November 2022 Updates: November 2022 Plan for Health Newsletter December 2022 Plan for Health Newsletter Pharmacy network update: Kroger intends to terminate their agreement for network participation with Express Scripts effective 1/1/2023 Not many Krogers in our area but applies to business in DE, NY, PA & WV Highmark is proceeding as if the contract is terminated but will update if that changes Change will impact members within Highmarks Commercial, ACA, & CHIP business Members will receive a mailing Highmark 2023 Experian for Small Groups: No-cost identity protection services to all eligible plan members Employers who opted in to identity protection services in 2022 will be automatically renewed through Experian for 2023 Employers opting in for the first time in 2023 should do so through the portal at highmarkbcbs.com Open enrollment period is now December 31 Groups should enroll & notify their employees to enroll by December 31 October 2022 Updates: Small Group Q1 2023 new business rates are now available on the Producer Portal for PA

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The research on responsive desire versus spontaneous desire shows that many women experience desire in response to sexual activity rather than before it