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Carrier Information for 2025 Prescription Drug Data Collection Submissions
This reporting process is referred to as the “prescription drug data collection” (or “RxDC report”). RxDC reports are due by June each year covering data for the previous calendar year.
UnitedHealthcare Level Funded is Officially Launched in Ohio for Small Business
UnitedHealthcare's level funded plans are now available in Ohio for new 2 to 50 groups. Quotes are available for March 1, 2026, effective dates and beyond. You will automatically receive level funded quotes alongside MEWA quotes through the standard MEWA quote process.
Send Documents Through the Anthem Broker Plus App
Use Live Chat in the Broker Plus app to send documents to Anthem fast. If you’re connected to a live agent in the app and need to send a file, Anthem's latest app enhancement allows you to securely upload it so your agent can review it in real time.
Superior Dental Care Update: Upcoming SFTP Changes for EFT Enrollment Files
In early 2026, the Superior Dental Care SFTP site for EFT enrollment files will move to a new Control-M application managed by their parent company, Medical Mutual. This transition will require updates to the IP address, host name, and ports currently used for file transmission.
Superior Dental Care’s New Schedule of Benefits Layout
Starting in February, Superior Dental Care is introducing a fresh, streamlined look for their Schedule of Benefits. The updated layout is designed to make it even easier for members to understand their benefits—and for dental offices to quickly confirm coverage for services and procedures.
New Broker Bonus: UnitedHealthcare Level Funded with Surest is Coming to Ohio
UnitedHealthcare Level Funded plans with Surest are launching in Ohio effective March 1, 2026. To support this rollout, UnitedHealthcare is offering a limited‑time broker bonus for new Ohio Level Funded sales.
Anthem Kentucky’s 2026 Quick Reference Guide
Anthem Kentucky recently released their updated Quick Reference Guide for current topics in the small group market segment. The guide contains information dedicated to providing valuable insights, clarifying any uncertainties, and answering common inquiries you may have.
Complete UnitedHealthcare’s RFI to Prepare for RxDC Reporting
UnitedHealthcare requests your support in completing a few necessary questions in the Prescription Drug Data Collection (RxDC) RFI now available on the employer/broker portals until March 31, 2026.
Allstate Benefits Group Health is Now Nationwide
Effective February 2, 2026, your client’s Allstate Benefits group health plan will join the Nationwide family. This milestone marks the next step of the acquisition previously announced in July 2025. There is no impact to the plan, coverage, service experience, or administration—this is a name change only.
Aetna eBusiness Migration Updates
Starting with March 1 small group renewals, groups will begin migrating to the Aetna eBusiness system. Your Cornerstone account managers are ready to assist you with the processing of renewals on the eBusiness platform, so please forward signed rates, any requested plan changes, and census information (if multiple options are selected) to your account manger and we will get the renewal processed.
Anthem Kentucky’s 2026 Products at a Glance
Anthem has developed the Broker Products at a Glance document, which is designed to provide quick and easy access to essential information, enabling you to efficiently address client inquiries.
Register for UnitedHealthcare’s Level Funded Bootcamp
Join UnitedHealthcare for a deep dive into level-funded plans and how they are a price-competitive alternative to fully insured plans. This course, ideal for those with small to mid-sized clients (2 to 300 employees), will equip you to better position level-funded solutions to your customers and prospects.
SmartShopper Relaunch for Medical Mutual’s Fully Insured Groups
Effective January 1, 2026, SmartShopper, managed by Zelis, has been relaunched for these product lines: 51 to 99 fully insured, COSE Benefit Plan, GCADA MEWA, and Balanced Solutions. It remains in place for fully insured 100+. SmartShopper is a program that helps members avoid overpaying by comparing locations for the same procedure.
Important Information About Group Health Insurance Quoting Requirements for 2026
With “census” quoting here to stay, we wanted to remind you of each carrier’s requirements to expedite your prescreens.
UnitedHealthcare’s ACA Preventive Services for Breast Cancer Screening
As of January 1, 2026, UnitedHealthcare’s Preventive Care Services Medical Policy will include additional breast cancer imaging with no out-of-pocket costs.
UnitedHealthcare 2026 Prescription Drug Data Collection Submission
To support customers with CAA filing, UnitedHealthcare will be submitting the required data for business administered by UnitedHealthcare for all employers who had active coverage during the 2025 reference year.
IMPORTANT: ACA 1094/1095 Reporting Requirements for 2025
Deadlines for 2025 ACA 1094/1095 reporting are fast approaching!
Cornerstone's comprehensive guide is updated for 2025 and illustrates how each carrier handles the completion of forms, distribution to employees, and as we know it to be law now.
Cornerstone's comprehensive guide is updated for 2025 and illustrates how each carrier handles the completion of forms, distribution to employees, and as we know it to be law now.
UnitedHealthcare Level-Funded Plans are Coming to Ohio for Small Groups
UnitedHealthcare recently announced that level funded plans will be available in Ohio for new 2 to 50 groups. Quoting has started for March 1, 2026, effective dates. You will automatically receive level-funded quotes alongside MEWA quotes through the standard MEWA quote process—no extra steps required.
Anthem KY ChamberAdvantage Upcoming Annual Rate and Census Reconciliation Surveys
Brokers with Anthem KY ChamberAdvantage business will receive an email from MEWA.io, the MEWA management system used to collect data for the Annual Rate and Census Reconciliation (ARC). Then, ChamberAdvantage (MEWA) groups written prior to January 1, 2026, will receive an email request from MEWA.io.
