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.

Compliance with the CAA’s Gag Clause Prohibition

The Gag Clause Compliance Attestation Form that is part the Consolidated Appropriations Act (CAA) is due on 12/31/2023 (and annually thereafter). Find out what’s required of health plans, administrators, self-funded groups, and others to ensure compliance.

It’s Medical Loss Ratio (MLR) Rebate Check Time Again

The Affordable Care Act mandates that Medical Loss Ratio (MLR) rebate checks be distributed annually to employers, if their fully insured medical carriers did not meet their mandated MLR targets. Find out what to expect this year.

Another Annual Group Health Plan Compliance Deadline on the Horizon (Action Required by October 14th)

Another annual Group Health Plan compliance deadline is approaching in October. Find out what your clients need to do to comply with Medicare “creditable” Rx coverage disclosure requirements.

ACA’s 2024 Affordability Percentage Drops to 8.39%

The IRS has announced the 2024 calendar year threshold used by ALE employers to determine if their lowest-premium health plan meets the ACA’s affordability requirement. Find out how the 2024 decrease could affect your clients and their employees.

PCORI Forms and Fees Due 7/31/2023

Annual Patient-Centered Outcomes Research Institute (PCORI) forms and fees are due by the end of July. Find out who is affected – and who pays.

Help Clients Get Reimbursed for COVID-19 Paid Sick Leave

Select California small businesses may be eligible for reimbursement of California COVID-19 Supplemental Paid Sick Leave expenses. Grants of $5,000 to $50,000 are available, but it’s important to apply right away.

Offering “Cash in Lieu of Benefits” – Compliance Considerations

Employers commonly ask brokers if they can offer a cash payment to an employee in lieu of paying for that employee’s benefits.