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New York News

 Oscar Health logo blue SMALL web
 
An important Message from Oscar CEO Mario Schlosser:  We are excited to announce that we’ve removed participation requirements for Oscar for Business plans, effective immediately. This means that any employer can offer Oscar side-by-side with another carrier. We will accept even a single employee from a group, provided the group meets all of our other underwriting requirements. MORE
 
EmblemHealth 4C 300dpi

Emblem Health Broker News - We want to continue to keep you informed about current and future changes in health care. Click below to find the most recent information we have about Federal and State developments that may affect you or your clients.
 

HealthPass SM for web

The HealthPass Online Portal (HOP) is now open to accept June 2017 renewal applications! If your group is making changes for your renewal open enrollment, several transactions must be completed in the HOP. MORE

 

PDF-icon2SM Click here to download the full pdf document

Empire BCBS Anthem Co 8-2016


Empire New Business Reference Sheet -  Reminder that we no longer require payroll/941 on stand-alone HMO. Click to access the New Business reference sheet.
 
 
Aetna SM for Web

Imoprtant Message from AETNA - We want you to know about a change we’re making to our medical plans in 2017. This information will help notify your clients and their members about this change.
As you know, we mail printed ID cards to new Aetna members when they enroll. Beginning April 1, 2017, members will receive durable paper ID cards. Less plastic cards produced are better for our environment.
This change applies to new members and to critical ID card updates for existing members. Paper ID cards have the same member and plan information as the plastic card format.
 
We encourage members to access their digital ID card through:
•    Aetna Navigator:  Visit Aetna.com to register. Once registered, members can access and print a copy of their digital ID card by visiting the ID card section of Navigator.
•    Aetna Mobile Application (iPhone and Android):  Available in app stores when a user searches for “Aetna.”
•    Aetna.com mobile web
 
Remember that certain updates, such as a name or dependent change or a primary care provider (PCP) change, result in a paper ID card mailed to the member. When we have a member’s email on file, less critical ID card updates are only applied to the digital ID card. Printed cards are mailed when there is no email on file for the member.

PrestigeEE

 

Prestige Employee has announced a 2Q Broker Contest. Find out how you can EARN!!

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UHC Oxford 2015
 
UHC Broker Connection 3/8/17 - Topics include ACA Update for Aggregate groups, Broker & Client Suppoprt update, Reform & Compliance updates and Pharmacy authorization.
 
HealthPass SM for web
 
First came core benefits, then voluntary benefits and now you have the ability to offer identity theft plans. Symantec’s acquisition of LifeLock is now complete combining the best of Norton’s digital security with LifeLock’s identity theft protection and remediation services. Best of all, there’s no change in how HealthPass works with LifeLock.
 

UHC Oxford 2015

Please see the link below for the updated 2017 NY Oxford Product Grid. Please note, that the Emergency Room benefit for the Bronze EPO HSA $6,550 Liberty Non-Gated was the only change that was made to reflect the correct benefit.

PDF-icon2SM Click here to download the full pdf document

PrestigeEE
 
Now you can cash in for 2017 with Prestige's broker Bonus program.  Valid for start dates 1/1/2017 through 3/31/2017. Plus there is a chance to earn a 7 day Caribbean cruise! Click below for details.
 

EmpireBCBS2013 isolatedMED


Important Message from the Management of Empire BCBS

 
On behalf of the Empire Small Group sales team, Ethel Graber joins me in sincerely thanking everyone who wrote business with us this past January, and in extending our gratitude for sticking with us through some early ‘re-launch pains’. We genuinely appreciate your willingness to reunite with Empire, and will continue to work to regain your trust and develop a superior Small Group product.
 
We hope that you can begin to see differences this go-around, with a renewed and dedicated commitment to this market segment. This first year is about coming back with the right partners and the right strategy. We look forward to future and continued growth alongside you all.  
 
I welcome any and all feedback. We need it and want folks to know that we are listening.
 
Thank you all.
 
Jordan Vidor, Manager | Ethel Graber, VP & General Manager

HealthPass SM for web

Many comprehensive preventive services are covered under health insurance plans? These services include, but are not limited to: adult physicals, mammograms, colorectal cancer screenings, diabetes screenings, and immunizations — at no cost to the member!
 

Oscar LogoSM

A Special Invitation from Oscar to Key FNA Brokers.

Hi Brokers,

We are launching Oscar for Business, our small group product. And we can’t do it without you!

We hope you’ll join us for an exclusive broker kick-off to share the details on Oscar for Business and how Oscar is making health insurance simple and reliable. There will be events at both Oscar HQ in Soho and at the Marriott Uniondale on Long Island.

ACT QUICKLY BEFORE SPACE FILLS UP!

