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Cigna Healthcare Branding Brings New Email Addresses

In February, The Cigna Group℠ unveiled three distinct brands to reflect the growing portfolio of clients, customers, and partners that turn to them for health services and healthcare industry leadersh...

Aetna Webinar: Primary Care is Changing - How to Keep Up and Support Employees

As health care needs arise, primary care providers can help navigate an increasingly complex healthcare landscape. Join Aetna on Wed June 21st.

Aetna AFA Underwriting Guidelines & Sold Case Process Enhancements

Aetna has improved their underwriting guidelines to make them simpler to read and easier to follow.

Update - The Briadwood Decision and Coverage of Preventive Health Benefits

The Braidwood Decision and Coverage of Preventive Health Services Update - May 2023 On May 15, 2023, the Fifth Circuit Court of Appeals issued an administrative stay on the enforcement of the di...

UnitedHealthcare Level Funded Quoting Requirement Updates

UnitedHealthcare has announced new quoting rules, effective June 1, 2023, for level funded cases in 31 states. The new rules affect participation requirements; they also require submission of waiver r...

Aetna Adds New AFA Credit as of July 2023

Starting with 7/1/2023 effective dates, the new $200 per subscriber credit will apply to 2-50 employee groups on pre-Affordable Care Act grandfathered plans. These

Cigna Introducing Two-step Authentication for Broker Portal

In early June, Cigna will be introducing two-step authentication upon login to your CignaforBrokers account to add an additional layer of security. Two-step authentication will require you to verify y...

News From Anthem: Covid-19 Enrollment Extensions End In July

With the end of the COVID-19 National Emergency on May 11, 2023, health-plan related extensions will end on July 10, 2023.

Don't Miss Kaiser Permanente's® May 22 Webinar on Battling Burnout

Kaiser Permanente® would like to invite you to their upcoming webinar "From Hustle to Harmony: Work Culture Strategies for Battling Burnout", just a few days away! With stress and burnout at record...

Health Net: Stay Informed - Gag Clause Prohibition Compliance Attestation Requirement

The gag clause prohibition in the CAA prohibits health plans from entering contracts that restrict specific data and information that a plan can make available to another party. Plans must annually su...

Update on Employer Responsibilities for the Upcoming RxDC Reporting Due June 1, 2023

Update on Employer Responsibilities for the Upcoming RxDC Reporting due June 1, 2023 May 2023 Many employers received an email from their carrier or TPA (for Self-Insured plans) requesting that ...

Delta Dental Answers Questions About Adult Orthodontics

Adult orthodontics has become a popular benefit enhancement in recent years. Adults are opting for orthodontic treatments at higher numbers than ever before, and the number seeking treatment is expect...

Aetna and Sutter Health Reach an Agreement

As previously reported, Aetna and Sutter Health were in contract negotiations earlier this year. Aetna is pleased to report that an agreement has been reached and there will be no disruption to member...

IRS Announces 2024 Limits for HSAs and HDHPs

The Internal Revenue Service (IRS) announced (see Revenue Procedure 2023-23) cost-of-living adjustments to the applicable dollar limits for health savings accounts (HSAs), high-deductible health p...

Sharp Health Plan Rate Update, July 2023

Sharp Health Plan has issued a rate update for Q3 2023. Plans will increase 0.4% compared to Q1 rates, and 3.3% as an annual change. There are no plan or underwriting changes. As a reminder, Sh...

What Is A Qualifying Life Event?

What is a Qualifying Life Event? May 2023 Background We often face the question of whether an individual’s situation is a “qualifying life event” that would permit them to make a change to th...

Webinar Replay: RxDC Reporting - Do Employers Have To Submit Their Own D1 File?

RxDC Reporting - Do Employers Have to Submit Their Own D1 File? May 10, 2023 Many employers, especially those with fully-insured plans, were surprised when their carrier or TPA requested certain...

UnitedHealthcare to Meet CAA Prescription Drug Data Collection (RxDC) Deadline

UnitedHealthcare is on target to submit Pharmacy Benefits and Costs Data (RxDC) by June 1, 2023

Kaiser Permanente®: Releases Update on COVID-19 Coverage and CAA RxDC Reporting

In March, Kaiser contacted their current customers and brokers to request group specific information required for them to complete aggregated reports for pharmacy reporting under the Consolidated Appr...