The state imposed a $250,000 penalty on MVP Health and asked it to provide restitution for enrollees hurt by inaccurate directory entries.

In some cases, employers with more than 50 employees may end up owing penalties if the employees' share of the premiums for their health benefits exceeds official government affordability thresholds for too many employees.

The move could affect what some employer plans pay for high-cost procedure bundles.

Some frustrated providers have hired "revenue bounty hunters" who use artificial intelligence systems to look for underpayments, says Craig Gottwals, a veteran benefits consultant.

About 12% of all U.S. adults have already tried using GLP-1 agonist drugs to control their weight, according to a survey report by three researchers at RAND.

An advocate told state insurance regulators that the ACA alternative coverage can cut costs by 30% or more.

For employers, the agreement could mean that coverage from the Blues will be cheaper but more complicated.

The case depends on what counts as an ad under the Telephone Consumer Protection Act.