News
The Latest Carrier Updates, Legal Alerts, Industry News and more.
Blue Shield Rate Update, CCSB Tax Credit, Health Net Enhanced Choice Portfolio, TriNet HR Solutions, RxDC Reporting, News & More
Thursday, February 13 2025

Carrier Updates
Blue Shield announced Q2 2025 rate book is now available on the dedicated Rates page of Broker Connection. Second-quarter 2025 rate action is a statewide average of 1.7%. The Employer Enrollment Tool lets you easily find quotes and provides a streamlined, digital experience for all your Q2 enrollments. Rates, including closed rate books, can be found on Broker Connection Small Business rates. April, May, and June 2025 renewals Groups renewing in April, May, and June will be available to brokers through Shield Renewals on Tuesday, January 14* while group-level changes can be made using the newly launched Employer Enrollment tool for renewals starting Thursday, January 16*. View all your groups renewal information by visiting the renewal center page while logged into your unique broker portal. Accessing the Shield Renewals link will allow you to review and download renewal information, access your groups renewal microsite, consider buy up or buy down options by using the medical choice chart and many more to help ensure a streamlined renewal experience for you and your group. The employer enrollment tool now has the added functionality of managing your group-level changes. For More Information or Help Quoting Blue Shield, Please Contact Your Dickerson Sales Rep.

Carrier Updates
Your small business could be eligible for a tax credit, only available through Covered California for Small Business (CCSB). With CCSB you decide the level of coverage and provide employees with health insurance that fits your budget. Small businesses that purchase coverage through CCSB may be eligible to receive a federal tax credit to help offset the cost of providing health insurance. The amount of credit you are eligible to recieve works on a sliding scale. The smaller your business and/or the lower your annual average wage, the larger your credit will be. For More Details, Click Here For More Information or Help Quoting Covered California, Please Contact Your Dickerson Sales Rep.

Carrier Updates
Health Net’s Enhanced Choice Solutions (ECS) program will no longer be offered to California Large Groups effective 2/1/25. The Enhanced Choice portfolio has been updated to include features that were provided in ECS and now offer Large Groups a choice of 220 plan design options from HMO/PPO networks, with as low as 33% participation. This update includes:. • Groups of 101-250 that have as low as 33% participation will be able choose up to 3 plans. • Groups of 101-250 with 50% or greater participation will be able to choose up to 6 plans. • Groups of 251-500 will require participation at 50% and can offer up to 6 plans. • Groups alongside Kaiser or without prior coverage will require 33% participation and can choose up to 3 plans. • Required contributions at 50% of employee only. • Rate caps available upon request. For More Information or Help Quoting Health Net, Please Contact Your Dickerson Sales Rep!

Carrier Updates
Dickerson Insurance Services is committed to helping businesses navigate the complexities of HR by partnering with TriNet, a leading PEO provider. TriNet’s comprehensive HR solutions, including payroll, benefits, risk mitigation, and expert HR support. This partnership allows businesses to streamline their HR processes while ensuring they receive personalized guidance and tailored solutions to meet their unique needs. Why Work with TriNet? Seamless HR Integration – Eliminate the hassle of multiple vendors with a unified system. Big-Company Benefits – Gain access to top-tier insurance options for employees, spouses, and pets. HR & Compliance Expertise – Get professional support for risk mitigation, employee relations, and benefits strategy More Time for Your Business – Streamlined processes free you up to focus on growth and success. Confidently manage HR while leveraging TriNet’s industry-leading solutions to support your clients workforce and long-term goals. For More Information, Please Contact Your Dickerson Sales Rep.

Carrier Updates
Molina Healthcare announced a new bonus program for 2025 to reward your hardwork and celebrate your continued success. Molina Healthcare AGENT Bonus for NEW 2025 Members # of Renewed Members One Time Bonus per Mmeber All States except MI/OH One Time Bonus per Member MI/OH 50+ $50 $75 Payment Details: Bonus payment will pay out in July 2025 to your agency. Your agency is solely responsible for paying any bonus amounts to you. 1. 2.One-time payment (Not Per member Per Month (PMPM)). The above table outlines the amount of renewed members enrolled and the amount per member that you will earn. 3. Bonus will be based on book of business (BOB) through 4/30/25 (i.e enrolled for 120 days). 4. Program terms and conditions: 1.These payments apply to renewal business. 2.Members must effectuate on 1/1/25. 3.Members must remain enrolled with Molina for four months. 4.Members cannot be in grace period at the conclusion of their 4th month of enrollment. 5.Agent of record must remain consistent for the members first 120 days of enrollment. Molina Healthcare AGENT Bonus for NEW 2025 Members Total # of New Members One Time Bonus per Member Silver and Gold One Time Bonus per Member Bronze Plan 50+ $50 $25 100+ $75 $50 *Washington Bronze bonus amount per member will be equal to silver and gold outlined above. Washington Only: 25-49 New members, One-time Bonus Amount of $25 per member. Payment Details: For OEP and SEP membership, new member bonus payments will pay out to the active agency based on member counts at the conclusion of the member eligibility period. Your agency is solely responsible for paying any bonus amounts to you. 1. Bonus amounts must be earned by each agent individually, new enrollments by an agent will not be added to enrollments by a different agent for purposes of meeting the enrollment target. 2. 3.These are one-time payments (not Per Member Per Month (PMPM)). Bonus payments will be paid out in the 3rd month after the conclusion of the bonus eligibility period. For example: 4. Members enrolling 1/1/25 and remaining active/paid for 4 months (Jan - Apr) will have a bonus payout in the third month following that four-month period (in this case July) Members enrolling 2/1/25 and remaining active/paid for 4 months (Feb-May) will have a bonus payout in the third month following that four-month period (in this case August). This payment schedule continues monthly moving ahead as such for the duration of the year. Payment will be determined by the total amount of qualifying members and the dollar amount that corresponds in the table above. 5. Program terms and conditions: 1.These payments apply to new business. 2.Members must remain enrolled with Molina for four months. Members with data discrepancies in the 834 report will not be included in the bonus calculation. 3. 4.Members cannot be in grace period at the conclusion of their 4th month of enrollment. 5.Agent of record must remain consistent for the members first 4 months of enrollment. 6.The number of members eligible for a a bonus resets at the beginning of each month. 7.This bonus is available in all states.’ For Details Click Here For More Information or Help Quoting Molina, Please Contact Your Dickerson Sales Rep.

Compliance News
With the 2024 reference year RxDC reporting deadline approaching in June, plan sponsors should refamiliarize themselves with the reporting requirements. The 2024 reference year RxDC Reporting Instructions have been released, though there were no changes to the reporting requirements or data elements from last year. As a reminder, the Consolidated Appropriations Act, 2021 includes a provision that requires group health plans and health insurance issuers (collectively “plans and issuers”) to report certain specified data related to prescription drug and other healthcare spending. The first RxDC report (for 2020 and 2021) was due on January 31, 2023, with the reports for 2022 and 2023 due on June 1, 2023, and June 1, 2024, respectively. The deadline to submit reporting for calendar year 2024 is June 1, 2025 (and continues each June 1 thereafter). Next Steps for Employers In anticipation of the June 1, 2025, deadline, plan sponsors may receive communications from their carriers, TPAs, PBMs and other vendors regarding their expectations for completing the reporting. In our experience, carriers, TPAs, PBMs and other vendors have varying requirements and expectations of what they need from plan sponsors to successfully complete the reporting, and some may delegate some of the reporting responsibility to the plan sponsor. For example, if your insurance company, TPA or PBM sent you a survey or questionnaire to collect information about plan numbers, premium or funding types, it is likely that it is reporting the P2 and D1 files on your behalf. Therefore, we recommend the following: Respond to any requests for information you may receive, and coordinate with your vendors to understand their expectations to ensure all reporting is completed in full on behalf of the plan. Note: Some carriers require responses by early March. If your vendor sent you an email or letter asking you to create an HIOS account or stating that it will not submit P2 and D1 on your behalf, that means you must submit P2 and D1 directly to the Centers for Medicare & Medicaid Services (CMS) or engage a third-party to submit them for you. Thus, you and/or a third party submitting P2 or D1 on your behalf will need to follow the RxDC Reporting Instructions and timely complete the submission. For More Information or Help With RxDC Reporting, Please Contact Your Dickerson Sales Rep.