Important Updates: Plan Changes for 2024

Wendy Lopez

As we transition into 2024, it’s crucial for you to be aware of recent changes in your healthcare coverage. If you were auto-renewed for Plan Year 2024 after being enrolled in the Marketplace for Plan Year 2023, read on for key information. Auto-Reenrollment: Clients not actively selecting a Plan Year 2024 plan by December 15, 2023, were auto-renewed with coverage effective from January 1, 2024. This info was visible on HealthCare.gov and partner sites starting December 16, 2023. Exploring Options: Consider exploring other coverage options or adjusting your Plan Year 2024 selection. Changing plans or enrolling between December 16, 2023, and January 16, 2024, ensures an effective date of February… Read More

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Court Vacates Coupon Cost-Sharing Rule

Wendy Lopez

On September 29, 2023, a significant legal development occurred that could affect how health insurance carriers and group health plans handle manufacturer coupons for prescription drugs. The District Court for the District of Columbia vacated a rule issued by the Department of Health and Human Services (HHS) that allowed, but did not mandate, the inclusion of manufacturer coupons in calculating the cost-sharing for health plans. In this blog post, we’ll explore the background of this issue, the 2019 HHS rule, and the subsequent legal decisions that have led to this recent development. HHS’s 2019 Rule In 2019, HHS issued a rule to clarify this matter. The rule stated that plans… Read More

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