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.

CAA 2023 RxDC Carrier Reference – Submission Deadline June 1st, 2024

This resource is a reference of fully insured carriers’ approaches to facilitating the CAA Rx Data Collection requirement for/with their group plans, due 6/1/2024.

CAA Pharmacy RxDC Compliance Requirements due by 6/1

The Federal CAA of 2021 requires employer plans and issuers to annually submit reports outlining health premiums, employee/employer contributions, and pharmacy spending/utilization. Familiarize yourself with the essential reporting requirements and reporting methods before the upcoming 6/1 deadline.

California Achieves Near-Universal Coverage, but Budget Deficits and Single-Payer Proposals Remain

In 2024, California achieved near-universal health coverage through Medi-Cal expansion. Despite this achievement and an ongoing budget deficit, a new Single Payer bill was introduced in February. Read for insights on the universal coverage milestone, budget challenges, and looming proposals.

ACA IRS Reporting Overview 2024

Employers considered ALEs in 2023 must soon report on the minimum value health benefits they offered (or did not offer) to full-time eligible employees in 2023. Learn what’s reported, when it’s due, and more.

Annual Employee Benefits Compliance Responsibilities on January 1st

As we approach the new year, employers with group health plans must be prepared to meet their annual compliance obligations on January 1st. This column provides essential information to ensure compliance with the Affordable Care Act (ACA), ACA IRS reporting requirements, and COBRA coverage rules.

Small Group Annual Special Open Enrollment Window: Nov. 15 – Dec. 15

The ACA permits Small Groups to enroll for coverage effective 1/1 annually, without having to meet standard employer contribution and/or employee participation requirements. The Special Open Enrollment Window is 11/15-12/15.

California Governor Signs New Bill Regarding Single Payer into Law

California’s consideration of a move toward “Single Payer health care” is going to be in part under SB 770, which was signed into law by Governor Newsom in October 2023. Find out what’s scheduled to happen in coming months.