Sales Update

We’re excited to announce an enhancement to our virtual musculoskeletal (MSK) treatment benefit. Effective July 1, 2025, dependents ages 13 to 17 will now have access to comprehensive virtual MSK treatment through Vori Health. This expansion builds on the current offering, which is already available to adult members aged 18 and older.

This benefit is included with Trustmark major medical plans and gives employees’ teen dependents convenient access to high-quality, expert-guided care, right from home.

What’s Changing?

• New Age Group Added: Dependents ages 13 to 17 now eligible
• Effective Date: Applies to all groups on 7/1/2025
• Eligible Plans:
  • Trustmark HealthyEdge℠ (HE)
  • Trustmark Healthy Incentives^® (HI)
  • Trustmark Healthy Choices℠ (HC)
• Excluded Plan: Trustmark Preventive Plus℠ plans do not include this benefit

What’s Included with Virtual MSK Treatment
Teens now have access to a full suite of Vori Health MSK services, designed specifically to address the unique needs of adolescents:

Conditions Treated

• Sports injuries (e.g., sprains, strains, knee/shoulder injuries)
• Growth-related discomfort (e.g., Osgood-Schlatter disease, growing pains)
• Back and neck pain
• Overuse injuries (e.g., tendonitis, shin splints)
• Post-injury rehabilitation

Care Components

• Virtual visits with board-certified physicians and licensed physical therapists trained in adolescent MSK care
• Personalized digital Care Plan, including:
• Tailored treatment protocols
• Motion Guide: Computer vision tech for real-time movement feedback
• Progress tracking and expert support in one easy-to-use digital platform

Cost and Coverage Details

• For members enrolled under Trustmark HealthyEdge PPO, Trustmark Healthy Incentives PPO, or Trustmark Healthy Choices: Services are covered at 100%
• For members enrolled in Trustmark HealthyEdge CDHP, Trustmark Healthy Incentives CDHP, or Trustmark Healthy Choices CDHP: Services are subject to deductible and coinsurance

Why This Matters
Teens today face rising rates of sports-related and postural MSK issues. By providing early, expert-driven care, employers can help families manage injuries before they become chronic and support better health outcomes for the next generation. Vori Health’s virtual care is designed for modern families: it’s accessible, evidence based, and personalized.

Starting August 1, 2025, CareChampion will transition to Trusted Member Care, our in-house service team that already supports members and is now expanding to offer even more.

This change brings all support under one trusted name and strengthens our ability to deliver personalized, knowledgeable help directly from a team that’s part of our organization.

What to Expect:

• Same phone number and easy access
• Expanded support with provider searches, benefit questions, claims help, and more
• Hours – Monday through Friday, 7 a.m. to 5 p.m. CST, with after-hours follow-up

What's Next
Employers with CareChampion will receive an email this week with details about the transition. Discover how Trusted Member Care enhances the experience — view our updated flyer for members. 

MORE INFO

A new version of the Plan Sponsor Certification to Trustmark for Release of Information form is now available.

To begin using the updated form, T401-53 (07-25), please follow these steps:

• Log in to TrustmarkSB.com
• Go to the Materials Library and search for “Plan Sponsor Certification form”
• Discard any previous versions you may have saved

Important: Older versions of the form will not be accepted for groups with effective dates after Nov. 1, 2025.

LEARN MORE 

Reference-Based Pricing (RBP) offers a transparent, cost-effective alternative to PPOs — especially for small to mid-sized employers.

Our latest blog covers:

• When RBP is a smart fit
• How it compares to PPOs in cost and flexibility
• How Trustmark supports success, including balance billing protection

Read the full blog to see how RBP helps clients save without sacrificing care.

READ BLOG

Looking for a smarter, smoother way to enroll clients? MARK™ by Trustmark^® is your no-cost, go-to platform that takes the hassle out of underwriting and onboarding, giving brokers like you a serious edge.

