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In year two of the 2023-2024 legislative session, legislators face a full agenda, including Single Payer (again), Medical Loss Ratio on Dental, Covered California expansion, Cost Sharing, Provider Directories, and more. Check out a summary from W&B’s Paul Roberts.

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.

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.

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.

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.

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.

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.