Bulletins

    UnitedHealthcare requires response to data request

    UnitedHealthcare (UHC) plan sponsors have until April 10 to provide data needed to complete the annual Prescription Drug Data Collection (RxDC) reporting. To comply with the Consolidated Appropriations Act (CAA), passed in December 2021, insurance carriers and employer-based plans must submit...

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    Humana requires response to survey link

    Humana employer groups received an email last week from Humana Employer Benefits requesting data needed to comply with the Prescription Drug Data Collection (RxDC) reporting requirement. To comply with the Consolidated Appropriations Act (CAA) passed in December 2021, insurance companies and...

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    Aetna removes Humira from pharmacy formularies

    Effective April 1, 2024, Aetna will remove Humira (adalimumab) from most commercial pharmacy formularies. Impacted plan members will need to switch to a preferred biosimilar or other preferred product.

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    Blue KC updates prescription drug lists for 2024

    Starting January 1, 2024, Blue Cross Blue Shield of Kansas City (Blue KC) will implement updated prescription drug lists for small groups.

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    IRS increases health FSA contribution cap by $150

    The IRS announced today that the health flexible spending account (FSA) cap for 2024 is $3,200, a $150 increase from 2023. For cafeteria plans that permit carryover funds, the maximum carryover amount is $640, a $30 increase from the current-day limit. The dependent care FSA limit remains at $5,000...

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    Carrier stances on 2023 gag attestations

    The Consolidated Appropriations Act (CAA)gag clause prohibitionrequires issuers and plan sponsors to attest that any agreements they enter with health care providers, third-party administrators or other service providers will not contain language restricting access to cost and quality of care...

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    BCBSKS to complete annual gag attestation on behalf of groups

    The Consolidated Appropriations Act (CAA)gag clause prohibitionrequires issuers and plan sponsors to attest that any agreements they enter with health care providers, third-party administrators or other service providers will not contain language restricting access to cost and quality of care...

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    Employers must follow guidelines when issuing 2022 MLR rebates

    Area insurers (carriers) are beginning to issue 2022 plan year medical loss ratio (MLR) rebates. The Affordable Care Act requires insurers to meet MLR requirements each year. If an insurer doesn’t meet the minimum MLR (spend 80 to 85 percent of its premium dollars on health care or activities that...

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    EEO-1 data collection period opens October 31

    Private employers with 100 or more employees and federal contractors with 50 or more employees are required to file an annual report with the Equal Employment Opportunity Commission (EEOC) detailing workforce demographic data. The deadline for 2022 EEO-1 Component 1 data is December 5, 2023....

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    IRS lowers 2024 ACA affordability rate to 8.39%

    The IRS recently issued Revenue Procedure 2023-29, lowering the affordability threshold for the 2024 calendar year to 8.39% of annual household income from the 2023 threshold of 9.12%. The threshold is the lowest in the history of the Affordable Care Act (ACA).

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