12/07/2022
Featured
12/06/2022
Blue Shield of California: Choice Medical Group Network Termination
Blue Shield of California has yet to reach an agreement on rates and terms of contracts with Choice Medical Group Apple Valley and Choice Medical Group Barstow, and the current agreement will end on J...
12/06/2022
Health Net Offers Flu Shots at No Charge Through Network Pharmacies
Many of you asked that flu shots be made available in a pharmacy setting for HMO members. Health Net heard you and they are happy to share that they’ve increased access so that members can obtain a...
12/06/2022
Transparency in Coverage: Prescription Drug Data Collection Reporting (RxDC) Requirements, December 2022
The RxDC reporting provision of the Consolidated Appropriations Act (CAA) requires reports on drug utilization and spending trends to be submitted to U.S. Department of Health and Human Services begin...
12/05/2022
New PCORI Fee Announced
At the time we originally distributed the announcement for the IRS and ACA limits for 2023, the new PCORI Fee amount was projected to be $2.93 for Plan Years ending on or after October 1, 2022 and bef...
12/02/2022
Kaiser Permanente® Is Offering Extra Ways to Earn!
Kaiser Permanente is offering extra ways to earn and provide a quality health-care solution that values the health and well-being of your clients in 2023. Kaiser wants you to unlock your sales potenti...
12/02/2022
Earn a Small Group New Year Bonus Through Kaiser Permanente® While You Can!
Kaiser Permanente® Reminds You To Earn a Small Group New Year Bonus! For all new small groups sold to effective December 1, 2022 through January 1, 2023, Kaiser Permanente® has a $100 bonus per enr...
12/01/2022
Kaiser Permanente® Releases Update About the Consolidated Appropriations Act & Transparency in Coverage
Kaiser Permanente is reaching out to employer groups to streamline compliance with the Consolidated Appropriations Act, 2021 and Transparency in Coverage requirements. These regulations require publis...
12/01/2022
Sutter Health Plus Walk-In Care Holiday Schedule
While many doctor’s offices may be closed, Sutter Walk-In Care will be open from 11 a.m. to 6 p.m. on Christmas Eve and New Year’s Eve, and closed Christmas Day, and New Year's Day. Hours may vary by ...
12/01/2022
Sutter Health Plus Reminder: No-Cost Flu Vaccine For Members
It's not too late to get a flu shot. As a reminder, Sutter Health Plus members can get flu vaccines at no cost at a Sutter Walk-In Care, a network pharmacy when available, or their physician's office....
12/01/2022
Sutter Health Plus New Portal Enhancements
Sutter Health Plus is pleased to share new enhancements to their Broker portal, designed to improve the user experience in navigating to important documents. On your Broker Portal, you will now see di...
12/01/2022
UnitedHealthcare Renews Network Relationship With Providence Health In California
UnitedHealthcare and Providence Health (Providence) have reached a multi-year agreement that ensures UnitedHealthcare’s members enrolled in employer-sponsored and individual commercial plans, as well ...
11/30/2022
WHA’s Transition to Optum for Behavioral Health Services
WHA is pleased to share that their transition to Optum as their behavioral health partner for mental health and substance use disorder services is on track for January 1, 2023. This move to Optum expa...
11/30/2022
WHA's New ID Cards Are Coming
Western Health Advantage (WHA) has a new logo and new ID cards. Members will receive new ID cards for 2023, which will be mailed in December to all WHA members. The new cards will confirm the medic...
11/29/2022
ACA Reporting and Other Employer Mandate Compliance Changes for the Upcoming New Year
Recent federal policy changes will impact compliance for Self-Funded Plans, Group Health Plans, and all Applicable Large Employers (ALEs). ALEs are those employers offering group health plans that ...
11/29/2022
Humana 2023 Producer Partnership Plan
Humana is excited to let you know the 2023 Producer Partnership Plan for group insurance producers is now available. What’s new for bonuses and commissions? Specialty Growth Bonus: When you r...
11/22/2022
Aetna Webinar: Supporting Your Clients Through The Transparency In Coverage (TiC) And No Surprises Act (NSA) Requirements
Join to hear Aetna’s TiC and NSA experts guide you through the upcoming compliance requirements. Learn about Aetna’s Cost Estimator Tool and RxDC reporting and participate in an interactive Q&A...
11/21/2022
Sutter Health Plus New 2023 Small Group Plan Designed For Affordability
Sutter Health Plus is now offering a new 2023 Gold-tier HDHP to the small group market. The new plan, Gold SD02 HDHP HMO, offers 20% coinsurance after deductible for all non-preventive services. Pharm...
11/21/2022
Aetna Extends AFA Credits Through June 2023
Now Extended Through June 2023! Your clients want to save money, and you want to make it happen for them. Aetna has extended their restructured Aetna Funding AdvantageSM admin fee credit program. D...
11/21/2022
Aetna Attain Program Sunset
Aetna has made the decision to end the Attain by Aetna program to make way for future wellness programs that could have a greater impact for members. Aetna's priority is health and wellness, and they ...
11/18/2022