CMS and DE/EDE System Access Requirements

This post was originally published by CMS.gov As a reminder, section IV.c. of the Agent and Broker General Agreement documents proper uses of CMS systems, including Direct Enrollment (DE) systems, (more…)

PCORI Fees Due to IRS No Later Than July 31, 2024

Fees to fund the Patient-Centered Outcomes Research Institute (PCORI) are due to the IRS no later than July 31, 2024, from employers who sponsor certain self-insured health plans, such as (more…)

IRS Releases HSA Limits for 2025

This update was originally published by Larry Grudzien. Recently, the IRS issued Revenue Procedure 2024-25, which provides the 2025 cost-of-living contribution and coverage adjustments for HSAs, as required under Code (more…)

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

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

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

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

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

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)

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

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…)

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