The California Public Employees' Retirement System (CalPERS) offers health plans that cover over 1.5 million active and retired public employees and their dependents. These plans effectively meet the needs of many California public agencies. However, more than 1,000 public agencies contract health insurance directly with health plans or through Joint [...]
Many public employees take for granted that their health insurance coverage will come from their employer. The district chooses the insurance provider they want to work with, and employees simply select one of the plans available to them. The process is simple. However, if you’re the person deciding which insurance [...]
PRISMHealth has made announcements they will be covering over-the-counter COVID-19 tests. Per the announcement: Over-The-Counter (OTC) COVID-19 Tests Covered Per guidance issued by the Federal Government on January 10, 2022, PRISMHealth will provide coverage for diagnostic at-home COVID-19 tests for personal use that were purchased on or after January 15, [...]
Starting Saturday, January 15th, most individuals health insurance providers will be required to cover up to 8 at home COVID-19 tests per month, at no cost to the individual. A family of 4 could receive up to 32 tests per month. The tests must be FDA approved and available over-the-counter. [...]
With CalPERS changing its rating methodology for group medical plans in 2022, CalPERS members may be looking for alternative providers such as GSRMA’s Health Benefits Program According to Alliant Insurance Services, in 2022, CalPERS medical plans will be rated on value, not on risk. This means more credibility will be given [...]
Generally speaking, health insurance plans in this country have so far sailed through the COVID-19 crisis relatively unscathed. We have seen a significant decline in claims utilization which will help drive rates down in the near future. However, as we see gradual reopening of our communities, it is predicted that non-emergency [...]
In response to the wildfires raging throughout California, several Health Plan carriers have created quick reference guidance for access to care: ANTHEM (click here for Anthem Quick Guide) Between August 18, 2020 and September 17, 2020, Anthem is making changes for California members who live in Sonoma, Napa, Monterey and [...]
Recently it was brought to our attention that one of our member cities, Orland, has implemented a fitness tracker program. Using funds they received from participating in our Risk Management Accreditation Program (reach out to Member Services, you can get up to 10% of your yearly contribution back!) they were [...]
What was the high temperature in your city yesterday? If you were anywhere in California, there is a good chance midday temperatures reached well in excess of 80 degrees, which is the temperature at which Cal OSHA’s Heat Illness Prevention measures are required to be in place by California employers. [...]
On November 18, 2016 the Internal Revenue Service (IRS) issued Notice 2016-70. This notice extends the due date for furnishing 2016 Form 1095-C statements to employees by 30 days, from January 31, 2017 to March 2, 2017. It also extends the deadline for health insurance issuers and other providers of Minimum [...]