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Aetna has released important updates and highlights for California groups size 1 – 100. Q4 Rate Changes Quarterly- HMO 4.3%, PPO 4.0% Reminder : 2024 Broker Bonus for both Affordable Care Act (ACA) and Aetna Funding Advantage SM (AFA) Sell Aetna new business plans to groups in California with 1-100 eligible employees through a General Agent and earn the bonus payout. Bonus is based on the total number of enrolled employees for all the groups you sell with Aetna. Aetna Dental Aetna has shared changes that will impact dental plans effective 1/1/25. Due to California AB 1048, both large group and small group changes will take effect when your California-based dental plan renews in 2025. Small group: Exclusions for missing teeth, or dental treatment that was in process prior to enrollment will no longer be applied. Large group: In addition to the small group changes, exclusions for late entrant and waiting period will no longer be applied. For More Inforamtion or Help Quoting Aetna, Please Contact Your Dickerson Sales Rep!

Anthem has a great solution for your CA Small Group C+O business and extended its promotion to January 1, 2025. Anthem will only need limited documentation for groups who are moving off C+O. Small Group Employer Application Cigna + Oscar bill / statement (80% enrollment required from on the C+O bill / statement … no reconciliation required) Employee Enrollment 1st months premium *Groups must be headquartered in CA *Anthem will review groups with high out of state participation on a case-by-case basis. For More Information or Help Quoting Anthem, Please Contact Your Dickerson Sales Rep Today.

Effective October 1, 2024, Covered California for Small Business (CCSB) will no longer offer California Dental Network (CDN) plans within their dental plan offering for new enrollments and renewals. CCSB understands the importance of dental benefits for our members and are committed to ensuring they continue to receive high-quality dental care.To support with this transition, CCSB will continue to offer Delta Dental and Dental Health Services for employers/members looking for a dental plan option. They encourage you to familiarize yourself with the upcoming changes listed below to prepare to assist employers/members in transitioning smoothly to their new dental plans. Important Details: • New CCSB Employer groups with an effective date on or after 10/1/24 will not have CDN as a dental option. They may choose one of the other dental plans. • CDN Members of existing groups renewing on or after 10/1/24 must choose a new dental carrier to maintain dental coverage. • For existing groups renewing on or after 10/1/24 that currently have CDN as their reference dental plan, the reference plan will be migrated to the Delta Dental HMO. Should a group wish to choose a different reference plan, they will need to actively select a new plan during their renewal period. • CDN Members of existing groups that have already renewed for 2024 will stay with CDN until the 2025 renewal period. At that time, they will be required to choose a new dental carrier to maintain their dental coverage. • Existing groups that have already renewed for 2024 can maintain CDN as their reference plan through their renewal month in 2025, at which point the reference plan will be migrated to Delta Dental HMO. Should a group wish to choose a different reference plan, they will need to actively select a new plan during their renewal period. For More Information or Help Quoting CCSB, Please Contact Your Dickerson Sales Rep!

Humana has shared the following recent updates. Marketing Toolkit The Marketing Toolkit is a great resource for current Humana product guides, flyers, OE materials and more. Humana recently went through a document migration and the link has changed so please update accordingly. Vision Plus ID Card Center Enhancement Vision ID cards, including Humana Vision Plus plans, can now be accessed online through ID Card Center and on the member’s web portal through www.MyHumana.com. How to Find a Provider Job Aids Marketing Toolkit includes new "How to find a dental provider" and "How to find a vision provider job aids", which walk brokers and employers through the “Find care” tool on Humana.com. As part of a pre-sale network search, these job aids provide clear steps with images and text descriptions for how to locate in-network dental and vision providers using the public search feature. For More Information or Help Quoting Humana, Please Contact Your Dickerson Sales Rep!

MetLife has created a strategy that will solve the immediate needs of your customers as Cal Dental (CDN) exits the marketplace effective 10/1. MetLife offers a strong contract when it comes to DHMO, covering over 400 codes. Their network is also larger than Cal Dental, which allows for minimal disruption to your groups. MetLife has extended the following offer for CDN Groups: For groups with in-force DHMO coverage with California Dental Network for the last 2 years and moving as Bundle (+ Dental PPO): • Closest Match to Current Plan based on Crown Copay Amount (2750) • 10% Discount on current Dental HMO rate will be offered • 24 Month Rate Guarantee on DHMO Pricing For groups with in-force DHMO coverage with the California Dental Network only moving standalone DHMO: • Closest match to current plan based on Crown Copay amount (2750) • Will match current DHMO rates* • Rate Guarantee will align with current in-force PPO renewal date *Note a few groups may not qualify based on size, demographics, or participation. UW will release quote as close to current rates as possible. At Renewal Date: • Group will have the opportunity to add PPO by first renewal date. If PPO is not added, DHMO rates will increase based on initial discount provided. Minimum Participation requirements are as follows: • DHMO: The greater of 2 lives or 25% For More Information or Help Quoting MetLife , Please Contact Your Dickerson Sales Rep!

(August 15, 2024) By: Diane Rittenhouse, Rebeckah Muratore, Alexandra Ament Primary care is the cornerstone of a fair, efficient, and accessible health care system. It plays a crucial role in improving health equity, yet it’s often overlooked in policy discussions. As California’s population becomes increasingly diverse, addressing long-standing inequities in health care are imperative for people, communities, and those delivering care. This report builds on state and federal momentum to revitalize primary care infrastructure, emphasizing the need to center these efforts around equity. Read the Full Report Here