For plan years beginning in 2025, employer-sponsored coverage will be considered affordable under the ACA’s “pay-or-play” rules if the employee’s required contribution for self-only coverage does not exceed 9.02 percent (more…)
Group health plan sponsors must provide Medicare Part D “creditable coverage” notices prior to October 15, the start date of the Medicare annual enrollment period for Part D, Prescription Drug (more…)
As a reminder, section IV.c. of the Agent and Broker General Agreement documents proper uses of CMS systems, including Direct Enrollment (DE) systems, and DOES NOT ALLOW these activities. (more…)
Every family is unique, and Anthem’s new, all-in-one Building Healthy Families program has the resources to help each one grow strong. (more…)
Medical Mutual’s level-funded product, Balanced Solutions, will be extended to serve the 51 to 99 market segment for effective dates starting October 1, 2024. This product is a popular hybrid (more…)
Anthem pays annual rebates to fully insured groups when their medical loss ratio (MLR) is less than 85 percent for large groups or 80 percent for small groups and individuals. (more…)
After evaluating the long-term financial model for Bravo, Medical Mutual made the decision to divest and move to contracting with a third-party wellness supplier over the course of 2025. (more…)
Current HSA plan design includes a waiver of deductible and coinsurance for 24/7 virtual visits, which will no longer be permitted as of your next renewal. (more…)
UnitedHealthcare Level Funded stands out with built-in value-added services like HealthiestYou, UHC Rewards, Real Appeal, and Mineral. (more…)
Anthem Blue Cross and Blue Shield and SOCA have teamed up to offer the SOCA Benefit Plan. Providing access to quality care is one of the ways Anthem is focused (more…)
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