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New York News

EmblemHealth 4C 300dpi
 
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 New Logo R
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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HealthPass SM for web
 
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.

CareConnect Logo 4CSM

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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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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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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Your 12/1 groups deserve a great rate for 2018, and Oscar has committed to providing the easiest and fastest process to enroll your CareConnect clients who are looking for a new carrier.   In just a few clicks, you can now set up your clients to automatically renew from Oscar 2017 plans to our expanded portfolio in our broker portal. It’s that simple for you to get your clients a great rate for 2018.   Click below to access the Broker Portal and view a video Demo.

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emblemhealth2014

Reminder from Emblem - This is another reminder on the process for moving 12/1 groups to 1/1/2018. Please use the attestation letter needed to move groups into the 2018 plans prior to renewal. This letter must be executed and uploaded during the initial enrollment process via the broker portal. The deadline for submission for new 12/1 small groups is 11/27.  For 12/1 existing groups, if they want to move to the new 2018 plans, this letter must be submitted to Broker Services no later than 11/27 to ensure proper enrollment and issuance of new ID cards.

NOTE - New Small group application - CLICK HERE

 

 

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Oscar is committed to making it easy to do business with them and they  want to create the best experience for you and your clients. Last week, they shared our auto-renewal process to transition your 12/1 renewing groups to 2018 Oscar plans. They sent the employee and business auto-renewal enrollment forms that you'll need to send to your GA to begin the process.  It turns out that they were so excited to send you our 2017/2018 auto-renewal enrollment forms that they made a mistake in their list of current 2017 plans. Please use the forms available in the link below moving forward.

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An important message from Louis DeStefano, Oscar's National VP of Sales. "I’m excited to announce that Sean Egan has joined the Oscar team as our New York/New Jersey Market Director.  I am fortunate to have worked with Sean several years ago and most recently he was the Director of Sales at CareConnect. CLICK BELOW FOR MORE...

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UHC Oxford 2015

Oxford Open EnrolmentHints for Brokers 2018

UHC Oxford is committed to making your processes as simple and efficient as possible in order to provide the most positive experience for their groups. It is important that you review the items from Oxford and ensure that you follow the guidlines and the following items are included in your new business submissions.

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UHC Oxford 2015
UnitedHealthcare has released their updated 2018 NYSG Product Grid.  We will continue to apprise you on the 2018 updates to documents, marketing material etc.. as they become available from UHC.

 

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Empire BCBS Anthem Co 8 2016

Empire RX Update - Empire’s parent company Anthem, Inc. announced that it is launching IngenioRx, a new pharmacy benefits manager (PBM). IngenioRx will begin offering a full suite of PBM solutions starting in 2020. In addition to the news about IngenioRx, they have also announced that we’re partnering with CVS Health after our current PBM contract expires at the end of 2019. This combination will create a truly  integrated approach to managing health and driving better outcomes.

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Empire BCBS Anthem Co 8 2016

Empire recently held several 2018 Rollout Webinars.  For those of you that missed this...below is a copy of the slides used in last week’s Empire webinar and a link to the recording.

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Empire BCBS Anthem Co 8 2016

Empire Dec/Jan Terms & Rewrites
Empire has created a one page form that should be completed with the January signed quote for groups who want the December/Jan term & rewrite. Please ask your FNA Representative for the easy process for Dec/Jan term & rewrites that will allow members to keep the same group number and member IDs. Please utilize the Small Group Employer Application Acknlowledgement for 2018.
 
UHC Oxford 2015
Action Required for NY OHP Small Groups  -  Enroll Nov. 1, 2017 OHP HMO Groups in an OHI Plan by Oct. 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 Nov. 1, 2017 need to purchase a new Oxford Health Insurance, Inc. (OHI) policy before their current OHP plan ends.
 

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CareConnect Logo 4CSM

We wanted to make you aware that over the next couple of days, we will be sending out notices of creditable coverage and discontinuance notifications to your clients.  Here’s what you need to know...CLICK BELOW

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UHC Oxford 2015

If you missed it...here are some highpoints from the UHC 2018 Rollout Broker - Webinar. Click HERE to access the webinar content and learn more about...

  • Commission update - and we mean UP
  • 2018 Plan Rates
  • Network Updates that are going to have you rethink  the Oxford networks
  • New App information for your clients and much, much more.

NY Small Group Q1 Rate Sheet | Oxford Metro FAQ | Oxford Metro Network Fact Sheet | Acute Care Hospital Listing by Network

 

 

 

HealthPass SM for web

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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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.

UHC Oxford 2015

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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