Arizona Benefit Plans Product Portfolio

Not sure what products are offered through Arizona Benefit Plans? Attached is the most recent product portfolio list. Always happy to jump on a call or stop by to go more in depth on each product and what their unique capabilities are.

The Affordable Care Act imposes a fee on issuers of specified health insurance policies and plan sponsors of applicable self-insured health plans to help fund the Patient-Centered Outcomes Research Institute (PCORI). The fee, required to be reported only once a year and paid by its due date, July 31, 2024, is based on the number of lives covered under the policy or plan. It is required for every group with a renewal or term date from January 1st, 2023, to December 31st, 2023. Please note, groups need to file form 720 with the IRS in conjunction with the fee.

EMI Health has generated a report available on the group portal with their suggested payment. Please see attached instructions on how to access the report.

Please email notices@emihealth.com if you have any questions, we are happy to help!

Trustmark offers one times the individual calendar-year deductible and out-of-pocket for groups with 5 or more enrolling employees. This is a great option for employer groups with high dependent counts that are looking to lower the out-of-pocket costs for their employees. With the standard two times the individual calendar-year deductible and out-of-pocket being offered to groups, be sure to stand out by including Trustmark in your carrier arsenal. 

Integrated HRA at no Additional Cost:



Trustmark can integrate a customized HRA at no additional cost. A few of the advantages:

• No separate HRA administration fee
• Seamless integration of claims processing and HRA administration
• No prefunding
• Estimate costs and savings quickly with the HRA Forecaster and HRA Calculator tool
• HRA design flexibility
• Easy fund management

Attached are a few brochures for your review:



HRA Employer Guide

HRA Designer Form

HRA Overview Flyer

Some GLP-1 drugs such as Ozempic are intended for clinical use in treating people living with diabetes. Over the past few years, however, GLP-1s have been prescribed more frequently for weight loss only. This has vastly increased patterns of off-label use, caused shortages for patients who rely on these drugs for diabetes management, and driven industry-wide cost trend increases.

To ensure availability and align our practices with other carriers, we are making a change to our GLP-1 coverage policies. 

What you need to know:

• As of May 1, 2024, members with an active prior authorization, managing Type II diabetes, will continue to have access to GLP-1 medications.
• As of May 1, 2024, new requests to use GLP-1 drugs for prediabetes are not eligible for coverage.
• What is changing as of September 1, 2024: Members with prediabetes who are already receiving GLP-1s will continue to have access until their prior authorization expires. After it expires, renewals will not be approved.

Impacted members will receive a 60-day notice. Members can continue to take advantage of our many prediabetes and weight loss resources. Dietitian visits are covered under most plans, and many of our members have access to prediabetes education and resources through Sharecare. We also have new weight loss programs rolling out in the coming months, and we will share more details soon.

Price Edge Launch Date Delayed for ACA Plans:

In previous communications, we announced that Price Edge would be available to Small Group ACA plans starting 7/1/2024. The launch date has been delayed.

When we have a new launch date, we will share that with you. We apologize for any confusion.

And just a reminder… If you need the following product, we are happy to help: