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Humana Adds Walmart and Sam's Club to Vision Network 1/1 January 2023

Walmart® and Sam’s ClubTM vision and optical centers joining the Humana Vision network January 1 Humana Vision offers one of the largest vision networks available with a choice from more than 135,0...

Health Net's Mobile App has Retired

Health Net is always working to improve member experience. Part of that is retiring their Mobile app, which is no longer available with this update. The new Member Online Account is now available! ...

Kaiser Permanente's® November Health Awareness Dates

Kaiser Permanente® would like to point out that the month of November brings National Family Health History Day, Lung Cancer Awareness Month, and American Diabetes Month. Use these resources and encou...

Kaiser Permanente's® Expanded Access to Care with Cigna

Offer your clients access to a high-quality network of providers and help reduce the cost of claims across the regions. Beginning January 1, 2023, the collaboration between Kaiser Permanente and Cigna...

New California Law Requires Broker License Number on Emails

Starting January 1, 2023, a new law will require most types of insurance producers, as well as independent insurance adjusters, public insurance adjusters, and analysts, to include their license numbe...

Blue Shield of California: UCSD joins Trio and Local Access+ networks in San Diego for 2023

Expanding networks in San Diego County Blue Shield is excited to share that UC San Diego (UCSD) Health will join the Trio HMO and Local Access+ HMO networks for San Diego County effective January 1...

UnitedHealthcare Provides Important Update on Negotiation with Providence Health

For the last several months, UnitedHealthcare has been meeting regularly with Providence Health (Providence) in California to renew its hospital and physician contracts so that members have continued ...

Sutter Health Plus Updates Underwriting Requirements and Adds New Small Group Plan

Underwriting Updates DE9C Requirements Effective immediately for groups 1-9 eligible, Sutter Health Plus will accept either a reconciled DE9C or a reconciled current premium invoice. For group 1...

Anthem Dental Members Can Direct Claim Payments To Out-Of-Network Dentists Beginning January 1, 2023

Anthem currently sends claims payments directly to dentists when services are performed by a network dentist. Claims payments for out-of-network dentists are paid to the member. The member then has to...

Aetna Funding Advantage 1095-B Tax Forms

Aetna helps make tax time easy You and your clients have enough to think about. That's why Aetna keeps their AFA product simple, especially at tax time. In fact, Aetna handles 1095-B forms for your...

MediExcel Health Plan and Prescription Drug Data Collection Reporting (RxDC) Requirements

The following information is provided regarding the compliance of prescription drug data collection (RxDC) reporting by MediExcel Health Plan. Prescription drug data collection (RxDC) reporting sta...

Kaiser Permanente and Prescription Drug Data Collection Reporting (RxDC) Requirements

As part of the Consolidated Appropriations Act, Kaiser Permanente is required to submit information about prescription drug and health care spending on behalf of all fully insured and self-funded grou...

Kaiser Permanente® Announces Health Views For Business Webinar: Reimagining Benefits For Your Diverse Workforce

Kaiser Permanente® would like to invite you to the final 2022 webinar in their quarterly series that provides fresh perspectives on industry and business dynamics to help your clients better support e...

Health Net's Extra Measure of Protection For Members

The flu season is here and Health Net understands members have no time to get sick. This year, they have partnered with Kinsa to pilot a program offering free local illness alerts. By signing up, memb...

Aetna and Prescription Drug Data Collection Reporting (RxDC) Requirements

As part of the Consolidated Appropriations Act, 2021 (CAA), which was signed into law on December 27, 2020, health insurance issuers and group health plans are required to submit information about pre...

Sharp Health Plan and Prescription Drug Data Collection Reporting (RxDC) Requirements

The Transparency in Coverage rule requires health plans to share health care costs for members to make informed decisions on how they receive care. There are two main phases of the rule. The first ...

UnitedHealthcare and Prescription Drug Data Collection Reporting (RxDC) Requirements

Under the Consolidated Appropriations Act (CAA), health insurers offering group or individual health coverage and self-funded (ASO) group health plans are required to report data annually regarding pr...

Anthem and Prescription Drug Data Collection Reporting (RxDC) Requirements

Anthem sent an email to employers in September outlining Prescription Drug Data Collection (RxDC) reporting requirements that begin December 27, 2022. The RxDC reporting provision of the Consolidat...

Why CCSB for SEP?

With the Special Enrollment Period (SEP) approaching, Covered California for Small Business (CCSB) is a great way to give employees choice. CCSB's goal is to provide access to medical insurance for Ca...

Kaiser Permanente®: Covid-19 Vaccine Boosters for People 5 and up

With holiday gatherings just around the corner, it’s important for employees to protect themselves and their loved ones by getting an updated COVID-19 booster and/or a Flu Shot. To better protect a...

Health Net's Notice of Changes to Coverage Terms for 2023

Health Net Commercial Small and Large Group Evidence of Coverage (EOC) booklets, for plans effective January 1, 2023 and later, will contain the updates as shown in the Notice of Changes links below. ...