Carrier Information for 2025 Prescription Drug Data Collection Submissions

The following post will be continually updated as we gather more information from our carrier partners. Please be sure to subscribe to the Monday Minute to ensure you’re receiving the (more…)

Complete UnitedHealthcare’s RFI to Prepare for RxDC Reporting

This communication applies to commercial fully insured, Level Funded, and self-funded employer groups with UnitedHealthcare (and Surest) medical coverage. UMR follows a different process. It does not apply to ancillary (more…)

UnitedHealthcare 2026 Prescription Drug Data Collection Submission

Under the Consolidated Appropriations Act, health insurers offering group or individual health coverage, and self-funded group health plans are required to report data annually regarding prescription drugs and health care (more…)

Gag Clause Attestations 2025 Guide for December 31 Deadline

The annual Gag Clause Prohibition Compliance Attestation (GCPCA) is a new requirement from the Consolidated Appropriations Act (CAA) that prohibits group health plans and health insurance issuers offering group health (more…)

Reminders for Meeting Marketplace Regulations

The following information was originally published by Healthcare.gov. REMINDER: You are required to comply with all Marketplace regulations and requirements. As an agent or broker, you play a pivotal role (more…)

Employer Action Required: Distribute Medicare Part D Notices by October 15, 2025

This post is continually updated with the latest carrier information. Please be sure to check back for any additions. Group health plan sponsors must provide Medicare Part D “creditable coverage” (more…)

2026 Affordability Percentage Set at 9.96 Percent

This update was originally published by Larry Grudzien. The IRS recently issued Revenue Procedure 2025-25, which significantly increases the affordability threshold for ACA employer mandate purposes to 9.96 percent for plan (more…)

PCORI Fees Due to IRS No Later Than July 31, 2025

Fees to fund the Patient-Centered Outcomes Research Institute (PCORI) are due to the IRS no later than July 31, 2025, from employers who sponsor certain self-insured health plans, such as (more…)

Important Marketplace Loss of MEC SEP Verification Update

Pre-enrollment verification for the Marketplace loss of minimum essential coverage (MEC) Special Enrollment Period (SEP) began on Friday, May 16, 2025. How will this impact my clients? If your Marketplace (more…)

HSA/HDHP Limits Will Increase for 2026

On May 1, 2025, the IRS released Revenue Procedure 2025-19 to provide the inflation-adjusted limits for health savings accounts (HSAs) and high deductible health plans (HDHPs) for 2026. The IRS (more…)

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