Why Brokers Love MARK:

• No Cost, No Catch – 100% available to you and your clients — no fees, no hassle.
• Speedy Setup – Upload census data, save progress as you go, and eliminate paper clutter with electronic signatures.
• Built-In Security – Enjoy peace of mind with cloud-based hosting and two-factor authentication.
• User-Friendly Design – A sleek, responsive interface makes it easy for everyone — whether you're a tech pro or not.

Want to Go Even Further?
Unlock advanced features like real-time updates, secure data transfers, and a library of resources to help you master every step.

Need help? You’re backed by dedicated support, helpful guides, and a personal Trustmark sales rep ready to assist.

Ready to Simplify Enrollment?
Help your clients onboard faster — and look like a hero doing it.

DOWNLOAD GUIDE

To make it easier and more convenient for you to move groups to our self-funded plan designs with stop-loss insurance provided by Trustmark Life Insurance Company, we are implementing an extended timeline for accepting Employee Eligibility Statements.

The extended submission period will provide for a total of 120 days, instead of 90 days, to accept Employee Eligibility Statements which can be dated as early as September 3, 2025, for January 1, 2026, effective dates.

As you continue sharing Healthcare Highways with clients in Texas, Louisiana, and Oklahoma, don’t forget the resources available to support you:

• Client Presentation Deck – Highlights key benefits and partner systems
• FAQs – Quick answers to common client questions
• Overview Flyer – QA simple, shareable network summary

All materials are ready for download. Need support? We're here to help.

Keep them handy and keep the conversation going.

VIEW TOOLS

As we have done previously, employers that are required to pay the Patient-Centered Outcomes Research Institute (PCORI) fee will be electronically provided a letter containing their group’s “average covered lives” during the plan year ending in 2024 (using the Snapshot Count method).

The letters will be posted to the Document Center at TrustmarkSB.com/login for the employer, the Broker of Record and the broker's managing general agent to view.

The electronic letters will become available the week of June 9, 2025.

Click here to view the sample letter.

Background
The Affordable Care Act and associated regulations require health insurance issuers and plan sponsors of self-funded group health plans to file and pay an annual PCORI fee. Plan sponsors of self-funded health plan years ending in 2024 are required to pay the fee to the IRS and file Form 720 by July 31, 2025.

Unlock the full potential of MARK™ by Trustmark^® and elevate your underwriting and onboarding processes for level-funded health benefit plans. Here's why MARK is a great tool for you and your clients:

Efficient Underwriting: Simplify the underwriting process with advanced automation and accuracy.
Streamlined Onboarding: Expedite the onboarding of level-funded health benefit plans for seamless client experiences.
Secure Data Handling: Ensure data security and compliance without compromising on efficiency.

Experience the efficiency and convenience of MARK today! Contact us now to schedule a demo and experience the difference firsthand.

LEARN MORE!

We’re expanding our product offerings by introducing level-funded health benefit plans in Vermont. This expansion not only broadens our reach but also enhance the options available to employers and their employees in the region.

LEARN MORE

If you are interested in learning more about how our level-funded health benefit plans can benefit your clients, please reach out to your sales representative today.

We are thrilled to announce we've partnered with Healthcare Highways to enhance our network offerings and provide exceptional value to clients in Texas, Louisiana, and Oklahoma.

This innovative network offers lower rates and comprehensive coverage across select markets in Texas, Louisiana, and Oklahoma, providing your clients with high-quality, affordable healthcare options.

Why Healthcare Highways?

• Affordable Rates – Experience significant cost savings for employers and employees.
• Comprehensive Coverage – Access a wide range of providers in major metro areas and smaller communities, ensuring flexibility and choice.
• Quality Care – Benefit from high standards of care delivered by trusted healthcare professionals.

LEARN MORE

A change is being made to 15 drugs on the CVS caremark Prescription Drug Formulary effective July 1, 2025. This change affects all business administered by Star Marketing and Administration, Inc. that has CVS caremark as their prescription benefit manager.

