The gag clause prohibition under the Consolidate Appropriations Act (CAA) prohibits health plans from entering into contracts that restrict specific data and information that a plan can make available to another party. Plans must annually submit an attestation that they have not entered into any prohibited contractual restrictions.

With the much-anticipated transition to our new digital, wellbeing engagement program, Vitalize^SM, we will be sunsetting several of our wellbeing programs.

Please be advised that all Commercial Fully Insured Large Groups will move from the current 3 Tier Open Formulary to our Preferred Value Formulary (PVF) based on their plan year. This change excludes Minimum Premium groups, who will continue to have the option to choose between 3 Tier Open Formulary or PVF.