01/05/2022
Featured
01/05/2022
Aetna Southern CA Network Negotiations with Optum
Recently, Aetna notified you that they are in active contract negotiations with the Optum Group for the following medical groups for HMO members: AppleCare, Monarch, and PrimeCare Medical Group. They ...
12/28/2021
Health Net Q2 2022 Update
Health Net is available to quote for Q2 2022; please note, rates are pending approval. There is a moderate rate change with HMOs seeing a slight decrease and EPO plans seeing a slight increase. There ...
12/21/2021
Sharp Health Plan Releases Q2 2022 Rates
Sharp Health Plan has released their Q2 2022 rates. All HMO plan rates will increase by 0.7%. There are no changes to plan designs or underwriting guidelines. Quoting is available now. Contact your...
12/17/2021
Guidance for CAA Drug Cost Reporting Requirements
Guidance for Drug Cost Reporting Requirements Contained in the Consolidated Appropriations Act (CAA) The Department of Health and Human Services (HHS), Department of Labor (DOL) and the Department ...
12/15/2021
VSP Response to Tornadoes
VSP® Vision Care cares and wants to do everything they can to help those affected by the recent tornadoes that swept across the U.S. They’re working directly with our network doctors, business partner...
12/14/2021
A Surprising Shift in Benefit Plans
There’s been an unexpected reversal in cost-sharing trends with health plans, according to a survey by Mercer. Sixty percent of employers say they won’t make plan changes to reduce expected health...
12/14/2021
Benefit Communications That Resonate
Employers often worry that employees don’t pay attention to their employee benefits communications. A survey published by the Business Group on Health reveals what resonates with employees: ...
12/14/2021
CaliforniaChoice® Introduces New Plans for March 2022
CaliforniaChoice is offering even more choice by adding two new plans! Effective 3/1/22, Anthem’s Priority Select HMO network will be available in their portfolio. These rich gold and silver plans wil...
12/14/2021
Anthem Blue Cross of California Offers Additional Network Flexibility through June 2022
For groups effective January 2022 through June 2022, Anthem Small Group will be allowing additional network flexibility. Employers can select one of the following pairings: Any 2 HMO networks...
12/11/2021
Cigna + Oscar: Easy Underwriting
Cigna + Oscar is serving up easy underwriting! Start-ups have access to flexible payroll requirements and no DE-9C is needed for groups of 3+ enrolled. With the nation-wide Open Access Plus PPO...
12/08/2021
CoPower Offers New Online Method of Payment for Existing Groups
CoPower groups have multiple ACH payment options. Groups can now submit one-time ACH payments from their bank account to pay invoices. Groups can go to www.copower.com/paynow to submit an ACH payme...
12/08/2021
Satisfaction with HDHPs Goes Up Over Time
Fifty-four percent of enrollees are very or extremely satisfied with their high deductible health plan (HDHP) after three years or more on the plan compared to 30% in the plan less than a year, ac...
12/08/2021
Private Insurers to Cover At-Home COVID Tests
The administration will soon mandate that insurers reimburse Americans for purchasing at-home tests. Three federal departments will issue guidance on January 15, 2022. People who buy the tests wil...
12/03/2021
Kaiser Permanente® Makes Managing Members Easier
Kaiser Permanente® is making it easy to support your groups through Manage Members, no delegation needed. You now have the same Manage Members access and capabilities as your groups, which means yo...
12/03/2021
Health Net Underwriting Updates for Q1 2022
Health Net introduces smoother selling effective January 1, 2022. They are changing the out-of-state maximum requirement from 49% of ‘enrolled’ and ‘eligible’ employees to just 49% of ‘eligible’...
12/03/2021
Blue Shield of California Partners with Walgreens for Collaborative Pilot Program
New collaboration to expand access to health care, lower costs and enhance the consumer experience with innovative digital (app) and physical (in-store) services to improve health outcomes for individ...
12/01/2021
IRS Proposes Automatic Extension For Furnishing 1095-C Forms
On November 22, the IRS issued proposed rules that would permanently provide an automatic extension for furnishing Forms 1095-C and 1095-B to individuals, from January 31 to March 2. The Proposed Rule...
12/01/2021
IRS Announces 2022 Limits for HSAs and HDHPs
The Internal Revenue Service (IRS) announced (See Revenue Procedure 2021-25) cost-of-living adjustments to the applicable dollar limits for health savings accounts (HSAs), high-deductible health p...
11/30/2021
Cigna + Oscar Q1 Updates Webinar
Join Cigna + Oscar's California sales team for an overview of important updates heading into 2022! Learn about Cigna + Oscar's pricing, portfolio and network updates along with other intel. Three s...
11/30/2021
