Impacted: Mid-market book of business

What you need to know  

Prime’s operational teams are diligently preparing for the upcoming peak season and new plan year. Prime is requesting information from our clients to ensure we are ready on Jan. 1, 2027. The first deadline for ID card printing services is Nov. 3, 2026.  

Overview  

As we prepare for the busiest time of year for our business, we are sharing the 2026 year-end deadlines. Any benefit configuration and identification card (ID) requests received after these dates will be processed in the order in which they are received. 
  
Thank you for your support as we work together on this timeline. Our goal is to provide you and your members with high-level service. We appreciate your partnership and look forward to the new year. 

Due date

Deadline category

Deadline details

Nov. 3

Prime ID card printing services*

Submit all ID card requirements and updates to existing cards.

 

Nov. 20

Benefit configuration

Submit new benefits to ensure new benefit plans are documented and approved on time.

 

Nov. 20

Prime ID card printing services*

Client approval of new or updated ID card proofs are due.

 

Dec. 1

Prime ID card printing services*

Submit the eligibility production file.

Dec. 1

Eligibility interfaces**

Submit test files for all new eligibility interfaces.

 

Dec. 4

Benefit configuration

All finalized requirements for benefit plan configuration revisions and new implementations must be received and approved by this date to ensure they are fully tested and in production by Jan. 1, 2027.

Dec. 7

Benefit configuration

As in the past, for benefit configuration requests that are received and approved after Dec. 7, 2026, there will be an autoload benefit option available; business requests will still be accepted after this date. This allows for a plan to go live with basic plan parameters, copays and accumulations. The complete benefit build will be completed on a first-come, first-served basis.

Dec. 10

Group structure

Submit the finalized group structure. Group structure is required to successfully load eligibility.

Dec. 14

Eligibility interfaces**

Submit production files for new eligibility interfaces and for existing interfaces that require additional processing. Additional processing may include crosswalk analysis needed to retain existing Prime member claims, prior authorizations and accumulation balances.

Dec. 21

Eligibility interfaces**

Submit production files for existing eligibility interfaces.

 *Prime Therapeutics ID card printing services include new ID card layouts and updates to existing ID card layouts, including changes to benefit values on combination (Rx + Medical) ID cards produced by Prime Therapeutics.

**Eligibility interfaces with 3rd party ID card printing services when Prime Therapeutics is not printing ID card. 

Note: If a request is received after any due date listed above, Prime will complete it in the order in which they were received. Late requests are not guaranteed to be completed by Jan. 1, 2027.  

Holiday hours 

Our holiday observances are below. As a reminder, members can reach our Prime customer service department 24/7 (including holidays) by calling the Rx number on their ID cards. Additionally, members can access their information by logging into the member portal or through the Prescription Hub mobile app. To download the app, search 'Prescription Hub' in the Apple App Store or Google Play Store. 

• Thanksgiving: Closed Thursday, Nov. 26 and Friday, Nov. 27, 2026  
• Christmas Eve, Christmas Day: Closed Thursday, Dec. 24 and Friday Dec. 25, 2026 
• New Year’s Day: Closed Friday, Jan. 1, 2027 

Questions

Reach out to your Prime account team representative.