Medical Mutual Annual Premium Split Reporting (No Surprises Act)

The Consolidated Appropriations Act (CAA), 2021, requires the annual reporting of certain plan information such as plan 5500 number(s) and split of premium paid between the employer and the employee. (more…)

Changes to Medical Mutual’s Secure Email Experience

Starting January 27, 2024, Medical Mutual will migrate to a new encrypted email service to further improve the security of emails they send externally. Recipients receiving a secure message from (more…)

Medical Mutual’s Proxy Language Mailing to Healthpool Small Group

Medical Mutual recently mailed out their 2024 renewal packets for small groups offering our Ohio Healthpool product without some important language related to meeting proxies. The same proxy information was (more…)

UPDATE: Premier Health Partners Remains in Medical Mutual Networks

*Updated December 5, 2023* Medical Mutual and Premier Health Partners have reached an agreement to keep all Premier Health providers, specialists, and facilities in the Medicare Advantage HMO and PPO, (more…)

Medical Mutual Fourth Quarter Important Updates and Reminders for Small and Midsize Groups

Changes to New Business Enrollment Requirements Applies to: COSE Benefit Plan, Balanced Solutions Note: This does not impact ACA. Midsize (51–99) group business does not require wage and tax documentation (more…)

WeightWatchers Offering Free Smart Scale for New Medical Mutual Memberships Through October 31, 2023

Through Medical Mutual’s partnership with WeightWatchers, they are offering members a savings of almost 50 percent on a monthly membership. WeightWatchers is dedicated to helping people build healthy habits for (more…)

Cornerstone’s By-Carrier Guide for New Gag Clause Attestations, Due December 31, 2023

A new requirement resulting from the Consolidated Appropriations Act (CAA) requires an annual Gag Clause Prohibition Compliance Attestation (GCPCA). This requirement prohibits group health plans and health insurance issuers offering (more…)

Medical Mutual Update: Erie County Chamber Added as COSE Benefit Plan Affiliate Chamber

Effective August 1, 2023, the Erie County Chamber of Commerce is a new affiliate chamber under the COSE Benefit Plan. Therefore, Erie County Chamber members located in Erie, Huron, and (more…)

Medical Mutual’s National Preferred Formulary Updates Effective July 1, 2023

Twice each year, adjustments may be made to prescription drug formularies and drug lists based on changes in the market. Medical Mutual’s updates to the National Preferred formulary with Express (more…)

Information from Medical Mutual on De-Implementation of COVID-19 Coverage

With the end of the COVID-19 Public Health Emergency and National Emergency, benefits and timeframes that were extended temporarily due to COVID-19 will revert to those that existed prior to (more…)

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