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New York News

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Now that Oscar and HealthPass have teamed up, you may have some questions.  Oscar has released an FAQ to help you navigate through this new to market pairing.  And if you missed the webinars on 8/8 and 8/9, a new one has been added on 8/16. Click below for full details.

WEBINAR LINK

PDF icon2SM Click here to download the full pdf document

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UHC Broker Connection 8/10/17 - UHC has released their broker connection Newsletter. It covers such  topics as an update regarding Methadone coverage, the newly announced  flu shot program for 2017-2018 season, prescription drug list udpate and more.

PDF icon2SM Click here to download the full pdf document

 

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Important Update for ALL Brokers that sell Emblem or plan to sell Emblem in the future.

Action is required!

EmblemHealth has informed us that they are moving to a new technology platform. This change requires that all Brokers that sell Emblem Health Products fill out a new Selling Agent Agreement (SA) and return it to FNA so that we can submit it to EmblemHealth NO LATER than 8/31/17.  Executing these documents will enable Emblem to pay your commissions directly to you starting with the September 2017 commission cycle. You  MUST act NOW!  If you are not currently licensed or appointed with EmblemHealth, you will need to fill out complete licensing paperwork and submit that to FNA as well if you are planning to sell EmblemHealth.   All of the necessary forms to become licensed are available in the link below. If you have any questions about this information or need assistance with your paperwork, please call you FNA Representative, and we will assist you.

BROKERS THAT NEED TO BE RE-CONTRACTED - Download the documents below and submit them to FNA before 8/31/17.

NEW BROKERS - CLICK HERE TO DOWNLOAD ALL LICENSING PAPERWORK

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Oscar Elminates Stress of Picking Plans - You know it best: picking plans and classes for a growing team can be stressful. As the team expands, you want to make sure that all employees have access to the right level of care. But what happens if the plans that employees enroll in today don’t meet the needs of new employees in the future? Find out...

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Oscar and HealthPass are teaming up to offer your clients serious coverage this fall.   Find out about the plans that are being offered, when it is available, take a sneak peek at the rates for Q4 and find out about the just announced New Business BONUS . They will also be hosting webinars on August 8th and 9th. Click below for full details and learn how to register for the webinar.
 

PDF icon2SM  Click here to download the full pdf document

 

TOP TEN REASONS YOUR CLIENT SHOULD CHOOSE OSCAR ON HEALTHPASS

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Oscar has announced that they have a new team member...Oscar's new Vice President of Sales - industry veteran Louis DeStefano.   To find out more about Louis and what the plans are with his new role at Oscar, please click below.

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As of 9/17, your clients will have access to Oscar through HealthPass!   If you don't know Oscar, you will now.   Click the link below to find out what plans area being made available through HealthPass, along with some important "quick facts" about Oscar.

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 Click here to download the full pdf document

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Mark your calendars. Care Connect will be hosting Broker Open Enrollment Seminars in September.  Locations include Long Island, New York City and Westchester.  Details below.

PDF icon2SM Click here to download the full pdf document

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Care Connect has released an updated facilities list that reflects City  MD's departure from the CareConnect network. Please download the document below for the  most up to date information.

PDF icon2SM Click here to download the full pdf document

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HealthPass Urgent Care Connect Update  - Care Connect has released an updated facilities list that reflects City MD's departure from their network.  Please be advised that as of August 1, 2017, CityMD will no longer be a part of the CareConnect network. Note that this CareConnect Network Update impacts HealthPass members as well. Details are available below.

PDF icon2SM Click here to download the full pdf document

 

 

 

 

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UnitedHealthcare Broker Connection 7/16/17  - The most recent UHC Broker Connection covers the following: July 31 PCORI Fee Due; 2018 Medical Necessity Requirement, Updates for N, Broker training and much more.

PDF icon2SM Click here to download the full pdf document

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CareConnect Broker Alert - CareConnect has released their Small Group (1-100) 4th Quarter Rates on their Broker Sales Materials page.

PDF icon2SM  Click here to download the full pdf document

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HealthPass September 2017 Renewal Window is Now Open! - The HealthPass Online Portal (HOP) is now open to accept September 2017  renewal applications! If your group is not making changes at renewal,  their policy will be automatically renewed and you do not need to take  action. If you wish to make changes, please refer to the instructions below. Changes to the following group criteria will require you to submit the renewal application and most recent notated NYS45/Quarterly Wage & Tax Statement on the HOP:
 

 

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Updated ACA Small Group new case submission dates.  Aetna is implementing updated 4th quarter new business submission deadlines for Small Group Affordable Care Act (ACA) plans: This applies to:

States included in the updated ACA new sales submission dates are: Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Missouri, Nebraska, Nevada, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina,  Tennessee, Texas, Utah, Virginia, West Virginia and Wisconsin.

