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New York News

United Healthcare

In this month's BrokerConnect from UnitedHealthcare, read about their enhanced eye care program which includes a pediatric vision benefit that will provide members with a new pair of glasses and a second eye exam at no additional cost. Click the link below to download their BrokerConnect newsletter for more updates from the health insurance company!

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healthpass

HealthPass wants to remind brokers of Healthfirst's extensive provider network, which offers access to more than 29,000 primary care providers (PCPs), pediatricians and specialists throughout New York City, Long Island, and Westchester. Members can choose from a broad network of top-quality doctors, specialists, urgent care centers and hospitals including; Northwell Health, Montefiore and NYU Langone.

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healthpass

The renewal window for September groups will close on 8/20/2018.  Applications submitted after this date will require a manual process to re-open the window and may subject the entire group to delays of up to 2-3 business days from receipt. 

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OSCAR

Google's parent company Alphabet announced yesterday that they plan to invest $375 million in Oscar! This investment will allow Oscar to continue to invest in and bring unique products to more people, markets, and business lines. For more information on this exciting new update, click the link below.

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Empire Anthem

Empire wants to inform brokers that medications may be removed from their drug lists twice a year, per our review process. Their next update for 2018 is coming October 1.

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emblemhealth2014

On Tuesday, July 24, the U.S. Department of Health and Human Services (HHS) issued a final rule to move forward with transfers between plans under the Affordable Care Act's (ACA) risk adjustment program.  Following what Emblem has been reporting, on July 7 the Centers for Medicare & Medicaid Services (CMS) announced it would suspend these transfers for the 2017 plan year pending the resolution of a New Mexico court case. Read more about this news update in the link below.

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OSCAR

Uncover the extensive information and materials available to you on Oscar's business resources page that will allow you to deliver the best possible service to your clients. This includes video tutorials, one-pagers, COBRA information and more!

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emblemhealth2014

In this month's "Broker Focus" from Emblem, get your 2018 third-quarter rates for their small group plans along with information about their growing Prime Network, various dental plans, and discounts available for healthy members!

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UHC Oxford 2015

Reminder to all brokers that starting August 25th, 2018, Oxford will be implementing a new login ID, "Optum ID" at which point your current Oxford ID login credentials will be invalid.

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healthpass

Through HealthPass, members are offered dog and cat insurance coverage with Nationwide's "My Pet Protection." Click the link below for more information!

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healthpass

Reminder from HealthPass that the renewal window for August groups will close on 7/20/2018. August renewal applications submitted after this date will require a manual process to re-open the window and may subject the entire group to delays of up to 2-3 business days from receipt.

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United Healthcare

Medical Loss Ratio (MLR) rebates are scheduled to be mailed to fully insured groups by September 30th for groups in a pool where targets are not met. Read about this update and more in United Healthcare’s BrokerConnect July newsletter.

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OSCAR

With the busy season right around the corner, Oscar wanted to save you time and make your enrollment process even easier, which is why they are excited to introduce fillable PDFs!

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Empire Anthem

Attached is a copy of Empire's 4th Quarter Small Group Rate Sheet for NYC, Mid-Hudson & Long Island.  Rates should be loaded and finalized on Health Connect within the next week and loaded to www.youdemandmore.com/brokertoolkit

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OSCAR

Oscar is thrilled to announce that they are planning to expand to 14 markets across nine states in 2019, pending regulatory approval.  This decision reflects the continued strength of their business model and confidence in their ability to effectively scale with their consumer-focused, technology-driven approach in the individual market.  Click the link below to download the full announcement.

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Cigna logo

 In this Cigna Newsletter, catch up on local news, read their report on the recent loneliness epidemic, and other industry news.

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healthpass

HealthPass' 4th Quarter 2018 Medical, Ancillary & Additional Products rate sheets are now available on their new Rates Page. 

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UHC Oxford 2015

UHC Oxford is providing brokers with their Service Area and Network Availability Map to let you and your clients what states and counties are included in the Oxford service area along with network availability in those states.

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Empire Anthem

Empire has simplified their rating methods to provide more competitive and consistent rating for their small group dental clients.  Beginning with July Dental Prime and Complete renewals, they will be applying the same trend for all groups.

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Empire Anthem

Time to tone up your wellness program and get results. Watch Empire's webinar to inspire your client's wellness program and their employees.

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OSCAR

Oscar would like to invite you to meet with us in person this fall to discuss our 2019 small group plan portfolio, our competitive advantages in the market, and a refresher on our underwriting guidelines.

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OSCAR

Like many of our carriers, Oscar is submitting requests for premium rate changes to the New York State Department of Financial Services (DFS) for 2019. Due to their request, notification letters will soon be sent to your clients and their employees.  To help clear up any confusion, Oscar has prepared a useful FAQ in case your clients have specific questions for you.

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healthfirst

Healthfirst has made an amendment to its Small Group Underwriting Guidelines, effective July 1, 2018. Beginning July 1, to qualify as a group eligible for coverage, a group must have at least one common law employee who is both eligible for and enrolled in the coverage.

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healthpass

HealthPass happily introduces new plans from their newest carrier UnitedHealthcare!  These specialty vision and dental products are on the exchange effective 7/1/2018 for new and renewing groups.

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