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Large Group

Payment Integrity Program Updates

January 9, 2026
High dollar claims review update and the Routine Test Management program begins February 2026.
Large Group

New Sales Support Model for 51-99 Fully Insured Groups Starts January 12

January 8, 2026
We’re streamlining how we process and service 51-99 fully insured groups. Starting January 12, producers will email a shared inbox instead of an assigned account specialist. Learn what’s changing and what stays the same.

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Large Group

Pharmacy Formulary and Medical Policy Changes for January 2026

December 11, 2025
See what drugs will require prior authorization and the preferred alternatives.

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Large Group

Update: Independent Dispute Resolution Fee Passthrough for Self-funded Groups

December 11, 2025
Important update to Independent Dispute Resolution (IDR) fee passthrough for self-funded groups.

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Large Group

2026 Reports Available for Medicare Part D Creditable Coverage

December 11, 2025
Help your group clients understand their responsibilities about disclosing prescription drug coverage and creditable coverage status information.

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Large Group

Reminder: The Enrollment Center is a One-Stop-Shop

December 11, 2025
In our March 2025 Producer Education Series, we covered changes to Enrollment Center that support our producers day-to-day work.

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Large Group

Reminder to be Ready for January 2026

Don’t miss key deadlines for personal funding accounts, ID cards, and more.

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