Please click through below to select your preferred date by Friday, February 3rd:

https://goo.gl/forms/vckXwrzc5ThkKG5d2


Here's a preview of the agenda:

•    Breakfast, lunch, or happy hour meet-and-greet
•    Oscar's vision and strategy, presented by Mario Schlosser, Oscar's CEO
•    Plans, network, pricing, and tools for Oscar for Business

What’s the difference between the NYC and Long Island events? The Long Island event will be a large conference-style presentation. The sessions in our NYC office will be intimate seminar-style events with an opportunity to engage more closely with the Oscar Team, including our leadership. Also, for those of you commuting from Long Island to a NYC seminar, we'll provide a $100 AmEx gift card to cover travel and parking.

Once you’ve completed the form, keep an eye out for a formal invite with more details. And don’t worry, if you need to change your response you will be able to. If you have questions, please reach out to OscarForBusiness@hioscar.com.

Looking forward to seeing you,
- The Oscar for Business Team


Call your FNA Representative with any questions you may have.

Oxford SM for Web

As a reminder, New York small groups that currently only offer an Oxford Health Plans (NY), Inc. (OHP) HMO plan need to take action 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.

For your convenience, suggested OHI replacement options have been loaded to our online enrollment tool (IDEA). These options have similar cost shares and benefits to the current OHP HMO plans and are at the same metallic levels.

PDF-icon2SM Click here to download the full pdf document

EmblemHealth 4C 300dpi
 
 EmblemHealth Broker Focus Newsletter- New for 2017 - Emblem is looking toward a productive 2017.  This exclusive broker newsletter includes new HMO offerings, large group bonus program, new opportunities and a sneak peek at the EPO Value plan.
 
CareConnect Logo 4CSM

 
CareConnect has just released their current marketing materials for 2017. It includes information about network, wellness, gym reimbursment and more. See the list below to download and share with your clients.
 

 

 


CareConnect Logo 4CSM


The Access Plan SG rate sheet for Q1 is now on the website and can be found at https://www.careconnect.com/our-plans/access-plans.  The coverage restriction has now been updated on the rate sheet, CareConnect websites and Broker Toolkit:


Employees who reside in the following states cannot be enrolled: Florida, Texas, New Hampshire, Vermont, or Alaska. 

PDF-icon2SM Click here to download the full pdf document

CareConnect Logo 4CSM
 
We're excited to announce the launch of our new video series, “A Guide to Healthier Insurance.” You'll be able to leverage these videos to make it easier to sell CareConnect to your clients. Watch our first chapter, “What's it like to be a CareConnect member,” by clicking below to obtain links.
 
UHC Oxford 2015
OHP Withdrawal
Effective upon renewal in 2017 Oxford's Small group HMO products in New York will no longer be available. Please see the detail on the transition process below as action may be required!

Effective upon renewal, beginning January 1, 2017
Applies to OHP products
Small group HMO (including Healthy New York)
Large group POS
Individual HMO
Employers and members will receive notice about 180 days before their 2017 coverage end date

PLEASE NOTE - for a renewal plan change you must submit a 2017 Annual Certification along with the additional information/documentation below:
Manual Submission:
TAXES  - yes
CERT 2017  - yes   NY Small Group Application and Certification form OHI
SIGNED RATES yes -   plan design must be included
WAIVERS  - yes as well as enrollment forms for new subscribers
Letter from the GROUP -  yes

For Submission through IDEA:
TAXES -   yes
WAIVERS to upload  -  yes


PDF-icon2SM Click here to download the full pdf document

Please note that the carriers below have extended the deadlines for 1/1/17 deadline for NY. Please call our FNA Individual Department if you need assistance with processing your client's individual business.


Oscar – Extended cutoff date - 12/31/2016
Care Connect – Extended cutoff date - 12/23/16
Empire NY - Extended cutoff date – 12/15/16

Aetna SM for Web


Changes to Members' 2017 Prescription Drug Coverage Formulary  - We want to help members get the most from their pharmacy benefits coverage. Every year, we review the drugs on our Preferred Drug List. These drugs are chosen based on sound medical data, safety and cost.

PDF-icon2SM Click here to download the full pdf document

HFirst New Logo R2015

Healthfirst is launching new small group health plans and brokers can begin earning commissions April 1st 2017.  Save the date for a broker seminar January 25th in Garden City or January 27th in NYC.  Detail are below.  Registration and breakfast will start at 8am, broker session will begin at 9am. If you have any questions, contact your FNA Broker representative direcly. 
 
UHC Oxford 2015
 
UHC Oxford Age off termination letters.   As you know, we term dependents at the end of the calendar year who no longer meet our age requirements. During our process this year, some of these members were not terminated. This impact was to NY Small Group members only. We are required by law to provide members with 30 days advance notice of termination. We are sending affected members the attached termination letters and terming them effective 1/31/2017, as opposed to the original term date of 12/31/2016.
 

UHC Oxford 2015

Oxford Update on Binder Check Payments and Paper Applications

An Update on the Oxford Binder Check Payments and Paper Application Submission Changes. UHC Oxford has made a few adjustments to the submission process for new Oxford small group payments and applications since our previous notice in early November.

For New York (1-100), New Jersey and Connecticut (1-50) new small groups, we have added a third payment option. Below is an overview of all three options for submitting new Oxford small group payments and applications.

PDF-icon2SM Click here to download the full pdf document