Anthem: Ohio Small Group SOCA MEWA Information
- On February 18, 2025
View the most recent list of SOCA MEWA participating chambers and notable changes.
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Reminder: Employer-Sponsored Health Plans to Report Medicare Part D Information to CMS
- On February 10, 2025
Employer-sponsored health plans that offer prescription drug coverage to Medicare-eligible individuals must meet an important annual reporting requirement: submitting the Disclosure to CMS Form to confirm whether their prescription drug coverage is creditable or non-creditable compared to Medicare Part D. With the deadline approaching, plan sponsors should ensure they file their disclosure on time to avoid compliance issues. Below […]
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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.
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MMO: COSE Benefit Plan Annual Notices Mailing
- On February 4, 2025
The annual notice of health benefits will be mailed to all COSE Benefit Plan group officials in early February.
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The IRS Provides Much-Needed Guidance on Federal Tax Treatment of State Paid Leave Laws
- 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, […]
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MMO: Member ID Cards Delayed for Some MEWA Members
- On January 21, 2025
Member ID cards for approximately 22,000 MEWA (1-50) members have been delayed.
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SummaCare: Coordination of Benefits Information Being Requested and 2025 Broker Bonuses
- 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 […]
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Anthem: Agreement Reached with The Ohio State University, Summa Health, and Genesis Healthcare System
- 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.
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HHS Issues Proposed Rule Aimed at Strengthening HIPAA Security Compliance
- 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 […]
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Revisiting ERISA Plan Documents and SPDs in the New Year
- 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 […]
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