Already at Record High, ACA Marketplace Enrollment Could Increase Further
Enhanced Marketplace subsidies have continued to drive up enrollment in the individual market, and the loss of Medicaid coverage by millions of people could contribute to this trend, according to a new KFF analysis. Meanwhile, enrollment in non-ACA-compliant plans is at a record low. Read more.
Highmark Update | Notice of loss rebate
The Affordable Care Act (ACA) includes a Medical Loss Ratio (MLR) requirement for health insurers. The MLR provision mandates that insurers rebate all or a portion of the premiums paid if a certain percentage of premiums collected are not spent on claims or quality improvement programs. Read more.
In late February 2023, the IRS, DOL and HHS issued a joint announcement detailing how group health plans are to comply with the gag clause attestation requirements, or Gag Clause Prohibition Compliance Attestations (GCPCA), established by the Consolidated Appropriations Act, 2021. Detials for HBS and CBC will be coming soon.
Aetna | Gag Clause Reporting Details
Employer sponsored group health plans (both self-funded and fully insured) are prohibited from entering into agreements with a health care provider, network or association of providers, Third Party Administrator, or other service provider where the plan is restricted from accessing and sharing certain information. Read more.
Geisinger | Updates for the Gag Clause
As part of the Consolidated Appropriation Act of 2021, insurance companies and employerbased health plans are required to annually submit a gag clause prohibition compliance attestation (GCPCA) to the Departments of Health and Human Services, Labor and Treasury. Read more.
Highmark | CAA Gag Clause Prohibition Compliance Attestation - Due 12/31/2023
Highmark has conducted reviews to confirm all relevant contracts do not contain terms that could be construed as gag clauses in violation of the CAA's Gag Clause Prohibition. Read more.
9/28 Capital Blue Cross | 2024 ACA Plan Review and Training
The broker support team at Capital Blue Cross would like to invite you to an upcoming training event as you prepare for this year’s ACA Open Enrollment. We are excited to present our ACA plans for 2024! Register now.
Vitori Health | Webinars
With 100% client retention, 80+ Net Promoter scores, advanced FinTech for claims payment and Rx pricing, and a suite of health plan enhancements, our Innovation, Service, and Security is The Vitori Advantage. Register now.
Highmark Update | Producer Incentive (qualify through 11/1/24)
Market with us your large group customer's fully insured renewals and when it sells with Highmark, you will be rewarded for letting us help you help your customers! Read more.
URL Dental, Vision, and HSA Contest (qualify through 10/1/23)
Earn more with URL Insurance Group and Capital Blue Cross dental, vision, and Further by Health Equity HSA products through our exclusive contest! Top 2 producers with most dental groups sold earn $500. Read more.
United Concordia Dental | The small business reward program (qualify through 1/31/24)
United Concordia Dental is excited to offer a small group bonus, over the next seven months, to you, our loyal producers. As a way to thank you for your dedication and hard work, we want to reward you with an added bonus program. You can earn extra money for small business (less than 100 lives) sold in July through January.
Read more.
Pennie | Community Workgroup Newsletter
In lieu of a Pennie Community Workgroup (PCW) webinar for July, we are sending this newsletter with updates and information on Pennie’s current and upcoming initiatives. Read more.
Pennie Toolkit: Loss of Medical Assistance
Starting April 1st, all Medical Assistance (MA) and CHIP recipients must complete an annual renewal to keep coverage. Pennie is here to ensure continuous coverage for Pennsylvanians that have lost or are losing MA coverage, but we need your help! Read more.
Pennie Protects Nearly 372,000 Pennsylvanians with 2023 Health Coverage
At the conclusion of Pennie’s Open Enrollment Period on January 15th, nearly 372,000 Pennsylvanians were enrolled in a comprehensive health plan. Almost 245,000 Pennsylvanians were automatically renewed into a 2023 plan, another 62,000 existing customers returned and shopped for a plan. Read more.
Family Glitch Fixed, More Savings Now Available at Pennie
Under new federal rules, Pennie can now provide savings to more Pennsylvanians! Read more.
Pennie | Broker Workgroup
