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New York News

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Oscar Migration Plan for 2018  - Oscar is trying to make it as easy as possible for you to enroll your clients for 12/1 and then automatically renew into 2018 plans effective 1/1. By offering this option to your migrating groups, it will provide them access to our expanded 2018 product portfolio and lower rates.

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HealthPass Auto Rollover Mapping Chart - As you know, CareConnect has announced its decision to withdraw from the New York State insurance market. After negotiation with the Department of Financial Services, it has been determined that as of 11/30/2017 CareConnect will no longer write contracts for groups. For full details and the mapping chart, click below.

Auto-Rollover Mapping Chart

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Oxford Q1 2018 rate and network fact sheets - As the 2018 selling season gets underway, UHC Oxford wants to be sure you're fully equipped to present our Oxford plans to your clients. To help, we've included first quarter rate information for New York small business plans. As you will see, there are many savings opportunities available with our Oxford small business plans-coupled with some of the most competitive rates in the market through our Metro Network products.

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Network Update - How many Oscar specialists are in your county? Find out more about deep integration and the popular counties. In addition Oscaar is gearing up for 2018 and has released an important e-mail that you will want to keep handy so that you will have all of the resources you need for a successful open enrollment. Download.

Oscar Rates available here

 

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2018 New Plans and rates for 1st Q 
When it comes to small group plans, Emblem thinks big! That’s why they have added two new plans to their 2018 roster — each built with your book of business and clients’ needs in mind.

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Emblem' new benefit summaries

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Trinet released information about an immediate, one time incentive through 12/31/17. incentive outlined is very profitable and compelling. We encourage you to act immediately and engage with TriNet’s Broker Directors or with your FNA main point of contact.
 

 

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 Enhance your Work-Life Flow with Lifestyle Healthy Rewards

Find your healthy work-life balance this month. FIND THE BALANCE With many individuals trying to manage workloads, relationships and family, on top of trying to squeeze in their free time, it is no surprise that 1 in 4 Americans describe themselves as “super stressed”. According to Everest College’s Third Annual Survey, workplace stress is on the rise with 83% of Americans frazzled.

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Oxford Mapping for CareConnect Groups -  UHC has put together a piece to help transition any members that are interested in moving to Oxford where they mapped the most popular CareConnect plans to their closest matching Liberty and Metro options.

 

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HealthFirst Broker Presentation - If you missed the most recent HealthFirst webinars, below please find a copy of their recent Fall Broker Webinar presentation as well as our Q1 rate sheets. A ecording of the Broker Webinar will be available in the coming days.

Rates

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UHC Broker Connection -  UnitedHealthcare has released their most up to Date Broker Connection. It covers topics such as: Medicare ID cards update, Child age band rating changes, Pharmacy updates and more.

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EmblemHealth's New York City Broker Meeting -  Emblem is Topping the Charts EmblemHealth’s HIP Prime HMO/POS network vs. other carriers.  Compared to other health insurance carriers, EmblemHealth’s HIP Prime/POS network has the highest number of participating primary care physicians (PCPs) in nine of 10 downstate New York counties. If you missed the recent LI MeetingCome and hear about the 2018 Commercial Product Preview and enjoy a Breakfast Reception with Karen Ignagni, President & CEO, and Tim Nolan, Executive Vice President of EmblemHealth.  Details are below.
 

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Healthfirst Insurance Company, Inc. (Healthfirst) is proud to announce our partnership with Healthpass New York.  Brokers will be able to write business through HealthPass New York for policies effective December 1, 2017. Please note that brokers must be appointed with Healthfirst in order to write
business.

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Aetna

 

Aetna regularly assesses our product and plan options to ensure that we provide a competitive offering. By continually assessing and refining our product offering, we are able to focus our energy and investments on the products that our customers are most interested in.  Effective January 1, 2018, Aetna will discontinue eight small group plans offered in New York. This will affect small group cases that renew on or after January 1, 2018.

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Please join the New York leadership team at one of our Fall New York Producer Webinars to hear important updates to help you maximize and grow your business with UHC.
Topics include: • New NY small group plan designs for 2018 |   Small group medical product updates |  2018 underwriting guidelines update | 2018 broker commission changes | Specialty benefits

Multiple dates available

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Register for Empire's webinar about Small Group 2018 health plans.- Join us for Empire's Small Group webinar. Find out how you can offer your small group clients more choices and greater access with our new plans for 2018. Register today! Register for our webinar about Empire's Small Group 2018 health plans.

Register today for our webinar about Empire's New York Small Group health plans for 2018.

•October 17 (downstate New York)
•October 19 (upstate New York)
Both webinars begin at 10 a.m. Eastern Time. Mark your calendar and plan to join us.

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The HealthPass Online Portal (HOP) is now open to accept November 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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Even though CareConnect operations will continue, they will no longer be holding our Broker Seminars scheduled for September 18th in Manhattan, September 26th in Westchester and September 28th in Long Island.

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You’re invited!
Learn more about Healthfirst’s new plan benefits for 2018, as well as changes to the broker commissions program, updates in our small group Underwriting Guidelines, and more!

Register for the upcoming webinar today!

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An important message from Louis DeStefano regarding the future plans for 2018, expansion plans and also a reminder about two upcoming broker seminars that you should register for. Oscar is looking forward to bringing the best and most affordable care to our small group members in 2018.

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Prime Pay Broker Webinar - Webinar: September 6, 2017 at 1:30 p.m. ET - How to Avoid Open Enrollment Nightmares - Open enrollment is just around the corner and even the savviest of benefits pros wonder what else they may do to better prepare their clients and their employees for such important decisions.

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As you may have heard, the decision has been made to wind down CareConnect and withdraw from the health insurance market. Northwell will be submitting a withdrawal plan to New York’s Department of Financial Services, which will determine the details and timing around that withdrawal.

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Aetna  Funding Advandate  helps you Save -Discover the many ways that Aetna Funding Advantage (AFA) can help your business  save Tired of rising health care costs? Switching to a self-funded plan may be  easier than you think. It’s time to consider Aetna Funding Advantage.


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Healthfirst) has made an amendment to its small group underwriting guidelines. Effective immediately, they will accept other-employer-sponsored coverage as a “valid” waiver towards the overall participation requirement of 60%. Click the link below to download the new underwriting guidelines.

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Prestige Employee Administrators Announces Approval as CPEO

Press Release - 8-25-17 -  Prestige Employee Administrators Is Proud To Announce Its Approval As An IRS Certified Professional Employer Organization (CPEO) Under The Small Business Efficiency. Prestige Employee Administrators, Inc. a Professional Employer Organization (PEO) that offers large company benefits and services such as Human Resources, Compliance, Employee Benefits, Payroll and Retirement Plans to Small to Mid-Sized businesses is pleased to announce its approval as an IRS Certified PEO (CPEO) under the Small Business Efficiency Act (SBEA, S.479).

PDF icon2SM Click here to download the Press Release Link