- On November 1, 2023
Stop Loss Coverage – Gene Therapy Rider Discontinued
For all new and renewing business with an effective date on or after 02/01/24, the gene therapy rider will be removed and the cost for gene therapy will be included in specific stop loss rates. The separate gene therapy rider was originally developed several years ago around a targeted group of existing and anticipated gene therapy drugs to mitigate risk. However, as the drug space continues to evolve and more gene therapy drugs receive FDA approval, along with the associated increases in pricing and demand for these drugs, the gene therapy rider doesn’t provide the level of pricing stability that it has in years past.
Renewal language will be updated to reflect the change.
Dues Update for COSE Affiliate Chambers
Effective Jan. 1, 2024, groups enrolled in the COSE Benefit Plan through an affiliate chamber will no longer be required to pay the COSE affiliate dues. The chambers impacted by this include the Cincinnati USA Regional Chamber, Columbus Chamber, Erie County Chamber, Richland Area Chamber, Toledo Regional Chamber and Wyandot Chamber. These affiliate dues will now be covered by the group’s respective chamber. Active chamber membership is still required for enrollment in the COSE Benefit Plan.
Please view the updated COSE and Chamber Affiliate Membership Dues document for reference.
Pharmacy Benefit Changes Effective Jan. 1, 2024; Member Notifications Planned
Several changes to members’ pharmacy benefits will be effective Jan. 1, 2024, including updates to formularies, SaveOnSP and Standard Plus Preventive Medication lists.