The Department of Managed Health Care (DMHC) issued APL 25-003 on February 5, 2025, outlining requirements for large group renewal notices under California Health and Safety Code. Plans must notify contractholders of any premium or coverage changes at least 120 days before renewal. Contractholders have 60 days to request a rate review. The notice must include comparisons to average rate increases from CalPERS and Covered California, along with instructions for requesting a rate review.

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