• Ten new drugs are being added.
• Five drugs will move from a Tier 3 to Tier 2, resulting in a lower cost to the member.

See below for a deeper look at the changes.

Name of the Drug	Drug Usage	Change Occurring
PYZCHIVA	Autoimmune, Physician-Administered & Self-Administered	Addition to Tier 2
YESINTEK	Autoimmune, Physician-Administered & Self-Administered	Addition to Tier 2
Adalimumab-FKJP	Autoimmune Agents, Self-Administered	Addition to Tier 2
VASCEPA	Cardiovascular, Antilipemic, Omega-3 Fatty Acid	Addition to Tier 2
LIBERVANT	Central Nervous System, Antiseizure Agents	Addition to Tier 2
TRUE METRIX KIT AND TEST STRIPS	Endocrine and Metabolic, Diabetic Supplies	Addition to Tier 2
IQIRVO	Gastrointestinal, Miscellaneous	Addition to Tier 2
OTREXUP	Immunologic Agents, Disease-Modifying Anti-Rheumatic Drugs (DMARDS)	Addition to Tier 2
ARALAST NP	Respiratory, Alpha-1 Antitrypsin Deficiency Agents	Addition to Tier 2
GLASSIA	Respiratory, Alpha-1 Antitrypsin Deficiency Agents	Addition to Tier 2
Ivermectin Cream	Topical, Dermatology, Rosacea	Addition to Tier 1
CREXONT	Central Nervous System, Antiparkinsonian Agents	Tier 3 to Tier 2
ACCU-CHEK SAFE-T-PRO LANCETS	Endocrine and Metabolic, Diabetic Supplies	Tier 3 to Tier 2
ACCU-CHEK SAFE-T-PRO PLUS LANCETS	Endocrine and Metabolic, Diabetic Supplies	Tier 3 to Tier 2
WILATE	Hematologic, Bleeding Disorders Agent	Tier 3 to Tier 2
XHANCE	Respiratory, Nasal Steroids	Tier 3 to Tier 2

Effective July 1, 2025, 17 drugs are being removed from the CVS caremark Prescription Drug Formulary. The excluded medications have an effective equivalent available on the formulary. This change affects all business administered by Star Marketing and Administration, Inc. that has CVS caremark as their prescription benefit manager.

The following are being removed:

Name of the Drug	Drug Usage	Formulary Options
icosapent ethyl	Cardiovascular, Antilepemic, Omega-3 Fatty Acids	Omega-3 acid ethyl esters, VASCEPA
DAYVIGO	Central Nervous System, Hypnotics	doxepin, eszopiclone, ramelteon, zolpidem, zolpidem ext-rel, BELSOMRA, QUVIVIQ
JATENZO, XYOSTED	Endocrine and Metabolic Androgens	testosterone gel (except authorized generics for TESTIM and VOGELXO), testosterone solution, NATESTO
ZEPBOUND	Endocrine and Metabolic, Anti-obesity	orlistat, QSYMIA, SAXENDA, WEGOVY
ONETOUCH ULTRA STRIPS & KITS, ONETOUCH VERIO STRIPS & KITS, ONETOUCH LANCETS & LANCING DEVICES	Endocrine and Metabolic, Diabetic Supplies	Addition to Tier 2
TRUE METRIX KIT AND TEST STRIPS	Endocrine and Metabolic, Diabetic Supplies	ACCU-CHEK AVIVA PLUS STRIPS AND KITS, ACCU-CHEK GUIDE STRIPS AND KITS, ACCU-CHEK SMARTVIEW STRIPS AND KITS, ACCU-CHEK LANCETS & LANCING DEVICES, TRUE METRIX KIT AND TEST STRIPS
CLIMARA PRO	Endocrine and Metabolic, Menopausal Symptoms Agents	COMBIPATCH
DIVIGEL, ELESTRIN, EVAMIST, MENOSTAR	Endocrine and Metabolic, Menopausal Symptoms Agents	estradiol
ENDOMETRIN	Endocrine and Metabolic, Progestins	CRINONE
OCALIVA	Gastrointestinal, Miscellaneous	IQIRVO
SYNAGIS	Immunologic Agents, Miscellaneous	Talk to your doctor
PROLASTIN-C	Respiratory, Alpha-1 Antitrypsin Deficiency Agents	ARALAST NP, GLASSIA, ZEMAIRA
SOOLANTRA	Topical, Dermatology, Rosacea	Azelaic acid gel, brimonidine gel, ivermectin cream, metronidazole, FINACEA FOAM
BIMZELX	Hidradenitis Suppurativa	ADALIMUMAB-ADAZ, ADALIMUAMB-FKJP, COSENTYX SC, HYRIMOZ (by Cordavis)
BIMZELX	Non-Radiographic Axial Spondylarthritis	CIMZIA PREFILLED SYRINGE, COSENTYX SC, RINVOQ

