CAA

Aetna 2024 Gag Clause Compliance Approach

Aetna will file on behalf of all self-funded (including AFA), insured and split-funded plan sponsors that had active coverage in 2024.

UnitedHealthcare Gag Clause Confirmation of Compliance

UnitedHealthcare has provided a Confirmation of Compliance to support customers who must complete the required attestation.

Compliance News Week Ending July 12, 2024

Compliance News Week Ending July 12, 2024 In this Article: Change Healthcare - HIPAA Breach Notifications Supreme Court Decision - Change in Administrative Power Federal Trade Commission ...

Blue Shield of California: Confirmation of RxDC Report Submission

Data submitted is for the preceding year, 2023. Blue Shield will also reach out to groups, informing them of the data submission.

Employer Compliance Tips

Employer Compliance Tips Advance Explanation of Benefits (EOB) IRS Priority Guidance Plan (ACA Rules and Reporting) IRS Request for Comment - ACA Employer Reporting 1094/1095C Forms ...

RxDC Reporting is Due June 1, 2024

RxDC Reporting is due to CMS by June 1, 2024 2023 Prescription Drug Data reporting is due June 1, 2024. As of the publication of this article, reporting of Rx Data is due to CMS in a little over...

Blue Shield of CA | Prescription Drug Cost Reporting - Deadline to Submit D1 Data: April 19, 2024

Blue Shield of California is collecting D1 Premium Contribution data as part of the Consolidated Appropriations Act, Section 204 (2021)– Prescription Drug Cost Reporting regulation, on behalf of Blue ...

RxDC Resources at Amwins Connect

RxDC Resources at Amwins Connect As we get closer to the deadline, you are probably receiving questions from your clients asking you what the carriers are doing or what are they not doing in order ...

Broker Compensation Disclosure Update

Broker Compensation Disclosure Updated March 2024 Overview The Consolidated Appropriations Act of 2021 (CAA) included a requirement that brokers and consultants supplying services to ERISA-c...

Blue Shield of CA | Improved Process for D1 Premium Reporting - RxDC Mandate

Groups and/or their brokers without Employer Connection access, including active groups, termed groups, and Covered California Small Business groups, can submit required information via the Prescripti...

Covered California Small Business | Important Notice on CAA, Section 204 Pharmacy Reporting

“Under Section 204 (of Title II, Division BB) of the Consolidated Appropriations Act, 2021 (CAA), insurance companies and employer-based health plans must submit information about prescription drugs a...

Webinar Replay: RxDC Reporting Round 3

RxDC Reporting Round 3 January 31, 2024 Another round of Rx reporting is just around the corner. As we have started seeing communications from carriers and TPAs requesting data for the Rx report...