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Helping UnitedHealthcare Groups with Eligibility Verification

UnitedHealthcare requires employers to meet participation and eligibility requirements throughout the entire policy period. To ensure this requirement is being met, UnitedHealthcare may request that t...

UnitedHealthcare All Savers To Level Funded Renewal Transition Training For Select Level Funded Markets

All Savers® Alternate Funding groups in AK, AR, AZ, CA, CO, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NE, NM, NY, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WV and W...

UnitedHealthcare: Helping Employers and Employees Prepare for Medicaid Redetermination

Medicaid redetermination may not be a topic that typically crosses your desk. But with recent legislative changes to policies enacted during the pandemic, employers and employees may have questions ab...

Blue Shield of California: The Hybrid Virtual Blue℠ Model Is Much More Than A Telehealth Offering

Blue Shield built their new virtual-first plan Virtual Blue℠ to meet the higher expectations of your clients and their employees during a new era of healthcare delivery. Virtual Blue is redefining vir...

Question: Is An Employer Subsidy for COBRA Premiums Taxable to the Qualified Beneficiary?

Question: Is an employer subsidy for COBRA premiums taxable to the qualified beneficiary? February 27, 2023 An employer has offered, or wants to offer, to subsidize part or all of a qualified be...

Gag Clause Attestation Guidance Released

Gag Clause Attestation Guidance Released Date Issued: March 1, 2023 The Internal Revenue Service (IRS), Department of Labor (DOL), and Department of Human Services (HHS) [collectively, “the Depa...

Health Net and Prime Care Medical Group of Chino Valley Contract Termination

Effective June 1, 2023, Prime Care Medical Group of Chino Valley PPG will no longer be a part of the following Health Net networks across their Commercial lines of business: WholeCare UC Blue ...

Webinar Replay: UnitedHealthcare Briefing On Redetermination And Other Regulatory Changes

Watch the Replay: A UnitedHealthcare Briefing on redetermination and other regulatory changes With the public health emergency scheduled to end on May 11, questions may remain about how this change...

Webinar Replay: Applicable Large Employer (ALE) Refresher

Applicable Large Employer (ALE) Refresher Benefit Comply has been answering lots of questions during recent plan renewals and this employer reporting season related to how to determine applicable l...

Cigna Request Information For Client Reporting

In compliance with the Consolidated Appropriations Act, Title II, Section 204, Cigna will produce medical and/or pharmacy spending reports annually for both fully insured and self-funded (ASO) clients...

Blue Shield of California Pharmacy Drug Cost Reporting (RxDC): Collecting D1 Premium Data

Last month, brokers and groups received an email communication stating they would be responsible for submitting D1 Premium and Life year data (D1) to the Centers for Medicare and Medicaid Services (CM...

California Dental Summary of Benefits and Coverage (SBC) Requirement

California Dental Summary of Benefits and Coverage (SBC) Requirement February 2023 A California law (SB 1008) was passed in 2018 and went into effect for plan years beginning on or after January...

Webinar Replay: RxData Reporting Round 2

RxData Reporting Round 2 As we begin to think about the next round of Rx Reporting due to CMS in June for 2022 data, some vendors are clarifying which parts of the reporting will be handled on beha...

Rx Reporting - Round Two! (Sorry, you can't ignore it this time.)

Rx Reporting – Round Two! (Sorry, you can’t ignore it this time.) February 15, 2023 We’ve made it through the first round of prescription drug reporting (a/k/a RxDC reporting) required by the Co...

Compliance Checklist for Short Plan Years

Compliance Checklist for Short Plan Years February 2023 When there is a need to discontinue benefit offerings, or a need to adjust the benefit plan year, employers may need to run a short plan y...

Sutter Health Plus RxDC Premium Reporting for Employers

The Consolidated Appropriations Act of 2021 (Section 204) requires insurance companies and employer-based health plans to submit information to the federal government about: Spending on prescrip...

Webinar Replay: Proposed Contraceptive Coverage Changes & Ending the National and Public Health Emergencies

February 1, 2023 The agencies have proposed yet another change to how exemptions and accommodations could be handled for the ACA’s requirement to cover contraceptives with no cost-sharing. In addit...

Webinar Replay: Employee Payroll Contributions

January 18, 2023 This webinar covers ‘tax favored’ benefits, benefits not eligible for tax relief, and Cafeteria Plan Election Rules. Replay this webinar to understand the different benefits and...

Employer Quick Hit - Use of the Look-Back Measurement Method

Use of the Look-Back Measurement Method For purposes of reporting full-time employee counts on the Form 1094-C, as well as reporting full-time versus part-time status by month on Form 1095-Cs, appl...

Aetna Grow with Us Producer Program, 2023

Grow with Aetna and earn more It’s simple. Just sell Fully Insured or Aetna Funding AdvantageSM plans to groups with 101 – 5,000 eligible employees. When you do, you’ll receive credits based on the...

Aetna CVS Health Virtual Care Solutions

Care anytime, anywhere. With Aetna virtual care and telemedicine options, members can talk to a doctor by phone 24/7. If a member can’t make an in-person visit or wants to avoid the ER, they have conv...