IMPORTANT: FormFire Annual Rate and Census Reconciliation Form Due March 31

Today, many of you received the important notice of the census reconciliation process required for all SOCA BP clients. This reconciliation must be completed by March 31, 2019. It has come to our attention that there was a programming error with regard to the census reconciliation process where you are unable to submit the month and year properly.

Please take note of the following information, which contains the fix to the programming issue in line 8 of the census:

  • To fix the error, right-click on the blue cells in line 8.
  • Right-click and select “Format Cells”.
  • Select “General”.
  • Click “OK”.

You must do this for both the “Month” cell and “Year” cell.

Click here to view the release from FormFire regarding the census reconciliation.

CMS Extends Transitional Relief Until January 1, 2021

The Centers for Medicare & Medicaid Services (CMS) recently released a bulletin extending non-enforcement policies against certain non-ACA-compliant non-grandfathered health insurance coverage in the small group and individual markets.

The extended transitional policy in this bulletin applies for policy years beginning on or before October 1, 2020, provided that all such coverage comes into compliance with the specified requirements by January 1, 2021.

Click here to read the full release from CMS.

Questions? Contact your Cornerstone representative for additional information.

Aetna Funding Advantage New Broker Bonus

Aetna Funding Advantage’s new broker bonus rewards brokers who sell groups using Individual Medical Questionnaires (IMQs) from May 1, 2019, to September 1, 2019.

< 10 subscribers 10 + subscribers
$50 bonus per sold sub $25 bonus per sold sub underwritten without IMQs
$100 bonus per sold sub underwritten with IMQs
$25 admin fee credit for your client per sold sub underwritten with IMQs

Click here to learn more.

*Please note this bonus program does not apply in FL, GA, NJ, MI or MA.
**2 to 50 in PA/TX, 2 to 100 in N. IL, 5 to 100 in CO/CT/KY/LA/OH, 10 to 50 in NV and 26 to 50 in NC.

Updated Analysis Shows More Competitive ACA Marketplaces in 2019

A 2017 analysis done by the Urban Institute and the Robert Wood Johnson Foundation found “strong inverse associations between the number of marketplace health insurers and premium levels and premium growth; rating regions with few insurers had higher premiums and higher premium growth.” The analysis has since been updated with 2018 and 2019 data, which concluded that more than 20 percent of the U.S. population now lives in an area with five or more marketplace insurers, though there are many regional variations.

For example, more than 40 percent of the population in the Northeast lives in areas with five or more marketplace insurers, while in the South, only 4 percent of residents live in areas with five or more insurers though a majority (nearly 53 percent) live in areas with between one and two insurers. In addition, the analysis found that marketplace premiums in the rating regions with fewer insurers tend to be substantially higher.

Click here to read the full analysis.

Click here to view a summary from the Robert Wood Johnson Foundation.

AFA Now Available for 51–100 Groups in Kentucky

Aetna Funding Advantage is now available for 51 to 100 groups in Kentucky. Review the fact sheet to sell, quote, and enroll with additional bonus dollars available!

Click here to access the fact sheet.

Click here to view the quoting process.

Click here to learn more about the Aetna Funding Advantage bonus program.

Important All Savers Updates from UHC


Effective for July 1 new business, the OH Health Plan has made the decision to REQUIRE individual health applications for All Savers ASO, groups with 20 to 50 lives. The 15-question application will be required for underwritten rates.


Effective March 22, All Savers will launch DocuSign in the following states: AL, AZ, DE, GA, IA, IL, IN, KS, LA, MA, MI, MO, MS, NE, OH, PA, SC, TN, TX, WA, WI, and WY. Kentucky is NOT a DocuSign state at this time.

Brokers and/or group administrators will be able to complete the All Savers group submission documents electronically as of March 22, 2019. DocuSign is an eSignature solution and is one of the leading eSignature brands in the market providing brokers and employers a faster way to complete required paperwork. DocuSign will not only shorten the application process, but it will also minimize errors by automating the application process.

New Web Address should be used by members and group administrators. Communications were sent to members and groups.  The broker web address did not change.

Click here to view the member website overview. 

Click here to view the ER website overview.

All Savers Playbook

The Playbook has a lot of information for brokers about getting appointed, quoting on line, SIC Code listing, eligibility, sold case process, contacts for post-sale, and a sample ID card.

Click here to view the Playbook.

Mayo Clinic

In network effective January 1, 2019.

Two Important Updates from Anthem

SOCA MEWA Renewal Process Guide

Take a moment to look through this step-by-step guide for processing your 5/1 SOCA BP renewals within the FormFire system.

If you have any questions, please contact your Cornerstone Broker Advisor.

Click here to access the guide.

Group and Individual Clients Moving to IngenioRx Effective 7/1

Anthem small group grandmothered and small group SOCA BP/MEWA clients*, along with grandfathered and grandmothered individual clients will move to Ingenio Rx, Anthem’s new pharmacy benefits manager, on July 1, 2019. An email will go out to those clients on March 18 to inform them of the transition.

You can access the IngenioRx website at

Reach out to your Cornerstone representative with any questions.

*This will also include and GF or GM IND clients your agency may have if applicable.