Anthem Expands Balanced Funding Option for 2/1 and 3/1 Effective Dates
Anthem recently announced an expansion to their Balanced Funding option down to 2+ enrolled for February 1, 2026, and March 1, 2026, effective dates only to provide an underwritten option for the smaller groups.
New FAQs Available: Repaying Excess APTC for Plan Year 2026 and Beyond
These two new Frequently Asked Questions address commonly asked questions for APTC repayment starting in Plan Year 2026 (i.e. when consumers are filing their federal taxes in 2027) based on recent legislative changes.
Medical Mutual January 1 Quoting and Sold Case Implementations
Due to significant quoting demand and a growing high volume of sold new business cases, Medical Mutual announced it will postpone any further quoting for January 1, 2026. If you have not yet received a quote, Medical Mutual will begin quoting on or around January 10 for a February 1, 2026, effective date.
Medical Mutual Reaches Agreement to Keep Licking Memorial in Network
Medical Mutual has reached an agreement with Licking Memorial Health System that keeps all Licking Memorial providers, specialists and facilities in their networks in 2026. The agreement applies to Medical Mutual and Mutual Health Services.
Delay in Premium Invoices for Paramount
Due to a system conversion currently underway, there will be a delay in processing and sending Paramount premium invoices for January 2026. Paramount is working diligently to complete the transition and minimize any disruption, and regular invoicing is expected to resume in February.
Updates to Medical Mutual’s Small Group Quoting and Processing
Due to an overwhelming quoting demand, as well as a high volume of sold new business cases, Medical Mutual will now prioritize sold case submissions over future quoting activity for 2025.
UnitedHealthOne Extended Duration Short-Term and TriTerm State Availability Updates
UnitedHealthOne recently announced extensions to their short-term policies, with Ohio policies extended to 364 days starting December 12, 2025.
Ameritas Wallet ID Cards Now Available for Members
This new ID card option is accessible through the Ameritas Benefits app and through the member account via a QR code.
Gag Clause Attestations 2025 Guide for December 31 Deadline
The annual Gag Clause Prohibition Compliance Attestation is a new requirement that prohibits group health plans and health insurance issuers offering group health coverage from entering into an agreement with a provider or TPA that would restrict the plan from providing cost or care information to plan participants, accessing de-identified claims data, and sharing information per privacy regulations with a business associate.
Learn More About Humana Dental’s Bundling Bonus and Discounts
Brokers and employers win when packaging dental, vision, life, and disability with Humana's Dental Bundling Bonus and Multi-Line Packaging Discount.
2026 Individual Carrier Bonus Programs to Know About for Open Enrollment
Open Enrollment for the 2026 plan year is underway and there are plenty of ways to maximize your sales. Many of our carrier partners have released bonus programs to help you earn more on new and existing business.
Take Advantage of Ambetter’s 2026 Broker Bonus Program
Enroll clients in the quality coverage they deserve with Ambetter. Contracted agents can earn a one-time, per member bonus for eligible new and active renewing members.
Reminders for Meeting Marketplace Regulations
You are required to comply with all Marketplace regulations and requirements. As an agent or broker, you play a pivotal role in maintaining program integrity and supporting a sustainable Marketplace. By following these helpful reminders for compliant Marketplace activities below, you can ensure you’re consistently delivering a positive consumer experience.
Medical Mutual Pharmacy Benefit Changes Effective Jan. 1, 2026; Member Notifications Planned
Several changes to Medical Mutual members’ pharmacy benefits will be effective January 1, 2026. Here are the upcoming changes.
Medical Mutual Small Group, Life and Disability, and MLR Updates
Learn about Medical Mutual's updates to their small group plan portfolio, updates to the Life and Disability Census Template to improve onboarding efficiency, and information regarding MLR rebate checks.
Humana’s Group Dental Benefits Lead with Wellness
Humana understands the importance of dental health on our overall wellbeing. This is why Humana's dental plans provide enhanced preventive benefits for your clients.
Take Advantage of Allstate’s 2026 Open Enrollment Individual Bonus Programs!
Allstate recently announced several Open Enrollment bonus opportunities for individual health insurance agents for plans with effective dates beginning October 1, 2025, until January 15, 2026.
Important Update About Ohio Farm Bureau Membership Dues
Effective December 1, 2025, the Ohio Farm Bureau Health Benefits Plan membership dues will increase from the current rate of $7.50 per employee per month (PEPM) to $9.00 PEPM.
Plan Year 2026 Marketplace Registration and Training is Now LIVE
Plan Year 2026 Marketplace registration and training is now available for returning agents and brokers who were registered for Plan Year 2025! The Small Business Health Options Program (SHOP) agreement and optional SHOP training are also available.
Updates to Anthem’s Employer Access Portal (with Informational Video)
Anthem is introducing a new feature allowing brokers and employers to pull ID cards at the group level on the Employer Access. This feature will only be available for small group new sales with July 1 effective dates and will be rolled out for all small groups in the future.
Update From Medical Mutual: DispatchHealth Closed Ohio Operations August 1
Medical Mutual has just been notified that DispatchHealth, a mobile urgent care provider, closed Ohio operations on August 1, 2025, impacting all Ohio health plans. This change is a result of a broader business realignment for DispatchHealth, who is planning no other market exits at this time.