We are pleased to announce that the Employee Eligibility Statement is now available in Spanish on our MARK^TM by Trustmark^® platform. This update ensures that Spanish-speaking employees can easily access and understand the application.

The MARK system is designed with advanced technology and a user-friendly interface. Brokers can utilize this platform at no cost, highlighting our commitment to providing valuable resources.

We encourage all employees to take advantage of this new feature and experience the convenience of having the Employee Eligibility Statement available in Spanish.

For more information about MARK, including our updated guide, reach out to your sales representative or click here.

Important news for brokers and their clients using MARK. We are transitioning from email-based Two-Factor Authentication (2FA) to SMS-based (text), providing an extra layer of security and a more convenient user experience for MARK users.

• Enhanced Security: SMS-based 2FA strengthens our additional layer of protection, reducing the risk of unauthorized access to sensitive data. This code is required in addition to the login credentials, making it more difficult for unauthorized individuals to gain access to an account.
  • SMS-based 2FA relies on the user having access to their mobile device to receive a one-time code. This strengthens our extra layer of security, as an attacker would need physical possession of the device to intercept the code.
  • Additionally, it is less susceptible to common email-based attacks, such as phishing or email account compromise, as the code is sent directly to the user's mobile device.
• Convenience and Accessibility: Users will receive one-time codes directly to their mobile devices, making the verification process more seamless and accessible across different devices.

Why Use MARK Today
MARK offers a modern user experience with the latest technology and built-in efficiencies to underwrite and onboard your groups. This no-cost system is easy to use and offers a responsive design, use of electronic signatures to eliminate printing and scanning, ability to upload census data, a save-as-you-go feature, and an optimized application that streamlines information flow.

Choose MARK for a faster, easier, and more secure underwriting and onboarding process. Reach out to your sales consultant today.

Please note an updated version of the Simplified Underwriting Risk Review form is now available. Ensure you are using the latest version by following the steps below:

• Log into TrustmarkSB.com and go to the Materials Library.
• Search for "Simplified Underwriting Risk Review" to find the latest version.
• Verify that you are using version 1133-2 (4-25).
• Discard any older versions of the form.

Note: Older versions will not be accepted for groups with effective dates after 08/01/2025.
Learn more about our Simplified Underwriting.

Why Choose Us?
At Trustmark, we are committed to providing exceptional service and innovative solutions tailored to meet your clients’ needs. Our Simplified Underwriting process is designed to make your experience smoother and more efficient, offering:

• Fast approvals with less paperwork, in as little as five business days
• Streamlined processes that save you time
• Competitive rates without compromising on coverage

Choose Trustmark for a partner who values your time and prioritizes your success.
Experience the difference with our Simplified Underwriting today!

March 17, 2025 - Starting with effective dates of July 1, 2025, and later, we will be discontinuing our Trustmark Healthy Incentives^® product and transitioning all existing groups to our Trustmark HealthyEdge^SM product.

