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MMO: 11/18/25 Special Broker Update

  • On November 19, 2025
Medical Mutual continues to participate in active contract negotiations to renew their provider agreement with Licking Memorial Health System for the 2026 plan year.
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State Level Health Coverage Reporting Deadlines

  • On November 18, 2025
The Affordable Care Act (ACA) created several federal reporting requirements for employers and health plans, which (among other things) provide the government with information to administer ACA mandates, such as the large employer shared responsibility penalty and the individual mandate. The ACA’s individual mandate became effective in 2014, and it requires individuals to obtain minimum […]
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IRS Finalizes 2025 ACA Reporting Instructions

  • On November 11, 2025
On November 5, 2025, the Internal Revenue Service (IRS) released the final instructions for Affordable Care Act (ACA) reporting requirements under Internal Revenue Code Sections 6055 and 6056.
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MMO: 11/11/25 Broker Update

  • On November 11, 2025
Medical Mutual to Mail Women’s Health and Cancer Rights Act Letters Topic: Broker Relations |  Companies: Medical Mutual |  Segment: Individual, Small Group (1-50), 51-99, 100+, MEWA The Women’s Health and Cancer Rights Act of 1998 (WHCRA) requires, under the law, group health plans and health insurers to notify members regarding coverage. Medical Mutual will […]
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Gag Clause Compliance for Group Health Plans Overview

  • On November 4, 2025
Federal regulations bar group health plans and health insurers from entering into agreements that restrict access to specific data regarding provider pricing or service quality. These contractual limitations—known as “gag clauses”—can prevent plans from sharing or obtaining vital cost and care information. To ensure compliance, plans and insurers must file an annual attestation with the […]
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MMO: 11/3/25 Special Broker Update

  • On November 3, 2025
Medical Mutual is in active negotiations with Licking Memorial Health System (LMHS), which includes Licking Memorial Hospital and Licking Memorial Professional Providers, to address their high reimbursement rate structure.
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