The Affordable Care Act requires Medical Loss Ratio rebates when health plans fall short of required minimum spending on care and activities to improve the quality of care. Get details on 2024 rebates due in September in Paul Roberts’s new column.
Medicare Part D Prescription Coverage - Nevada
November 17, 2025Kaiser Permanente and Hometown Health Announce Nevada Joint Venture
November 07, 2025ACA 2026 Special Open Enrollment Window for Small Groups
October 24, 20255 Ways Technology Can Simplify Your Groups’ Open Enrollments
October 22, 2025Tech Team Updates for October 2025
October 20, 2025FEATURED ARTICLE
Medicare Part D Prescription Coverage - Nevada
Nevada carriers must notify CMS and Medicare-eligible employees annually if group health plan drug coverage meets Medicare Part D standards. This guide lists non-creditable plans; others are creditable. Applies at case install or renewal within 60 days.
Medicare Part D Prescription Coverage - California
California carriers must notify CMS and Medicare-eligible employees annually if group health plan drug coverage meets Medicare Part D standards. This guide lists non-creditable plans; others are creditable. Applies at case install or renewal within 60 days.
Stay Informed: UCSD Health Network Adjustments for 2026
University of California San Diego (UCSD Health) has posted an important update to its provider network for 2026.
Kaiser Permanente and Hometown Health Announce Nevada Joint Venture
Kaiser Permanente and Renown Health announce a new Nevada health plan launching in 2026, expanding care options for Northern Nevada residents.
Nevada Carrier Partner Updates
Here’s an overview of recent updates from our carrier partners. For details on any specific update, click on the related link.
California Carrier Partner Updates
Here’s an overview of recent updates from our carrier partners. For details on any specific update, click on the related link.
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.