Covered CA Portal, PCORI, L.A. Care Update, News and More


New CCSB Portal

The Covered California Small Business portal enhancement launch date is scheduled for September 1st, 2021. The new portal enhancements will include:
  • Real-Time Account Balances: Save time by checking your account’s paid or delinquent status instantly online. Agents will be able to view and manage their employer group’s payment status directly from the portal.
  • Payment Confirmations: Employer groups can view payment activity and enroll in auto-pay for added convenience.
  • Decision Support Tool: Simplify new employee enrollment with this tool to help identify plan options that would best fit the employee’s needs.
  • New Dashboard: The portal will have a refreshed appearance to simplify use and navigation.
A separate notice will be sent from Covered California to all active employer groups to share this information.

Reminder:  PCORI Fees are due by July 31, 2021

Employers with a self-funded medical plan, or a fully-insured plan with a health reimbursement arrangement (HRA) are required to submit their PCORI filing. The only employers who do not need to worry about the PCORI fee are employers with fully insured plans and no HRAs. Employers that sponsor self-insured group health plans, including health reimbursement arrangements (HRAs), should keep in mind of the upcoming July 31, 2021 deadline for paying fees that fund the Patient-Centered Outcomes Research Institute (PCORI).

The PCORI was established as part of the Affordable Care Act (ACA) as a way to research the effectiveness of medical treatments, procedures, and strategies that treat, manage, diagnose or prevent illness or injury. Under the ACA, most employer sponsors and insurers are required to pay PCORI fees until 2029, as it only applies to plan years ending on or before September 30, 2029. 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 2020.

For more information on PCORI click here.


L.A. Care Update

L.A. Care Covered (LACC) is the only public option in the Covered California Marketplace, with the ability to provide high-quality coverage with some of the lowest premiums in regions 15 and 16.

Here are some of the benefits of LA Care:

  • Members have access to some of the top medical groups and hospitals in the area
  • L.A. Care Community Link to find local resources
  • 24/7 Nurse Advice Line
  • Family Resource Centers and Community Resource Centers
  • Teladoc
  • L.A. Care Health in Motion program
  • Minute Clinic
  • American Rescue Plan benefits through end of 2021

Read more about the benefits of L.A. Care here.


California paid family leave: Will more workers benefit?

California was the first state to offer paid leave to parents and caregivers. Many lower-paid workers can’t take advantage, even though money for the program gets taken from their paychecks. There’s a new bill in the Senate to increase the wage replacement rate so family leave doesn’t become a financial burden. To read the full story, click here.

A family wellness check: California invests in treating parents and children together

Incorporating therapy for parents can lower a child’s risk of future mental disorders stemming from family trauma. The state will be the first to offer comprehensive counseling services to parents during pediatric visits as part of Medicaid. To read the full story, click here.

Children slept over an hour more with mindfulness training, study finds

Elementary school children who took mindfulness training two times a week for two years slept an average of 74 extra minutes a night, a new study found. The American Academy of Pediatrics has called sleep deprivation among children an “epidemic”. To read the full story, click here.

How to keep indoor air clean during a wildfire

Wildfire smoke is incredibly unhealthy, especially for those with asthma, chronic obstructive pulmonary disease and heart disease. Children, pregnant women and firefighters are also extremely vulnerable to the negative health impacts of wildfire smoke. As California and the Bay Area brace for what could be another severe fire season, hear what scientists and engineers have to say about how to keep indoor air clean. To read the full story, click here.