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Principal Changes Open Enrollment Guidelines

Enrollments are underway or just around the corner for many of your clients. The process for employers who offer Principal coverage is evolving in the new year. As of January 1, 2020, here’s how their...

Kaiser Permanente® Updates Startup Group Guidelines

Kaiser Permanente® has updated startup group guidelines effective October 1, 2019. Groups can now apply with fewer than four weeks of payroll and have valid business documents. Groups must submit the ...

Get Online Savings and Convenience With Eyeconic

Eyeconic is the only online retailer where employees can use their VSP benefits to buy glasses, sunglasses, and contacts online and save. VSP members save an additional 20% above their frame allowance...

Riverside Physician Network joins PrimeCare, Adding More Trio Provider Options for Your Inland Empire Groups

Riverside Physician Network (RPN) doctors are moving to PrimeCare Riverside, which means more options for your clients in this area. Effective immediately, Blue Shield members may select RPN primary c...

Western Health Advantage Q1 Update

Western Health Advantage (WHA) announces a 2.6% rate impact across their regions (Regions 2 and 3). Q1 quoting is now available. Remember that WHA's region is changing effective January 1, 2020. C...

Q1 2020 Update Round Up

Carriers have begun releasing their Q1 2020 updates. So we created the chart below to offer them all in one place. We’ll continue to add to this resource as more Q1 updates come out. Click on the carr...

Sutter Health Plus Releases 2020 Rates

Sutter Health Plus has released their 2020 rates. All plans will increase by 1.1%, on average, compared to Q4 2019. There are no underwriting changes at this time. The 2020 portfolio experienced mi...

UnitedHealthcare Rate and Portfolio Update Q1 2020

UnitedHealthcare has released Q1 2020 rates with quoting available immediately. The quarterly average change for all networks is as follows: Northern California HMO 1.1% PPO -1.1% Sout...

Kaiser Permanente® Q1 2020 Update

Kaiser Permanente® has released their January to June 2020 rates. Quoting is available now. All plans received a rate increase: HMOs went up 1.2% and PPOs went up 5.2%. All plans have benefit chan...

Health Net Q1 Update

Health Net reports a quarterly statewide average increase across all plans. Health Net's published rates are 3.6% for PPOs and 4.6% for HMOs.They are expanding their portfolio with new Gold HMO and PP...

2020 Health Insurance Tax to Drive Rate Increases

The IRS published a Notice stating that they expect to collect over $15.5 billion from health insurers in 2020 under the ACA’s Health Insurers Providers Fee — also known as the Health Insurance Tax (H...

Sexual Harassment Resources Available

California’s sexual harassment training law has been in the news lately. Most recently, the deadline was extended from January 1, 2020 to January 1, 2021 for California employers to provide initial se...

Western Health Advantage Service Area in 2020

Effective January 1, 2020, Western Health Advantage (WHA) will no longer be part of Canopy Health. This means members will no longer have access to Canopy affiliated medical groups in the East Bay, Sa...

Walmart and Sam’s Club Join Principal VSP Network

Principal Managed Care Vision added Walmart and Sam’s Club as in-network providers, effective September 1, 2019. That means more providers in big cities and rural areas — 9,579 new access points for a...

Anthem Blue Cross to Issue MLR Checks

Anthem Blue Cross will issue Medical Loss Ratio (MLR) rebate checks to small group employers by September 30, 2019. Rebate notifications will also be sent to employees of impacted groups. LISI has a l...

Stanford Health Care and Anthem Blue Cross Renew Their Contract

Stanford Health Care is again participating in the Anthem Blue Cross network. The contract between Anthem Blue Cross and Stanford had been terminated effective September 1, 2019. However, both parties...

Anthem Blue Cross Releases Q1 Updates

You can now quote Anthem Blue Cross Q1 2020 plans. LISI reports a minimal statewide quarterly increase across all plans with HMOs at 0.3%, PPOs at 0.4%, and PPO HSAs at 0.8%. Anthem will only terminat...

Upcoming Compliance Deadlines

It’s that time of year again! Some important compliance deadlines are coming up this fall and winter: Medicare Part D Notices, October 14: Employers offering prescription drug coverage must issue...

Anthem Blue Cross Dual PPO Now Available in Regions 1 and 9

You can now pair the Anthem Blue Cross Full PPO and Select PPO within the same group offering for new groups with effective dates of October 1, 2019 to January 15, 2019. The employer’s principal busin...

UnitedHealthcare Webinar: 2020 Product Update

Join this informative broker webinar to see how UnitedHealthcare is uniting care and coverage in California. Don’t miss this opportunity to learn about their 2020 small business product portfolio, inc...

UnitedHealthcare Relaxes Participation Guidelines for Dental

UnitedHealthcare will now allow groups down to 5 eligible to enroll in the following: Calendar Year Max $2000+ Implants Ortho Previously, these benefits were only available to groups wi...