What This Means for You:

• No Benefit Changes: Enjoy the same great benefits your clients have come to expect, now under the unified HealthyEdge plan name.
• HealthyEdge Nationwide: HealthyEdge is now available nationwide, providing a consistent product name and comprehensive benefits across all states.
• Seamless Transition: All current Healthy Incentives groups will be automatically converted to HealthyEdge upon their next renewal, ensuring a smooth and hassle-free transition.

Effective Dates:

• New Business: All new business and mid-year plan changes can select the following plan designs starting with effective dates of July 1, 2025, and later: Trustmark HealthyEdge, Trustmark Healthy Choices^SM, and/or Trustmark Preventive Plus^SM plan designs.
• Renewals: Existing Healthy Incentives groups will transition to HealthyEdge upon their next renewal on or after July 1, 2025.

Why HealthyEdge?
Nationwide Consistency: One PPO product name available in all states our level-funded plans are available.

Comprehensive Coverage: Continue to offer the high-quality benefits and services you and your client trust. Don’t forget to consider a dual option plan with our Trustmark Healthy Choices reference-based pricing plan design or Trustmark Preventive Plus preventive-only (MEC) plan design. 

Affordable and Flexible Solution: HealthyEdge is designed to be cost-effective and offer flexibility to tailor the plan to meet the unique needs of your clients.

Predictable Costs: Your clients enjoy the financial predictability and stability of level funding. With level funding, they pay a fixed monthly amount that covers claims funding, administrative costs, and stop-loss insurance. This structure provides the benefits of self-funding while minimizing financial risk and offering potential savings.

Easy Enrollment: Utilize our easy-to-use and no-cost enrollment system, MARK^TM by Trustmark^®, for seamless underwriting and onboarding.

We are committed to providing exceptional service and ensuring that this transition is as seamless as possible for all our clients.

If you have any questions or need further information, please do not hesitate to reach out to your sales contact. 

GET A QUOTE

 

March 13, 2025 - The Consolidated Appropriations Act, 2021, requires the submission of certain data by June 1, 2025, for the Prescription Drug Data Collection (RxDC) report. The data will show spending on prescription drugs and healthcare services, prescription drugs that account for the most spending, drugs that are prescribed most frequently, prescription drug rebates from drug manufacturers, the required contribution for each employer-sponsored plan in 2024 for covered employees, as well as cost-sharing for covered employees.

We will submit data annually for each group. On Monday, March 17, we will send an email to sponsors of self-funded health benefit plans requesting information that is needed to complete the submission accurately. Employers are asked to submit answers to these questions by March 28, 2025.

March 10, 2025 - A change is being made to nine drugs on the CVS caremark Prescription Drug Formulary effective April 1, 2025. This change affects all business administered by Star Marketing and Administration, Inc. that has CVS caremark as their prescription benefit manager.

• Three new drugs are being added.
• Five drugs will move from a Tier 3 to a Tier 2, resulting in a lower cost to the member.
• One drug will move from a Tier 2 to a Tier 3, resulting in a higher cost to the member.

See below for a deeper look at the changes.

 

Name of the Drug	Drug Usage	Change Occurring
Mekinist Tablets	Antineoplastic Agents Kinase Inhibitors	Addition to Tier 2
Tafinlar Capsules	Antineoplastic Agents Kinase Inhibitors	Addition to Tier 2
Adalimumab-FKJP	Autoimmune Agents, Self-Administered	Addition to Tier 2
Mekinist Solution	Antineoplastic Agents Kinase Inhibitors	Tier 3 to Tier 2
Piqray	Antineoplastic Agents Kinase Inhibitors	Tier 3 to Tier 2
Tafinlar Tablets	Antineoplastic Agents Kinase Inhibitors	Tier 3 to Tier 2
Truqap	Antineoplastic Agents Kinase Inhibitors	Tier 3 to Tier 2
Xdemvy Drops	Ophthalmic, Anti-Infectives	Tier 3 to Tier 2
Corlanor	Cardiovascular Heart Failure Kinase Inhibitors	Tier 2 to Tier 3

March 10, 2025 - Effective April 1, 2025, four drugs are being removed from the CVS caremark Prescription Drug Formulary. The excluded medications have an effective equivalent available on the formulary. This change affects all business administered by Star Marketing and Administration, Inc. that has CVS caremark as their prescription benefit manager. 

