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New York News

HPass Logo PMS165 NEW 2015

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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UHC logo

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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 EmpireBCBS2013 isolatedMED

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.

PDF icon2SM  Click here to download the full pdf document

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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:

PDF icon2SM   Click here to download the full pdf document

CareConnect Logo 4CSM

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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HFirst New Logo R2015

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!

PDF icon2SM  Click here to download the full pdf document

Oscar Health logo blue SMALL web
 
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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CareConnect Logo 4CSM
 

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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HFirst New Logo R2015
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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Aetna SM for Web

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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PrestigeEE

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

HealthPass SM for web  Solstice Benefits 2013

 

Choice isn't only for HealthPass medical plans. Effective 11/1/2017, HealthPass is adding 2 NEW attractively priced Solstice dental plans with no participation requirements! With the addition of these 2 plans, they will offer employers a choice of  8 dental plans across their 2 dental carriers!

PDF icon2SM Click here to download the full pdf document

 

HealthPass SM for web

Effective 10/1/2017 there will be an additional requirement to enroll or renew a group with the HealthPass New York Exchange:
•    75% of the eligible employees must demonstrate they are covered under credible medical insurance (Existing Requirement)
•    20% of the eligible employees must enroll into a HealthPass medical plan (New Requirement)


Be sure to read the full document for additional reminders and exceptions.

CareConnect Logo 4CSM

While preserving its population health commitment, Northwell to withdraw CareConnect from NYS insurance market
08/24/2017 | Terry Lynam

EAST HILLS, NY — As an early adopter of population health strategies, Northwell Health has moved aggressively over the past decade to develop new, innovative approaches to organizing care delivery in ways that bring the highest value to patients, insurance payers, employers and other customers.  As a result, Northwell has negotiated a multitude of value-based insurance contracts that make the health system responsible for managing the care of more than 400,000 individuals, including 125,000 customers covered through its CareConnect Insurance Company. 

Northwell announced today it is winding down CareConnect and withdrawing from New York State’s insurance market over the next year.  Northwell will be submitting a withdrawal plan to DFS, but CareConnect operations will continue over the next year as the company works with its customers, businesses and others to help transfer policy holders to other health plans. Throughout the transition, CareConnect will continue to pay claims and serve members, patients and providers. CLICK BELOW FOR THE FULL PRESS RELEASE

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Oscar Health logo blue SMALL web

 

Oscar is giving you more time to hit the beach AND enroll groups.  Oscar has rolled their cutoff for new business submissions for September 1 effective dates to September 6 to complete applications.  For the full details and specifics, click below.

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Emblem is hosting a special Broker 2018 Preview and Reception on Monday, September 18th at 3:00 pm in their Melville location.   Space is limited so you must reserve your space to gain access. Click the document below to find out more and also how to register.

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UHC Oxford 2015
IMPORTANT UHC REMINDER - ACTION REQUIRED FOR NEW YORK SMALL GROUPS:  Enroll Sept. 1, 2017 OHP HMO Groups  in an OHI Plan by Aug. 31, 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 Sept. 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 and need to apply as a new group.

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 EmpireBCBS2013 isolatedMED
 
Large EmployerAccess Manual released - EmployerAccess — everything you need for more efficient plan administration of your group benefits. Empire BlueCross BlueShield (Empire) is making it easier for you to do business with us. In addition to the helpful resources already available at empireblue.com, we have enhanced the plan administration tools. 

PDF icon2SM Click here to download the full pdf document

Oscar Health logo blue SMALL web

 

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

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EmblemHealth 4C 300dpi

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

UHC Oxford 2015

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.

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Oscar Health logo blue SMALL web

 

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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