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.
Understanding the Gag Clause Attestation and What Employers Need to Know
December 05, 2025Tech Team Updates for December 2025
December 04, 2025Nevada Carrier Partner Updates
December 04, 2025California Carrier Partner Updates
December 04, 2025Tech Team Updates for November 2025
November 24, 2025FEATURED ARTICLE
Tech Team Updates for November 2025
The Tech Team Updates for this month offer more news you can use concerning Ease and its transition to Employee Navigator, which is continuing into 2026.
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.
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.