
02/08/2024
Most Common ACA 1094/1095 Errors - Employer Reporting Tip
Most Common ACA 1094/1095 Errors - Employer Reporting Tip February 1, 2024 Question What are the most common employer reporting errors? Answer As experts assist with Letter 226J appeals...
02/08/2024
Trends Shaping the Business of Health Insurance in 2024
The landscape of employer-based health care is continually evolving, influenced by a myriad of factors ranging from regulatory changes to economic fluctuations. As we delve into 2024, experts foresee...
02/07/2024
UPDATED DATES: 2024 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 16, 2024, and April 10, 2024.
02/07/2024
2024 UnitedHealthcare Producer Performance Guides Now Available
UnitedHealthcare has released their 2024 Producer Performance Guides, which allow brokers to navigate commission and bonus-related questions for the 2024 calendar year.
02/07/2024
Events Permitting Election Changes Mid-Plan Year
Events Permitting Election Changes Mid-Plan Year The Plan may be drafted to permit an individual to change an election mid-year based on a permitted event. Alternatively, a plan sponsor may design ...
02/06/2024
Anthem CA | Producer Appointment for Anthem Life
As Anthem prepares to move their California life and disability (L&D) business from Anthem Blue Cross Life and Health Insurance Company to Anthem Life Insurance Company, Anthem will appoint you as a p...
02/06/2024
Aetna Formulary Update: Humira To Be Replaced By Biosimilar Products
This change impacts all Small Group AFA and Fully Insured 51-100 plans using the Advanced Control Plan formulary.
02/06/2024
Aetna Gag Clause Prohibition Compliance Attestation Completed and Filed
They were submitted to CMS by the December 31, 2023, due date.
02/06/2024
Scout by Sutter Health A Resiliency and Mental Health App for Youth
Sutter Health Plus members have no-cost access to Scout by Sutter Health — a personalized digital program that helps teens and young adults build resilience to better manage everyday mental health. Ch...
02/06/2024
Anthem CA | Network Update: UC Health Agrees to a New Contract
Anthem Blue Cross and UC Health have agreed in principle to a new contract providing Anthem members access to affordable care at UC Health’s doctors and hospitals for years to come.
02/05/2024
Blue Shield of CA | Rx Drug Cost Data Collection (RxDC) - Group Response Required
To ensure group data is included in Blue Shield’s aggregate filing, groups will need to fill out the Blue Shield D1 intake form.
02/05/2024
Kaiser Permanente®: 2024 Form Completion Required by Employers for Federal Reporting Under CAA - Act Now
To help ensure compliance with the CAA reporting requirements, employer groups must provide additional information. Take a look at this article to learn what is required.
02/05/2024
Anthem CA | Help for Members Impacted by Winter Storms and Flooding
Anthem is making temporary changes to health plan benefits to provide relief and ensure healthcare access for members who are impacted by the winter storms and flooding emergency in California. The c...
02/05/2024
Anthem Webinar | Healthcare Innovation: Next Wave of Gene Therapies
Please join Anthem for a half-hour webinar on Tuesday, February 13, 2024, at 3 p.m. ET / noon PT Anthem's panel of experts will discuss how their gene therapy solution supports the health of your emp...
02/05/2024
Blue Shield of CA Recognizes Landmark Data Sharing Agreement
Blue Shield of California recognizes the state of California's landmark data sharing agreement taking effect. This statewide reform will change the future of health care in California.
02/05/2024
Amwins Connect - February 2024 Question of the Month
Amwins Connect – February 2024 Question of the Month Question How does an ALE (Applicable Large Employer) pick an affordability safe harbor? Answer If an ALE's offer of minimum value ...
02/05/2024
ACA Employer Mandate Reporting - Employer Reporting Tip
ACA Employer Mandate Reporting - Employer Reporting Tip Q: If related entities that are applicable large employers (50 or more FTEs) share benefit plans, do they report together? A: No. Offer of...
02/02/2024
Blue Shield of CA | Tools for the Trusted Advisor
Blue Shield of California offers tools for the trusted advisor: 1095s, Broker Chat, and EyeMed. Being a subject matter expert for your clients is fundamental to your work and, when the subject is Blu...
02/02/2024