Federal law mandates health plans to report premium costs, drug use, and spending via the CAA’s RxDC program. Carriers handle reporting for insured plans, but employers may need to assist. This 2026 overview covers carrier approaches, surveys, deadlines, and where employer input is required.
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CAA RxDC Reporting – Carrier Approaches, Surveys, and Deadlines
Federal law mandates health plans to report premium costs, drug use, and spending via the CAA’s RxDC program. Carriers handle reporting for insured plans, but employers may need to assist. This 2026 overview covers carrier approaches, surveys, deadlines, and where employer input is required.
Carrier Infertility Overview
Starting January 1, 2026, SB 729 requires California health plans to cover infertility diagnosis and treatment. Large Group plans must include these benefits, while Small Group plans must offer them. See below for details on benefits and riders available with our Small Group carriers.