PCORI Fees Due to IRS No Later Than July 31, 2026

Description Fees to fund the Patient-Centered Outcomes Research Institute (PCORI) are due to the IRS no later than July 31, 2026, from employers who sponsor certain self-insured health plans, such (more…)

Employer Action Required: Distribute Medicare Part D Notices by October 15, 2026

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…)

CMS Final Rule Lowers Costs, Cracks Down on Fraud, and Expands State Control

The Centers for Medicare & Medicaid Services (CMS) issued a sweeping rule to strengthen oversight of the Affordable Care Act (ACA) Exchanges for plan year 2027 by lowering user fees, (more…)

1095-B Tax Forms Now Available on Medical Mutual’s My Health Plan

Medical Mutual members may now download their 2025 1095-B tax forms directly from My Health Plan, their secure member portal. Hard copies will only be mailed to members who call (more…)

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…)

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