Bulletins

IRS lowers ACA affordability rate for 2023

The IRS recently issued Revenue Procedure 2022-34, lowering the affordability threshold for the 2023 calendar year to 9.12% of annual household income from the 2022 threshold of 9.61%. This percentage is used to determine an individual’s eligibility for a premium tax credit (PTC) through...

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Western Missouri Medical Center joins BlueSelect Plus Network

Blue Cross Blue Shield of Kansas City (Blue KC) has expanded its BlueSelect Plus network to include Western Missouri Medical Center located in Warrensburg, Mo. The addition increases the number of hospitals in the network to 13.

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Aetna announces prescription drug list changes

Effective July 1, 2022, Aetna will change the Advanced Control-Aetna formulary for all fully insured and self-insured groups. Changes address refill quantities and non-formulary, preferred brand and specialty drug categories.

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Blue KC prescription drug list update

Blue KC is updating their prescription drug list, as well as opening a new Spira Care location in Independence, Missouri. 

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PCORI fee deadline July 31, 2022

Self-funded plan sponsors must file the annual Patient-Centered Outcomes Research Institute (PCORI) fee by July 31. Employers may select from four calculation methods to determine how much is owed and use Form 720 to submit the information to the IRS. For clarification on how to fill out Form 720...

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IRS announces 2023 HSA limits

IRS-adjusted contribution limits for 2023 Health Savings Accounts (HSA) represent approximately a 5.5% increase over 2022 limits. Changes are effective January 1, 2023. HSAs are tax-exempt accounts that help people save money for eligible medical expenses. To qualify for an HSA, the policyholder...

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IRS to lower 2022 ACA affordability rate

The IRS recently issued Revenue Procedure 2021-36, lowering the affordability threshold for the 2022 calendar year to 9.61% of household income from the 2021 threshold of 9.83%. This percentage is used to determine an individual’s eligibility for a premium tax credit and the affordability of...

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COBRA, FSA, HRA deadlines extended for additional one-year period

The pronouncement of the COVID-19 National Emergency declared by President Donald Trump in March of 2020, temporarily changed certain deadlines for health reimbursement arrangements (HRAs), flexible spending accounts (FSAs) and COBRA. Just days before the one-year period was set to expire,...

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Blue KC members submit reimbursement form for OTC COVID-19 tests

Blue Cross Blue Shield of Kansas City (Blue KC) members can be reimbursed for over-the-counter (OTC), FDA-approved COVID-19 tests by submitting a Blue KC-provided claim form. The OTC COVID-19 test benefit includes up to eight tests per member per month. Members must provide a copy of the receipt...

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Humana outlines two options to obtain no-cost OTC COVID-19 tests

Humana has identified two options for members to purchase over-the-counter (OTC), FDA-approved COVID-19 diagnostic kits to comply with the Department of Labor’s (DOL’s) directive released last week. The DOL requirement took effect January 15.

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