Delta Dental of Kentucky’s New System Date for Individual Clients and Brokers

Effective the end of this month, Delta Dental will be implementing a new Individual Enrollment Portal for individual plans and a new Producer Portal for brokers selling individual plans. These (more…)

Anthem KY’s Small Group and Individual MLR Rebates Update

Anthem pays annual rebates to fully insured groups when their medical loss ratio (MLR) is less than 80 percent for small groups and individuals. For 2023, the KY small group (more…)

Aetna Announces County Expansions in Ohio and Indiana in 2025

Aetna recently announced it will be expanding to 15 counties in Ohio and 15 counties in Indiana for their 2025 individual and family plans. Click here to review a full (more…)

Pay-or-Play Affordability Percentage Will Increase for 2025

On September 6, 2024, the IRS released Revenue Procedure 2024-35 to index the contribution percentage in 2025 for determining the affordability of an employer’s plan under the Affordable Care Act (more…)

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…)

Anthem’s New “Building Healthy Families” Program

Every family is unique, and Anthem’s new, all-in-one “Building Healthy Families” program has the resources to help each one grow strong, whether they’re trying to conceive, preparing to welcome their (more…)

Plan Year 2025 Marketplace Registration and Training is Now LIVE

This post was originally published by Healthcare.gov. Plan Year 2025 Marketplace registration and training is now available for returning agents and brokers who were registered for Plan Year 2024! The optional (more…)

Coming Soon: FFM Account Integration is Changing to Every 12 Hours

CMS recently announced a new FFM integration requirement that will affect all enrollment platforms that use EDE (Enhanced Direct Enrollment), including HealthSherpa. Starting on July 12, 2024, agents using HealthSherpa (more…)

UnitedHealthcare Short-Term Updates with Final Rule

UnitedHealthcare recently announced their next steps in response to the Final Rule from this past spring, which limits the length short-term plans after September 1. Currently, short-term medical (STM) plans (more…)

Anthem Enhanced Coverage Plans to Be Discontinued Due to Final Federal Rule

A Federal rule finalized on March 28, 2024, modifies the requirements for short-term health insurance plans. These rules limit the length of time short-term plans can remain in place with (more…)

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