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2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | ACA | Aetna | All Savers | alternative funding | BCBS | brokers | Cigna | CMS | community rating | DOL | employer mandate | essential health benefits | exchanges | FFM | full-time employee | health insurance | health reform | HHS | humana | individual market | IRS | large group | medical | Memorial Hermann | minimum essential coverage | minimum value | open enrollment | reinsurance fee | renewals | section 6055 | section 6056 | self-funded | SHOP | small group | TDI | transitional relief | UHC | wellness
Small Group Prescription Drug List Resources
The tables below summarize the structure of pharmacy benefits offered by carriers on small group fully insured and self-funded medical … FULL STORY
Cigna: Final 2019 Notice of Benefit and Payment Parameters
On April 9, 2018, the Department of Health and Human Services (HHS) issued final regulations and related guidance on Affordable … FULL STORY
Cigna to Acquire Express Scripts
On March 8th, 2018 Cigna announced they had reached a definitive agreement to acquire Express Scripts. Cigna, one of the … FULL STORY
Cigna: The American Health Care Act – A Milestone Toward Repeal and Replace
The next era of U.S. health care reform is underway with a focus on repeal and replace of the Affordable … FULL STORY
Overview of Telehealth / Virtual Visit Benefits by Carrier
Every major Texas medical carrier will cover telehealth / virtual visit programs. The table provides an overview of the programs … FULL STORY
Broker Commissions – Summary of 2016 Individual Medical Carrier Schedules
The official commission schedules from selected carriers on individual major medical (under 65 market) products effective in 2016 are linked … FULL STORY
Cigna: Final Regulations Issued on Several 2010 Provisions
On November 13, the Departments of Health and Human Services (HHS), Labor and Treasury issued final regulations regarding Lifetime and … FULL STORY
Increased Penalties for Employer Reporting Requirement Non-Compliance – Cigna
The Trade Preferences Extension Act of 2015, signed into law by President Obama on June 29, significantly increases potential penalties … FULL STORY
Individual Out-of-Pocket Maximum Will Apply to All Non-Grandfathered Plans in 2016 – Cigna
On May 26, the Departments of Health and Human Services (HHS), Labor (DOL) and Treasury issued FAQs clarifying out-of-pocket (OOP) … FULL STORY