IngenioRx Client Guide and FAQs

IngenioRx Sample Member Letter

2019 HSA Refresher: The Ins and Outs

If you have been in the insurance industry for a while, you know the basics and the advantages of Health Savings Accounts (HSAs). Individuals enrolled in a high deductible health plan (HDHP) are eligible for an HSA account, which enables them to save tax-free money for medical expenses. The popularity of HSA-HDHPs has increased significantly in the past 10 years. According to a report released by AHIP in April 2018, enrollment in HSA-HDHPs rose from 4.5 million in 2007 to 21.8 million in 2017, yielding an increase of 400 percent1. As deductibles continue to rise and these numbers continue to grow, it is important to know the ins and outs of HSAs so that we can better advise our clients.

The 2019 Basics

  • Max contribution: $3,500 individual; $7,000 family
  • Catch-up contribution limits for ages 55+: $1,000
  • HDHP minimum deductible: $1,350 individual; $2,700 family
  • HDHP maximum out of pocket: $6,750 individual; $13,500 family

HSA Triple Tax Savings

  • Tax deductions on contributions to the account
  • Tax-free earnings on interest and investments and
  • Tax-free withdrawals when used for qualified expenses

Qualified Expenses

Qualified medical expenses are more than just copays, deductibles, and coinsurance. HSAs may also reimburse health insurance premiums while receiving federal or state unemployment, COBRA or state continuation premiums, qualified long-term care insurance (as indexed by calendar year and age), Medicare (other than a Medicare Supplement policy), and retiree premiums (once HSA owner and insured, if other than owner, are over age 65).

Contribution Rules

Owners: Owners of C-corporations and 2 percent or less owners of an S-corporation may contribute to an HSA on a pre-tax basis through payroll deduction. HSAs are also available to sole proprietors, partners, and more than 2 percent S-corporation owners to contribute to on an after tax basis with an above-the-line deduction. Owners’ spouse, parents, children, and grandchildren of a more than 2 percent S-corporation owner cannot contribute pre-tax. Like the owner, they must contribute post-tax and can then take an above-the-line deduction.

Contributions and tax benefits: Anyone can contribute to the account however the owner of the account is the individual who receives the tax deduction. This means a parent can contribute post tax to an HSA in their adult child’s name. The child gets the tax deduction on that contribution.

Married individuals who both attain age 55+: If both individuals are covered by a qualified HDHP plan, they can each make the $1,000 catch-up contribution; however they must open two separate HSA accounts in their own names to do so.

Adult child who stays on their parents plan: An adult child can stay on a parent’s health plan until age 26, even if they are not a full-time student, no longer live at home, not a tax dependent, or are married. The parent covering that child can own an HSA and contribute the full family maximum. However, if the child is not a tax dependent (other than the income limitation), the parent cannot use their HSA money for the child’s medical expenses, but the adult child is an HSA-eligible individual with family coverage, so they can set up their own HSA and contribute the full family maximum.

Employee with Medicare, spouse without: Oftentimes, employees stay on their employer’s health plan even though they have Medicare due to the fact that the spouse is not yet 65 and still needs health coverage. If the employer’s plan is a qualified HDHP, and the employee is enrolled in Medicare Part A or Part B, he cannot own or contribute to an HSA. However, if the spouse is covered under the same plan, he or she is eligible to set up an HSA in their own name, and because they technically have family coverage, they can contribute (post tax) the full family maximum plus the additional $1,000 catch up if they are over age 55. As a bonus, they can use their HSA funds for the employee’s qualified expenses. The over-age-65 employee could also contribute, post-tax, through payroll deduction in the HSA in the spouse’s name.

Proration rule for those who become enrolled in Medicare: Federal law states that those over age 65 who enroll in Social Security are automatically entitled to Medicare Part A. In February 2012, a ruling clarified that Americans who are receiving monthly Social Security benefits, and thereby automatically covered by Medicare benefits, cannot decline coverage. These individuals can contribute up to the pro-rated HSA maximum through April 15 of the following calendar year even if they are enrolled in Medicare.

For individuals who do not apply for Social Security, continue working past age 65, and delay their enrollment in age-based Medicare because they are covered by their employer group health plan, Medicare may be retroactive up to six months. In this situation, HSA account holders who apply for Medicare after turning age 65 may need to limit or discontinue their contributions much earlier in order to avoid making excess contributions.

IRA rollover rules: A one time, tax-free, trustee to trustee, irrevocable distribution from a Roth and/or traditional IRA may be made into an HSA. The rollover is limited to the annual HSA max contribution. In addition, the IRA must be in the same name as the HSA owner. SEP and Simple IRA transfers are not permitted.

For more information, contact Cornerstone today.


1America’s Health Insurance Plans (AHIP) (April 2018) Health Savings Accounts and High Deductible Health Plans Grow as Valuable Financial Planning Tools. Retrieved from

RSVP Today: 3 Large Group CEs in Northwest Ohio

If you work with employer groups of 50 or more, self-funded solutions are a great way to keep benefit costs down and add value to your groups. Join Cornerstone for lunch and 3 self-funded CEs the afternoon of April 2. Each presenter will also provide a brief product update.

Location: Oak Openings Lodge | 5440 Wilkins Road | Whitehouse (Toledo), OH 43571

Please RSVP to Sharon Hogan by March 22, 2019

Are You Using Anthem’s New Producer Toolbox?

If you are using the old version of Anthem’s Producer Toolbox, now is the time to switch to the re-imagined new design of the site because the old version will be going away at the end of March.

Click here to get started with the new design. Log into the Producer Toolbox like you normally do and choose the new broker website experience.

Producer Toolbox Quick Tour Video

Contact your Cornerstone representative with any questions.