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Aetna removes Zepbound from coverage for weight management

Effective July 1, 2025, Aetna will no longer cover Zepbound, a GLP-1 medication used for weight management. Both Wegovy and Saxenda will continue to be covered. The change is estimated to create year-over-year client savings of 10 to 15 percent within this medication classification.

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Gravie tightens access to GLP-1 medication

Gravie members receiving coverage for GLP-1 medication, used to treat type 2 diabetes and prescribed for weight loss, will be subject to new requirements effective July 15, 2025.

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IRS establishes HSA and HDHP limits for 2026

The Internal Revenue Service (IRS) recently issuedRevenue Procedure 2025-19establishing health savings account (HSA) contribution limits for the 2026 calendar year. Beginning January 1, 2026, individuals with self-only coverage can annually contribute up to $4,400 to their HSA. Those with family...

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Response to Allstate data request due April 30

Allstate recently emailed plan sponsors 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 employer-based plans must submit information...

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New Form I-9 released

U.S. Citizenship and Immigration Services recently released a new edition of Form I-9 and supporting instructions. The form has an effective date of January 20, 2025, and an expiration date of May 31, 2027.

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Response to Blue KC data request due April 29

Blue Cross and Blue Shield of Kansas City (Blue KC) emailed plan sponsors today requesting data needed to comply with the Prescription Drug Data Collection (RxDC) reporting requirement. Groups that do not have an email address on file, or whose email address bounced, will be mailed a letter. To...

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Response to BCBSKS data request due April 23

Blue Cross and Blue Shield of Kansas (BCBSKS) recently mailed letters to plan sponsors 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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UnitedHealthcare requires response to request for data

UnitedHealthcare (UHC) plan sponsors have until March 31 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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Aetna requires response to survey link

Aetna recently emailed employer groups that had Aetna coverage for any period in 2024, 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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ACA reporting requirements modified

Changes to the reporting requirements (1094 /1095 series) imposed by the Affordable Care Act (ACA) were signed into law late last year. The Employer Reporting Improvement Act and the Paperwork Burden Reduction Act at face value provide some administrative relief to employers required to provide the...

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