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News & Updates

How Economic Uncertainty and New Tariffs Could Impact Your Clients’ Workforce Strategy

  • On March 3, 2026
Recent policy shifts, including the Supreme Court ruling striking down the administration’s sweeping tariffs, are creating new waves of uncertainty across global markets, business operations, and employer strategies. What was framed as an economic stabilizer has now entered a new and more complex chapter. And while the headlines focus on geopolitical maneuvering, market reactions, HR […]
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SummaCare: Cleveland Clinic Eligibility Verification Issue

  • On February 18, 2026
SummaCare is making you aware of an issue that is sporadic and not widespread but that can be confusing and frustrating. The Cleveland Clinic (CC) is having issues with verifying member eligibility. SummaCare has confirmed that the eligibility files they transmit are accurate, indicating that the issue appears to be on the Cleveland Clinic side. […]
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Take Action Now to Update HIPAA Notice

  • On February 10, 2026
Employers with self-insured medical plans (including health care FSAs, HRAs, and level funded arrangements) must update their HIPAA Notice of Privacy Practices (NPP) by February 16, 2026, to include additional protections for certain substance use disorder (SUD) records. For employers sponsoring fully insured medical plans, the insurers are responsible for updating the NPP. In 2024, federal regulators […]
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MMO: Broker Update 2/3/2026

  • On February 3, 2026
SmartShopper Email to Group Officials and Webinar Reminder Topic: Product News |  Companies: Medical Mutual |  Segment: 51-99, 100+, MEWA Beginning early this week, group officials in the 100+ and 1-99 market segments, including MEWA and Balanced Solutions, will receive an email regarding the newly relaunched SmartShopper program—a tool that helps members compare prices at in-network […]
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Federal Scrutiny of PBMS Intensifies

  • On February 3, 2026
Federal attention on the pharmaceutical benefit manager (PBM) sector has increased markedly in recent weeks. On January 22, 2026, the U.S. House of Representatives approved the Consolidated Appropriations Act (CAA) for fiscal year 2026. This wide-ranging funding legislation includes multiple healthcare provisions, among them sweeping reforms aimed at PBM operations. The Senate passed the bill […]
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2026 Q1 Compliance Reminders

  • On January 27, 2026
As the new calendar year begins, employers that sponsor group health plans should take steps to stay ahead of key compliance obligations. Several federal reporting and disclosure requirements, mandated under laws such as the Employee Retirement Income Security Act (ERISA), the Affordable Care Act (ACA), and the Health Insurance Portability and Accountability Act (HIPAA), must […]
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EBSA Announces FY 2026 Enforcement Priorities

  • On January 21, 2026
On January 15, 2026, the U.S. Department of Labor’s Employee Benefits Security Administration (EBSA) released updated national enforcement initiatives for fiscal year 2026. These initiatives outline the areas EBSA will emphasize in its enforcement activities, with the goal of improving compliance with employee benefit plan requirements, curbing harmful practices, and reinforcing protections for plan participants and beneficiaries. […]
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SummaCare: 1099 Forms for 2025

  • On January 13, 2026
If you receive 1099 forms, due to the recent acquisition of Summa Health by General Catalyst’s Health Assurance Transformation Company (HATCo), you will be receiving two forms for 2025. One will indicate Summa Health and the other will indicate Akron Assurance Hospital Company. Per guidelines, 1099 forms will only be issued if payments in 2025 […]
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