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Health Plan Options

Plan year 2017 registration and training opens on Monday, August 1!

CMS is pleased to announce that plan year 2017 registration and training will open on Monday, August 1. Agents and brokers will be able to log in to their CMS Enterprise Portal user accounts and access the Marketplace Learning Management System (MLMS) to start the registration steps on August 1. Read more.

Federal Labor Laws by Number of Employees

Special Note on Health Care Reform: The Affordable Care Act includes comprehensive health insurance reforms with compliance requirements affecting employers of various sizes. For the latest information, please visit the Health Care Reform section. Learn more.

2016 State-Based Marketplace Public Use Files

In an effort to facilitate greater access to Marketplace data, CMS released a set of state-based Marketplace public use files (SBM PUF). Read more.

Highmark Channel Insights: Summer 2016 Edition

Welcome to the Summer 2016 edition of our electronic newsletter Channel Insights - News for the Producer Community. Read more.

Annual Income Threshold FAQ

CMS/CCIIO has released an FAQ to clarify changes in the household income verification process in the Marketplace. Read more.

Aetna Pennsylvania small group plan changes

Notice for Aetna Health Maintenance Organizations (HMO), Aetna Choice Point of Service® (CPOS) and Quality Point of Service® (QPOS) health plans. Read more.

Aetna AFA is built with PA, DE and WV small businesses in mind

Aetna Funding Advantage (AFA) can make a big difference for your small group customers. Read more.

Capital BlueCross Countdown to Enrollment

Capital BlueCross and its family of companies offer competitive rates on individual short-term health plans, as well as one-stop shopping to quote, apply, and pay. Commissions are available. Read more.

Obamacare's Medicaid expansion leading to health insurance boom in some states

The U.S. Supreme Court decision that upheld most of Obamacare also rejected the section of the Affordable Care Act that would have compelled states to expand eligibility in their Medicaid programs to nearly all poor adults. Read more.

10 top compliance issues for 2017 benefit planning

In finalizing 2017 health benefit designs, contribution strategies, vendor terms and employee communications, employers need to keep pace with the latest Affordable Care Act regulations and other developments impacting health plans. Read more.

Humana to cut 2017 individual market footprint 88%

Humana says the company as a whole is doing well, but that its individual health operations are doing much worse than it had expected. Read more.

Anthem-Cigna and Aetna-Humana breakup provisions, dissected

News that the U.S. Department of Justice is going to court to block Anthem's efforts to acquire Cigna Corp. and Aetna's effort to acquire Humana raises an important question: How much cash could the acquisition targets get if the deals die? Read more.

12 books benefit pros should read this summer

“A Passion for Wellness” is a helpful resource for learning how wellness education, strategy and implementation can promote a shift from treating illness to promoting health. Read more.

Insurers, Pushing for Higher Rates, Challenge Key Component of Health Law

For several years, the Obama administration has urged state insurance regulators to use tools provided by the Affordable Care Act to hold down health care premiums. Read more.

Some health insurers may face ACA cash crunch

The insurance oversight office published cost-sharing reduction program payment reconciliation rules for the 2014 and 2015 benefit years in March. Read more.

Harrisburg chamber leader: OT rule overlooks regional differences

Most people know that homes generally sell for more in Los Angeles and New York City than they do in Central Pennsylvania. Read more.

7 ways the Anthem-Cigna and Aetna-Humana deals may chill policy

Federal antitrust regulators seem to be dominating the health insurance industry headlines this summer. Read more.

10 top compliance issues for 2017 benefit planning

In finalizing 2017 health benefit designs, contribution strategies, vendor terms and employee communications, employers need to keep pace with the latest Affordable Care Act regulations and other developments impacting health plans. Read more.

Summary of CMS emails for week of July 18

This weekly email summarizes the content of emails distributed by the Centers for Medicare & Medicaid Services (CMS) to agents and brokers during the preceding week to keep you up-to-date on the Federally-facilitated Marketplaces (FFMs). Read more.

Did You Miss the ASO Signature Seminar?

Introducing ASO SignatureSM, a cost-effective, self-funding solution powered by a ready-made benefits and services package from Capital BlueCross, the name trusted for nearly 80 years. Read more.

Earn up to 3 CE's at our CPAHU Meeting on July 26th

CPAHU is holding a 3 CE meeting July 26, 2016 at the URL offices in Harrisburg, 8:00 AM to 12:00 PM. Topics include: "The Future of Group Insurance" and legislative update by Vince Phillip, "The Changing Worksite Benefits Market" by Elsie Fairchild, BenEchoice Enrollment Solutions, and "The Pharmacy Benefit: An Industry Update" by Joe Reardon, Serve You Custom Rx Management. Register now.

Weekly PPACA Update Conference Call
*There will be no Weekly PPACA Update Conference Call on July 28th.

In a continuing effort to assist our agent-partners in getting the information needed to flourish within the under 65 group and individual markets in Pennsylvania, we are holding weekly live webinars. They will serve as a place to get your questions answered and discuss topics and strategies that will lead to your continued success in the health insurance market. Register once and you'll be signed up for all of the 2016 Weekly PPACA Conference Calls. Register now.

Weekly PPACA Conference Call Archives

Click here to view the archived recordings of the PPACA Conference Calls.