Aetna Extends AFA Broker Bonus Through December 2019

Earn more and help your clients save with Aetna’s broker bonus for Aetna Funding Advantage, which rewards you for group sales using Individual Medical Questionnaires (IMQs) through December 31, 2019, effective dates.

< 10 subscribers

10 + subscribers

$50 bonus per sold sub $25 bonus per sold sub underwritten without IMQs
or
$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.

For more information, contact your Cornerstone representative.

Ohio Governor Vetoes Health Care Transparency Provisions

Ohio Governor Mike DeWine recently signed the state budget bill (HB 166) into law on July 19, 2019, vetoing some of the health care transparency provisions.

The vetoed provisions established procedures for health care providers to provide cost estimates to consumers and require reimbursement for out-of-network services when performed at an in-network facility.

DeWine said: “I share the legislatures goal of providing consumers the information necessary to make informed decisions about their health care. Additionally,  President Trump has recently signed an executive order requiring implementation of health care transparency  rules, an initiative I also support. As the federal government develops these efforts and others, it is important that the state not place duplicative or burdensome regulations on health care providers, as these compliance costs will inevitability be passed on to the citizens of this State as consumers of healthcare. Over the past few months, the stakeholder community has worked toward this goal and developed common sense solutions, which should continue to be developed. I have requested that relevant state agencies collaborate with stakeholders to continue this important effort. Therefore, this veto is in the public interest.”

House Votes to Repeal ACA Cadillac Tax

On July 17, 2019, the House of Representatives voted 419–6 to pass H.R. 748 legislation to fully repeal the ACA’s Cadillac/excise tax. This the first step to full repeal. Consideration by the Senate is next, along with a companion bill S.684, which has 42 bipartisan cosponsors.

Delayed by Congress in both 2015 and 2018, the tax would impose a 40 percent excise tax on employer-provided health benefits that exceed certain limits, projected at $11,200 for an individual and $30,100 for a family in 2022.

Read more here: Cadillac Tax/NAHU

FormFire’s Group Enroll Tool Renamed to Group Plan Assign

FormFire released an update on July 10 stating that the Group Enroll feature has been renamed to Group Plan Assign. This feature enables brokers to make plan elections on behalf of their employees. This feature is available for use with all carriers on the platform.

For more information, contact your Cornerstone representative.

CE Available: GCAHU Presents Ethical Habits in Health Insurance

Annual Ethics with Carl: Ethical Habits in Health Insurance 2019

CE is refiled each year, so you can gain 3 hours of CE even if you don’t need to fulfill your ethics requirement

3 hours CE pending in OH and KY

DATE: Thursday, July 18, 2019

TIME: 7:30 am (registration) | CE starts at 8:00 am

LOCATION: Cornerstone Cincinnati Office | 2101 Florence Avenue | Cincinnati, OH 45206

MEETING CHARGE: GCAHU Member: $25 | Non-members: $45

Click here to register.

Medical Mutual’s SmartChoice Program Expected to Reduce Cost of Imaging Services

Medical Mutual’s SmartChoice concierge program (performed by eviCore Healthcare in partnership with MMO’s Radiology Utilization Management program) launched July 1, 2019, with the intention to help individual and group members to use lower-cost network facilities for approved imaging services like MRIs, CT and PET scans.

The program notifies providers of high cost facilities and recommends lower cost facilities instead. If the provider declines the lower-cost suggestion, the member is then notified that there may be lower-cost and more convenient options available.

Contact your Cornerstone representative for more information.

Accredo Will No Longer Dispense Certain Specialty Drugs

Medical Mutual recently announce that Accredo Specialty Pharmacy will no longer dispense prescriptions for Repatha and Praluent beginning September 1, 2019. These specialty drugs are taken by adults with cardiovascular disease to help reduce the risk of heart attack. Members who require these prescription drugs will need to have them transferred to a participating in-network retail pharmacy of their choice.

For more information on transferring prescriptions, contact your Cornerstone representative.

Medical Mutual Finalized Agreement With New COBRA Vendor

Medical Mutual has finalized its agreement with WEX Health, a new COBRA vendor for existing groups effective September 1, 2019. The new platform, COBRA Options —Brought to you by Medical Mutual, will offer enhanced benefits continuation service and faster set up for new groups.

Contact your Cornerstone representative for more information.