Month: March 2025

Under the Affordable Care Act, when employers cancel medical coverage, they must provide adequate notice to all covered employees that the group medical policy will terminate on a chosen date. (Applies to fully insured small groups.)

Last month, we shared our approach to support group customers with Prescription Drug Data Collection (RxDC) reporting for the 2024 reference year. As indicated, fully insured group customers need to provide their average monthly premium data for inclusion in our submission. (Applies to fully insured groups.)

To qualify for reinstatement after missed payments, small group clients must have no more than two delinquency-related cancellations in the past 12 months, submit the request within two months of the cancellation date, and pay all outstanding balances in full. (Applies to fully insured small groups.)