MMO: Introducing Short-Term New Sales Bonus

On June 25, 2024

The Short-Term Bonus from Medical Mutual will be applicable to all 364-day policies with a December effective date. Read more for additional details.

On June 24, 2024

The Consolidated Appropriations Act of 2021 amended the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) by requiring every health insurance issuer offering fully insured coverage and group health plan sponsors (aka employers who offer level-funded or self-funded coverage) to analyze their plans for mental health parity compliance. The analyses need to ensure that any […]

On June 24, 2024

In an effort to promote utilization of our self-service tools, beginning this July SummaCare will only be sending Commercial Group (non-MEWA) monthly premium invoice summary pages to employers via U.S. mail. This page provides current premium amount due, due date and a remittance slip. The invoice detail page(s) will be viewable on Plan Central, our […]

On June 18, 2024

Things have certainly changed over the last few years. How did we get from a time when people worked to live to where we are now? Increasingly, employers are struggling to find qualified candidates, and workers feel that their opportunities for advancement have stalled. What happened?

On June 17, 2024

The Centers for Medicare and Medicaid Services (CMS) Office of the Actuary just released its projections of national health expenditures (NHE) and health insurance enrollment for the years 2023-2032. This data is published annually and is often referred to as the “official” estimates of health insurance enrollment and national health spending.

On June 13, 2024

Twice each year, adjustments may be made to prescription drug formularies and drug lists based on changes in the market. Updates to the National Preferred formulary with Express Scripts will be effective July 1, 2024.

On June 10, 2024

Anthem is adding 4 “NEW” plans to the SOCA MEWA platform effective with 9/1/24 effective dates and later.

On June 6, 2024

For many employers, two crucial federal compliance deadlines are coming up on July 31, 2024: the filing and payment of the Patient-Centered Outcomes Research Institute (PCORI) fee and the filing of Form 5500.

On June 3, 2024

A new final rule issued by the Federal Trade Commission (FTC) makes it clear that vendors of personal health records (“PHRs”) and related entities that are not covered by HIPAA must provide notice to affected individuals, the FTC, and the media if they have a data breach.

MMO: Introducing Short-Term New Sales Bonus

Don’t Forget About Mental Health Parity

SummaCare: Premium Invoice Changes for Commercial Groups

HR Insight: From the Great Resignation to the Great Talent Stagnation – Where Are We Now?

CMS Releases National Health Spending and Health Insurance Enrollment Data

MMO: Updated: National Preferred Formulary Updates Effective July 1, 2024; Member Notifications Sent

Anthem: NEW SOCA MEWA Plans Available with 9/1/24 Effective Dates and Later

Upcoming 2024 Deadlines for PCORI Fee Payment and Form 5500 Filing

New Federal Rule Addresses Health Data Breaches By Entities Not Covered By HIPAA