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New York News

EmpireBCBS2013 isolatedMED

Empire has announced that they have enhanced their network offering to give members more of what they really want. Empire offers three networks to meet member's demands, providing a great balance of choice, access and value.  In addition, Empire  BlueCross BlueShield Participating Acute Care Hospitals offer all small group health plans full national access with no restrictions. Click the links below to read more about Empire's enhanced network offerings and about the increased numbers of hospital members will have access to.

healthfirst

Broker Bulletin: New HSA Option from Healthfirst Good news! In 2018, Healthfirst’s bronze level plans for small groups are Health Savings Account (HSA)-qualified. Save money on Healthcare expenses and lower tax free deductions.

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The broker webinar of the year: Tech is Transforming the Industry

Broker Concierge from PrimePay - Find out how you can deliver what your clients are demanding - employee benefit technology which is a MUST in today's industry. Find out how to register for this important webinar.

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United Healthcare

UHC Dental

UHC has decided to continue the 5% rate cap guarantee on all new Dental sales all the way through JULY effective dates! They will continue to keep pushing for these extensions and we will keep you up to date as approvals come through.

Guidelines for eligible groups are as follows:
  • Effective Dates: December 2017 through JULY 2018
  • Group Size: 2 to 100 eligible lives
  • Exclusions: Groups situs in RI, WI, WA, FL (2 to 50), ACEC groups

Cigna logo

Cigna’s self-funded plans have transitioned to the Cigna90 program for maintenance medications.  

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OSCAR

In an important message from Louis DeStefano, hear all about Oscar's recent partnership with AXA. In addition, an update on Oscar nearing 1 billion in revenue and how Oscar is shaking up the healthcare system.

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EmpireBCBS


Empire’s Q2 rates are here!  Download the rate card as well as the Downstate Contract Code key for submitting cases with HealthConnect quotes.

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Healthfirst Commission Update - Healthfirst is committed to growing with you. That’s why they will be offering brokers an opportunity to earn more in the new year. Just announced, Small Group compensation for new and renewing business in 2018 will be 4% of the premium.

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Oscar changes participation requirements starting with  March 1, 2018 effective dates. Oscar will be introducing a 51% small group participation requirement for all New York groups effectuating on and after March 1, 2018

Cigna logo
Cigna has released their newsletter with latest on the Tax Reform Impact on ACA ,  24/7 National Support for All Veterans,   NY Family leave handbook and more.  Click below to access the newsletter.

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Oscar and HealthPass have teamed up to offer your clients expanded options at a great price for 2018!  They also offer plan mapping support for your clients who may still be enrolled with CareConnect to 2018 Oscar Plans. 

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Happy Holidays from Oscar! You will now have until Monday, January 8th to complete applications for January 1 small group coverage. 
 

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Don't forget: the deadline to enroll your on-exchange New York individual clients for January 1 coverage is this Friday, December 15th. The deadline to enroll off-exchange New York individual clients for January 1 coverage with Oscar is Sunday, December 31.
In case you need a refresher, you can easily enroll your individual off-exchange clients with Oscar through your customized link here: hioscar.com/get-quote/NPN. Once your client enrolls, we’ll give you credit!

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Healthfirst will be extending their small group new business deadline for January business.They will accept employer applications via your GA enrollment portal through Wednesday 1/3/18 for business with an effective date of 1/1/18. NOTE if business is submitted after their standard new business deadline of the 23rd of the month, that coverage may not be approved until after the effective date. If coverage is approved, Healthfirst may not be able to produce a group number, member ID numbers, or member ID cards until effectuation is complete, which could be after the effective date of the policy.

MORE Healthfirst's Broker Bulletin -Healthfirst has made some attractive changes to their product portfolio for 2018. Please be sure to check out their at a glance benefit plan changes that they are implementing for 2018.

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REMINDER - The renewal window for January groups will close on 12/26/2017. January 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. Keep this in mind and work closely with your FNA Representatives.

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Emblem Commission Update - Emblem is committed to supporting their broker partnerships. That’s why in 2018 they are offering increased commission rates (four percent up from three percent in 2017).

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HealthFirst - HealthEquity Update - We are pleased to announce that we have contracted with HealthEquity as the ustodian for H S A accounts. Our 2018 Bronze Pro & Pro Plus EPO plans are H S A compatible and Healthfirst will cover the account set up fee and monthly  administration fee for any
employer/employee who chooses to implement an H S A compatible plan with Healthfirst and HealthEquity as the custodian.

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News about Special Open Enrollment Reminder - for CareConnect and Oscar and Extended New Business Submission Deadline Reminder. Click below for details.

 

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UHC Broker Connection December 8, 2017 - Reminder about two preventive changes for 12/1/17 regarding the use of statins, vision provider updates and more. Click below to access the Newsletter.

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Do you have small group clients in Suffolk County? With 5 major hospitals and 33 urgent cares in our network, Oscar offers easy access to high quality care. You’ll love the prices, too.  A better experience at a better price.

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UHC Oxford 2015
UnitedHealthcare Federal Open Enrollment Change - Important. We have been notified by UnitedHealthcare about this most recent update regarding Federal Open Enrollment.  UHC was recently recieved updated guidance from the NY DFS regarding the changes to the Federal Open Enrollment Period.    The new guidance is as follows:
  • Participation cannot be applied to new business submissions that apply between 11/15-12/15 for the following effective dates: 11/15, 12/1, 12/15 & 1/1. Any effective date after 1/1 will have participation applied.
  • It was previously advised that no participation would be applied to later effective dates of 1/15, 2/1, 2/15, 3/1 & 3/15 if the group was submitted between 11/15 and 12/15. Those effective dates will now have participation applied to them.

Please call your FNA Representative should you have any questions regarding this important update.

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HealthPass Special Open Enrollment - HealthPass will offer specific members two special open enrollment periods for a 1/1/18 effective date. One will be for all CareConnect members. The other for all Oscar Members.  Find out more about the Open Enrollment window for each.

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Careconnect Network Update - existing members - CareConnect has released a Broker Update with details about providers that will be leaving the network. Mailings will be sent to impacted members in the coming weeks.

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EmpireBCBS2013 isolatedMED

Empire has released a new arketing piece to help illustrate the strength and advantages of  Empire’s Small Group networks. The focus is Major Provider Practices  based on where members have historically visited and have indicated as most valuable when selecting a provider network. For a more expansive list, members and prospective clients should utilize the Find-a-Doctor feature on empireblue.com to identify whether their physicians are  participating or not.  Although Empire covers 96% of physicians nationwide through our PPO BlueCard program, it is still important to check!

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