Bulletins

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.

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

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...

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...

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...

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...

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....

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).

Employers have an annual obligation to issue a creditable or non-creditable coverage notice to all plan participants who are Medicare-eligible, including dependents and retirees. The notice, due by October 15, informs Medicare-eligible participants whether their prescription drug coverage is at...

A proposed Department of Labor (DOL) rule would make overtime pay available to exempt employees whose salary is less than $55,068. Currently, white-collar employees whose duties qualify for an exemption from overtime under the Fair Labor Standards Act (FLSA) need only be paid $35,568.