Newsroom

Because the insurance industry is evolving, and rules and regulations change, we help you stay up-to-date by sending carrier, product, and other updates regularly via emails and e-newsletters, post updates in our online Newsroom, and post on social media. Check out the latest news below.

FEATURED ARTICLE

surprise!!

Special Open Enrollment: Small Group Participation and Contribution Requirements Waived

Discover how the ACA’s annual Special Open Enrollment (SOE) Window can help Small Group employers secure 1/1 coverage without meeting participation or contribution requirements. Plus, get access to our exclusive California and Nevada SOEW references.

CAA Pharmacy Rx Data Collection (RxDC) Compliance Requirements Due by 6/1

The 6/1 deadline for RxDC reporting is approaching; group health plans must submit data on drug costs and healthcare spending. While carriers handle reporting for fully insured plans, employers still have responsibilities. For self-funded plans, the employer is responsible. Learn what’s required.

Nevada Carrier Partner Updates

Here’s an overview of recent updates from our carrier partners. For details on any specific update, click on the related link.

California Carrier Partner Updates

Here’s an overview of recent updates from our carrier partners. For details on any specific update, click on the related link.

California Law Prohibits Using AI as Basis for Claims Denial

About 25% of health insurance claims in California were denied last year. New legislation now bans insurers from using AI alone to deny claims based on medical necessity.

Weight Loss Drugs (GLP-1) Coverage

Get the latest guidelines for weight loss drugs by carrier.

Drugmakers Increase Prescription Med Prices in 2025

Prescription drug prices rose on nearly 600 medications in January, impacting treatments for diabetes, HIV, COVID-19, cancer, and more. Learn more.

Tech Team Updates for February 2025

February’s Tech Team Updates offer more news you can use concerning Ease and its transition to Employee Navigator, which continues throughout 2025.