Members Will Be Reimbursed for Most Over-the-Counter COVID-19 Diagnostic Tests

A recent announcement from the federal government intends to increase access to COVID-19 testing. As of January 15, 2022, members can get reimbursed by their health plan without cost share (more…)

Insurance Companies and Group Health Plans Now Required to Cover Costs of At-Home COVID-19 Tests

The following information was originally posted by CMS.gov. As part of its ongoing efforts across many channels to expand Americans’ access to free testing, the Biden-Harris Administration is requiring insurance (more…)

Direct and Indirect Compensation Transparency Requirements for Your Group Health Plans

In response to the Consolidated Appropriations Act of 2021 (CAA) enacted by Congress in December 2020, brokers are now required to disclose compensation amounts if they reasonably expect to receive (more…)

Employer Action Required! Distribute Medicare Part D Notices by October 15, 2021

Group health plan sponsors must provide Medicare Part D “creditable coverage” notices prior to October 15th, the start date of the Medicare annual enrollment period for Part D, Prescription Drug (more…)

ATTENTION: Plan Year 2022 Registration and Training is LIVE

It’s that time of the year again! If you completed the registration and training for plan year 2021, the 2022 Marketplace registration and training is now available. If you did (more…)

IMPORTANT UPDATE: The Humana Dependent Audit Has Been Paused

On August 9, 2021, we announced through the Monday Minute that Humana will be conducting eligibility verifications of spouse, common law spouse, or domestic partners in its commercial population. Groups (more…)

Rev Up for Fourth Quarter with Cornerstone! Here’s What You Need to Know

Renewal season is nearly upon us. With it comes the inevitable time crunch convergence of renewals and open enrollment. Here are a few planning tips for your group business. Renewals (more…)

Medical Insurance Carrier Coordination with Prescription Drug Discount Programs

The high cost of prescription drugs is a serious problem for consumers. Health insurers either own or contract with pharmacy benefit managers (PBMs) to administer covered prescription drugs in their (more…)

PCORI Fees Due to IRS No Later Than July 31, 2021

Fees to fund the Patient-Centered Outcomes Research Institute (PCORI) are due to the IRS no later than July 31, 2021, from employers who sponsor certain self-insured health plans such as (more…)

Answers to ARPA Questions in Accordance with Newly Released Guidance

Since the American Rescue Plan Act was signed into law on March 11, 2021, the impacts on COBRA and State Continuation were not fully understood until recent guidance was released. (more…)

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