PDF icon2SM Click here to download the full pdf document

 

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 Updated Participation Requirements - HealthPass New Particpation Guidelines - Effective 10/1/2017 there will be an additional requirement to enroll or renew a group with the HealthPass New York Exchange. Click below to view the updated Eligibility Guidelines.
 

PDF icon2SM Click here to download the full pdf document

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To keep you informed about current and future changes in health care,  Emblem is providing you the most recent information about key federal and state developments. Senate Still Aiming For Pre-Holiday ObamaCare Repeal and Replace Vote - Senate Republican leaders are still hoping to vote on legislation to repeal and replace the Affordable Care Act (a.k.a. Obamacare) before July 4. However, legislative language has not been made public and several key Republicans said they had not yet reviewed the text.

PDF icon2SM Click here to download the full pdf document

UHC Oxford 2015

Action Required forNew York Small Groups: : Enroll July 1, 2017 OHP HMO Groups in an OHI Plan by June 30, 2017 As a reminder, New York small groups currently offering only an Oxford Health Plans (NY), Inc. (OHP) HMO plan with a coverage end date of July 1, 2017 need to purchase a new  Oxford Health Insurance, Inc. (OHI) policy before their current OHP plan ends. These groups did not receive a renewal package from us and need to apply as a new group.

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UHC Broker Connection 6/15/17 UnitedHealthcare has released their Broker Connection Newlsetter,  covereing the 2017 Medical Loss Ratio (MLR) report schedule and key dates are now available. MLR only applies to fully insured plans. See how your fully insured clients may be affected. Other topics include:

Broker & Client Resources
Plans & Services
Sales Support and Employee Wellness

PDF icon2SM Click here to download the full pdf document

 

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We have exciting news from HealthPass.  Oscar and Healthpass have formed a new partnership and Oscar is offering 8 plans, available through HealthPass. This is great news. Click below to read the details and access the press release. This will be going into effect 9/1/17,

PDF icon2SM Click here to download the full pdf document

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Oxford through HealthPass - Use this informative and convenient guide to choose the right care center for services: Doctors offices, covenience clinic, urgent care or ER. Click below:
 
UHC Oxford 2015

UHC -Broker Connection Newsletter - View the process to be used by new business clients for submitting the required 1095-B information, PCORI Notice Scheduled for All Savers® Clients, New Vision Network Includes Target and Sears and much more. Click below.
 

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Technology Upgrade at EmblemHealth - To better serve you and our members, EmblemHealth is upgrading our internal technology. This will affect HIP Small Groups/Members renewing between July 2017 and June 2018 and HIP Large Groups/Members renewing between August 2017 and July 2018. This upgrade will not affect GHI Large Groups/Members until 2018.

See exactly how this will impact you.This change starts with HIP Small Group July renewals.

  • Group numbers are changing to a 11-digit format
  • Member ID numbers are changing to a 11-digit alpha-numeric format
  • Emblem Health will be contracting ALL selling agents directly, which means Emblem will pay selling agents directly
  • Brokers will need to fill out new Emblem Health contracts, the target date is 6/17 for all contracts to be back in Emblem's office (Watch for new forms as soon as they are finalized).
  • All Brokers need to complete the new forms regardless of group’s renewal month.
  • Lock Box will be changing. Emblem will provide new information as soon as possible.
  • Old HIP/EH group and member ID numbers will be on the portal for 18 months.

PDF-icon2SM Click here to download the full pdf document

Aetna SM for Web

Aetna Life Insurance Company has submitted a rate change request to the New York State Department of Financial  Services (DFS) for new and renewing Small Group plans effective January 1, 2018.  Proposed rate changes have been submitted for groups with 100 or fewer full-time equivalent employees in New York.While the exact rates requested will vary by plan and region, they have requested rate increases ranging from -2.54% to 39.98%.

PDF-icon2SM Click here to download the full pdf document

HealthPass SM for web

July 2017 Renewal Window is Now Open! The HealthPass Online Portal (HOP) is now open to accept July 2017 renewal applications!