Important update Notice sent to Plan Sponsors

Dear broker:

 

We wanted you to know we’re reaching out to your groups via email, starting on Friday, March 15th, and they’ll need to provide the information needed. Please see details below with the information sent to your groups.


Plan Sponsor Notice: Data Collection Requirement for Prescription Drug Data Collection Reporting Submission
 

Prescription Drug Data Collection (RxDC) reporting for reference year 2023 is required to be submitted no later than 6/1/2024.  This submission must include certain data elements that were not required for the initial submission.

 

As always, we are committed to complying with all legal and regulatory requirements affecting our business operations and our customer's health benefits. Therefore, Aetna has developed a process to support our plan sponsors in the submission of these reports.

 

In 2024, Aetna will require the following data from all plan sponsors included in Aetna’s D1 file:

  • Total premium paid by members for the reference year
  • Total premium paid by employer for the reference year
  • Funding Arrangement
  • Issuer Name/Legal Entity

If a self-insured plan sponsor requests to be excluded from Aetna’s D1 file, you do not need to complete this data collection process.  Instead, plan sponsors should contact their account representative to request an exception.

 

To learn more about the reporting requirements, refer to the RxDC Reporting Instructions.

 

What plan sponsors need to do:
Complete the fields provided in the emailed form no later than 4/12/2024.

  • If any plan sponsor does not provide the requested data by 4/12, Aetna will submit the report without the required plan sponsor data.  Failure to respond with complete and correct information will impact our ability to accurately report on the plan sponsor’s behalf, and Aetna will not be responsible for any liability associated with the inaccurate report.  It may be necessary for you to submit this information to CMS directly.

We’re here to help! If you have any questions or want to discuss this process, please contact your sales team.

 

Be well!

 

Your Aetna Team 

Aetna® is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).
 

Pharmacy benefits are administered by an affiliated pharmacy benefit manager, CVS Caremark. Aetna® is part of the CVS Health® family of companies. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with Aetna.


This message is for informational purposes only, is not medical advice and is not intended to be a substitute for proper medical care provided by a physician. Information is believed to be accurate as of the production date; however, it is subject to change. Refer to Aetna.com for more information about Aetna® plans.


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