News
The Latest Carrier Updates, Legal Alerts, Industry News and more.
PCORI Fees Due, Aetna Small Group Producer Program, Anthem and Santa Clara County Agreement, Blue Shield SB 729 Updates, Health Net Wellness Reward Program
Thursday, July 09 2026
Carrier Updates
Aetna is offering you even more ways to earn in 2026. You can earn extra credits for selling new Aetna Small Group insured or Aetna Funding Advantage business plans, with effective dates from January 1, 2026, through December 31, 2026. Whether you’re expanding your book or strengthening existing relationships, this opportunity rewards your impact. You can make 2026 your most rewarding year yet. About the program For new insured and Aetna Funding Advantage medical cases, including funding conversion cases, with effective dates from January 1, 2026, through December 31, 2026 , You can earn: - $50 for each new enrolled employee when you sell less than 75 total enrolled employees - $100 for each new enrolled employee when you sell 75 or more total enrolled employees Extra credits for new dental or vision subscribers when sold alongside medical More Details Click Here For More Information or Help Quoting Aetna, Please Contact Your Dickerson Sales Representative.
Carrier Updates
Anthem Blue Cross has announced that they have successfully renewed their Commercial and Medicare Agreements with County of Santa Clara. The fully executed agreements are retro-effective to January 1, 2026 . These entities include: Hospitals · O’Connor Hospital (050153) · Saint Louise Regional Hospital (050688) · Santa Clara Valley Medical Center (050038) Medical Group (PPO) · Santa Clara Valley Medical Group (PPO) For More Information or Help Quoting Anthem, Please Contact Your Dickerson Sales Representative.
Carrier Updates
Blue Shield’s group products with infertility coverage were previously approved by the Department of Managed Health Care (DMHC) as being consistent with the requirements of SB 729. The DMHC has since issued the All Plan Letter (APL) 25-021 with additional guidance for interpreting SB 729. Blue Shield is actively assessing new requirements, engaging their clinical, regulatory, and operational teams to ensure any changes are consistent with the APL’s requirements. Blue Shield is in the process of submitting proposed changes in coverage to the DMHC for review and approval. The DMHC is expected to issue another APL clarifying some requirements, and Blue Shield is closely monitoring the situation. For More Information or Help Quoting Blue Shield, Please Contact Your Dickerson Sales Representative.
Carrier Updates
Health Net has shared an update regarding their 2026 Wellness Reward program. Effective immediately, they will no longer be actively promoting the additional $100 Sharecare Wellness Reward that was introduced for 2026. As a reminder, members will continue to have access to the standard $100 Wellness Reward card, which remains available. The Wellness Reward program still offers a chance to earn additional revenue, contact your Dickerson Sales Representative for more information. For More Information or Help Quoting Health Net, Please Contact Your Dickerson Sales Representative.
Compliance News
Employers that sponsor self-insured group health plans, including health reimbursement arrangements (HRAs) should keep in mind the upcoming July 31, 2026 deadline for paying fees that fund the Patient-Centered Outcomes Research Institute (PCORI) via Form 720, which was recently updated and released by the IRS. The amount of PCORI fees due by employer sponsors and insurers is based upon the number of covered lives under each “applicable self-insured health plan” and “specified health insurance policy” (as defined by regulations) and the plan or policy year end date. This year, employers will pay the fee for plan years ending in 2025. The fee is due by July 31, 2026 and varies based on the applicable plan year as follows: • For plan years that ended between January 1, 2025 and September 30, 2025 , the fee is $3.47 per covered life. • For plan years that ended between October 1, 2025 and December 31, 2025 , the fee is $3.84 per covered life. For example, for a plan year that ran from July 1, 2024 through June 30, 2025, the fee is $3.47 per covered life. The fee for calendar year 2025 plans is $3.84 per covered life. The insurance carrier is responsible for paying the PCORI fee on behalf of a fully insured plan. The employer is responsible for paying the fee on behalf of a self-insured plan, including an HRA. In general, health FSAs are not subject to the PCORI fee. To Read More Click Here