Important: Updates to Short-Term Health Insurance Plans Coming Soon

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The Departments of Health and Human Services, Labor, and the Treasury recently announced a change to the federal definition of Short-Term, Limited-Duration Insurance (STLDI) that imposes nationwide plan duration limits (more…)

Aetna Plan Sponsor Notice: Data Collection Requirement for Prescription Drug Data Collection Reporting Submission

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Aetna has developed a process to support their plan sponsors in the submission of their Prescription Drug Data Collection (RxDC) reports for reference year 2023. In 2024, Aetna will require (more…)

UnitedHealthcare’s RxDC Reporting is Now Open: Client Portion Due April 10

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Pharmacy benefits and costs reporting (RxDC) 2023 data must be submitted to the Centers of Medicare and Medicaid Services (CMS) by June 1, 2024. UnitedHealthcare will send an email notification (more…)

Humana’s RxDC Reporting: Updated Employer Survey Links and Deadlines

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Correction and resubmission needed to provide data for the Prescription Drug Data Collection requirements for Humana medical group health plans that submitted data before February 22, 2⁠0⁠2⁠4. Under the CAA, (more…)

Anthem’s RxDC Reporting Requirements for Groups are Due by March 15, 2024

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The next RxDC report for Anthem groups is due by June 1, 2024. Anthem is following the same process as last year in filing on behalf of their fully insured (more…)

Medical Mutual Annual Premium Split Reporting (No Surprises Act)

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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…)

Resources From CMS to Assist Your Clients During Tax Season

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The following information was originally published by Healthcare.gov. To ensure you have everything you need to best serve your clients this tax season, the Centers for Medicare & Medicaid Services (more…)

Anthem Confirmation of Submission of Gag Clause Prohibition Compliance Attestations

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On December 22, 2023, Anthem submitted Gag Clause Prohibition Compliance Attestations on behalf of their fully insured clients for the benefits they administer and maintain. ASO clients who completed the (more…)

Gag Clause Attestations are Due December 31! Here is Your How-To Guide

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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…)

*Updates Available* Employer Action Required: Distribute Medicare Part D Notices by October 15, 2023

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*Updated information added below* 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 (more…)

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