SummaCare: Join Us for 3 Hours of Continuing Education Credits

On February 10, 2025

Join SummaCare as they present a commercial product-focused continuing education event. They will focus on key topics that will refresh and expand your knowledge.

On February 4, 2025

The annual notice of health benefits will be mailed to all COSE Benefit Plan group officials in early February.

On January 27, 2025

Over the last several years, many states have passed mandatory paid leave laws allowing employees to continue to receive at least partial wages when they cannot work due to injury, illness, or disability to themselves or covered family members. While these state laws provided clear guidance on when and how much leave could be taken, […]

On January 21, 2025

Member ID cards for approximately 22,000 MEWA (1-50) members have been delayed.

On January 16, 2025

COB Information Requests Periodically SummaCare updates their records to include information about all other healthcare coverage their members may have. This updating of records is called Coordination of Benefits (COB). State law requires SummaCare to administer a COB procedure because combined payments by all plans should not exceed what has been billed to our members […]

On January 13, 2025

Anthem is pleased to confirm they reached agreements with the following provider and hospital systems effective 1/1/25: If a member has already moved to a new provider or hospital, they can stay with their new provider or switch back. Please contact your ExpressLink representative with any questions.

On January 6, 2025

On Dec. 27, 2024, the U.S. Department of Health and Human Services (HHS) released a proposed rule that would modify the HIPAA Security Rule to strengthen cybersecurity protections for electronic protected health information (ePHI). Although the changes are substantial, they are only in proposed form at this point. Employers with self-insured health plans and those […]

On December 30, 2024

The Employee Retirement Income Security Act of 1974 (ERISA) governs employee benefit plans maintained by private-sector employers. ERISA requires that employer-sponsored welfare benefit plans, such as group health plans, be described in a written plan document. Employers must also provide participants with a Summary Plan Description (SPD) that explains the plan’s terms. Note, however, that […]

On December 23, 2024

On Saturday, December 21, 2024, President Biden signed the American Relief Act of 2025 (ARA) into law, averting a federal government shutdown. After intense negotiations, Congress reached a deal Saturday just in time for the holidays, opting to fund the government at current levels through March 14. Failing to reach a deal would have resulted in the […]

On December 16, 2024

Update as of 12/24/2024: President Biden has signed the Paperwork Reduction Act and the Employer Reporting Improvement Act into law. Congress passed the Paperwork Reduction Act and the Employer Reporting Improvement Act, each of which would modify the ACA’s provisions on 1094 and 1095 tax form reporting. President Biden is expected to sign both acts […]

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News & Updates

SummaCare: Join Us for 3 Hours of Continuing Education Credits

MMO: COSE Benefit Plan Annual Notices Mailing

The IRS Provides Much-Needed Guidance on Federal Tax Treatment of State Paid Leave Laws

MMO: Member ID Cards Delayed for Some MEWA Members

SummaCare: Coordination of Benefits Information Being Requested and 2025 Broker Bonuses

Anthem: Agreement Reached with The Ohio State University, Summa Health, and Genesis Healthcare System

HHS Issues Proposed Rule Aimed at Strengthening HIPAA Security Compliance

Revisiting ERISA Plan Documents and SPDs in the New Year

No Telehealth Flexibility Extension for HSAs in Funding Bill

Congress Passes Two Laws Intended to Ease Employer ACA Reporting