The following are being removed:
 

Name of the Drug	Drug Usage	Formulary Options
Cotellic	Antineoplastic Agents Kinase Inhibitors	Mekinist Mektovi
Sprycel	Antineoplastic Agents Kinase Inhibitors	Dasatinib Imatinib Mesylate Bosulif Scemblix
Zelboraf	Antineoplastic Agents Kinase Inhibitors	Braftovi Tafinlar
Fluoxetine Tablet 60mg	Central Nervous System Antidepressant	Citalopram Escitalopram Fluoxetine (except fluoxetine tablet 60mg Fluoxetine tablet [generic for Sarafem]) Paroxetine HCI Paroxetine HCI ext-rel (Except NDC 60505367503) Sertraline Vilazodone Trintellix

Feb. 3, 2025 - MARK^TM by Trustmark^® is designed to streamline the underwriting and onboarding process for brokers, and our guide is your essential tool for mastering this in our new secure system. MARK offers faster completion of Employee Eligibility Statements*, real-time updates and helps eliminate the paper trail for you and your clients.

Here’s why this guide is helpful:

Step-by-Step Instructions: From account setup to managing client information, the guide provides clear, detailed steps to get started quickly.

User-Friendly: With MARK’s modern, easy-to-navigate interface and the guide, you can navigate our underwriting and onboarding system with ease.

Comprehensive Support: The guide includes all the information you need to efficiently use MARK, including technical support information if needed.

Enjoy the latest technology and modern-user experience with MARK today.

Learn more.

Jan. 31, 2025 - Kick off a successful year with our support and an informative white paper on level funding.

We have been committed to supporting brokers and their clients in finding solutions to their level-funded health benefit needs for nearly 20 years. Here’s how we can help:

• Education: Your dedicated rep will provide comprehensive training about our level-funded plan designs with PPO network and reference-based pricing options. This includes explaining benefits, the components of our rates and our eligibility criteria.
• Dedicated Support: We are responsive throughout the entire process and help with creative ideas for tailored plan selection, assist with onboarding, the implementation process and more.
• Resources and Tools: We offer a range of resources and online tools to support your sales efforts. Try our new underwriting and onboarding system, MARK™ by Trustmark®, for a modern-user experience that streamlines the process for you and your groups. Check out our brochures, presentations, and online portals. We can provide you with the materials you need to effectively communicate the advantages of level-funded plan designs to your clients.

Let’s make this year a successful one together! Download White Paper

Jan. 22, 2025 - Our second email in our Ways to Save campaign is designed to encourage employers and their covered employees to learn about healthcare coverage terms.

Via a link in this email, Do You Understand Health Plan Lingo?, readers can access an article discussing how mastering the language of health coverage helps healthcare consumers more effectively manage their care and healthcare costs.

Our Ways to Save campaign promotes approaches to help consumers save on healthcare costs.

Within the next few days, this information will be distributed to employers that sponsor a major medical plan with a PPO administered by Star Marketing and Administration, Inc. Members covered by these plans will be sent the email shortly.

Jan. 21, 2025  - Congress did not extend telehealth benefit flexibility for high-deductible health plans beyond Dec. 31, 2024. As a result, changes were made to the virtual musculoskeletal (MSK) treatment benefit for our major medical CDHP designs with plan years beginning Jan. 1, 2025, and after.

Learn more.

Jan. 8, 2025 - To help make tax filing for 2024 easier and more convenient for employers, electronic versions of Form 1095-B (in a PDF format) are now available in the Document Center on our website.

Employers can log in at TrustmarkSB.com/login. Tax documents are not available for brokers.

For additional information, please click here.