State Anthem Individual and ACA Groups Rx Change Coming

Members of Anthem’s Individual and Small Group Affordable Care Act health plans will move to their new pharmacy benefit manager, IngenioRx. Clients will receive letters regarding the change in November.

All Anthem members will use IngenioRx on January 1, 2020. Their pharmacy benefits don’t change as a result of the move to IngenioRx.

Members in most other plans, including grandfathered and/or grandmothered plans, already switched to IngenioRx.

Contact your Cornerstone representative with any questions.

LAST CALL for Anthem SOCA MEWA Training in 2019!

Anthem and Cornerstone are offering group agents one last chance this year to get trained on the very competitive SOCA MEWA plans.

This is open to agents who wish to get appointed with Anthem SOCA MEWA and existing SOCA MEWA agents who want a refresher or update.

DATE: Wednesday, October 16

TIME: 10:00 am

WHY:   

  • One of the most competitive products for healthy small groups!
  • If you aren’t certified to sell it, it won’t be offered to your renewing groups if they qualify.

Please click below to REGISTER.

Once you register, you will receive the meeting details

Click here to register.

INDIANA: Earn Points With Anthem’s ChamberCare Health Alliance MEWA Program

Earn 15 rewards points for your new ChamberCare Health Alliance MEWA medical sale. New sales with effective dates from October 1, 2019, through January 1, 2020, qualify.

Points can be redeemed for thousands of rewards options, including event tickets, name-brand merchandise, movies and media, and more.

Additional Rules

  • Only new Anthem contracts count towards Small Group ChamberCare Health Alliance bonus.
  • Points will be awarded 6 – 8 weeks after they are earned.
  • Agents must register on the program website to receive Anthem Points earned based on program rules.

Click here for more information.

Contact your Cornerstone representative with any questions.

Anthem Kentucky Releases Chamber Advantage MEWA

Anthem Kentucky has released the Chamber Advantage MEWA solution. This MEWA was created through the partnership of Anthem and the Kentucky Chamber of Commerce. This is an underwritten solution for employers with 2 eligible to 50 total employees on payroll.

The product’s initial effective date will be October 1, 2019. All groups will have a common renewal date of June 1.

Below, you will find the Chamber Advantage Product Guide, Chamber Advantage/Employer FAQ, Chamber Advantage Broker Guide, and Employee Medical Questionnaire (required for groups with fewer than 6 enrolled employees).

Quoting

Quoting is now available for the Chamber Advantage product. You may request preliminary quotes by submitting a dependent level census. For an underwritten quote, medical questionnaires will be required for groups with fewer than 6 enrolled employees. Please send your quote requests to your Cornerstone quoting team at the corresponding office below:

To quote Chamber Advantage, the group does not need to be a member of a chamber.

Please contact your Cornerstone Broker Advisor for more information on this product.

ChamberAdvantage Product Guide

ChamberAdvantage FAQ

Employee Medical Questionnaire

ChamberAdvantage Broker Guide

Cornerstone Invites You to Attend the Anthem Ohio Broker Roadshow Update Meeting

Please join us for the Anthem Ohio 2020 Small Group and Key Account product update meeting with Robyn Caupp and Taylor Grant of Anthem.

DATE: September 18, 2019

TIME: 9:00 am–11:00 am

LOCATION: Cornerstone Cincinnati Office

2101 Florence Avenue | Cincinnati, OH 45206

Click here to RSVP.

Reserve Your Place Today: 2020 Small Group Carrier Updates via Webinar

Join us for these brief, informative sessions focused on small group to get up to speed on 2020 plans, what to expect with renewals, and more!

Not able to make a session?

No problem! We are recording sessions for our agents who aren’t able to attend. Please contact your Cornerstone representative for a link to the recording and materials.

*Sessions are for active Cornerstone Employee Benefit agents.


UnitedHealthcare Updates

September 16, 2019

9:00 am–10:30 am

UnitedHealthcare will review renewals and what to expect, changes to ACA plans, their enhancements to Ancillary products and package deals. The final hour will review All Savers (level-funding) and the NEW Ohio Chamber MEWA available for 10.1.2019 effective dates*.

*pending state approval of rates

Click here to register for UHC updates.

September 4 (In-person UHC Ohio Chamber MEWA meeting)

UHC is hosting a training on this date in Toledo. Click below for details and to register. You can choose to attend this in person session or join us via webinar on September 16.

Click here to register for UHC Chamber Plan training.


AFA and Humana Ancillary Updates

September 23, 2019

9:00 am–10:30 am

AFA, the Aetna Funding Advantage, is Aetna’s level-funded solution for groups of 2-99. Yes! AFA will now be available for groups of TWO or more. Join us for an overview of AFA, 2020 plan changes, what to expect with renewals, how their blocks are running, and a discussion on what the proposed merger between CVS and Aetna mean for the insurance business.

10:00 am–10:30 am

Humana will present updates on their ancillary products: Dental, Vision, and Life. Humana has taken the lead on their dental plans, unique in Ohio, with unlimited reimbursement of expenses beyond the annual limit as well as higher annual maxes.

Click here to register for AFA/Humana updates.


Anthem Updates

September 30

9:00 am–10:00 am

Anthem will present what to expect with renewals, updates on ACA, their grandmothered block and the Anthem SOCA MEWA. They will also have folks from their ancillary side discuss enhancements to those lines and package deals available.

Click here to register for Anthem updates.

Updates to Anthem ACA Compensation

Effective September 1, 2019, Anthem brokers will be required to submit all new small group ACA business using the new online quoting and enrollment tool in the Producer Toolbox. Anthem will no longer accept paper submissions after that date.

In addition, Anthem will increase commission rates at this time for most new ACA small group business, as well as existing business upon group renewal.

Contact your Cornerstone representative for details regarding the updated SG ACA compensation schedule.

Don’t Miss Out on the Cornerstone/Anthem 2020 Broker Roadshow!

Don’t miss out on the Cornerstone/Anthem 2020 Broker Roadshow!

Join Cornerstone and Anthem to review updates in individual, small group, and key accounts in Dayton.

DATE: September 20, 2019

TIME: 9:00 am–11:00 am

LOCATION: Yankee Trace

10000 Yankee St. | Centerville, OH | 45458

Click here to RSVP.

FormFire Instructions for Enrolling Employees in the Anthem SOCA Lumenos HSA Plan

FormFire recently released a notice with instructions for enrolling employees in the Anthem SOCA Lumenos HSA Plan. See below.

Notice from FormFire:

Employers that opt to offer the Lumenos HSA Option 7 plan require special instructions to assign the plan to the group and elect employees to the plan in FormFire. This is due to the plan having an aggregate deductible and only two tier levels: single and family.

Click here to view FormFire’s instructional video on the following:
1. How to assign the Lumenos HSA Option 7 plan to an employer group
2. How to enroll employees in the Lumenos HSA Option 7 plan using Group Enroll

Please note, the steps are only required for new groups offering the plan. If an employer group is already enrolled in the Lumenos HSA 7 plan, there is not action required. FormFire has performed maintenance on the existing groups.

Contact your Cornerstone representative with any questions.

Anthem SOCA BP New Sold Case Requirements

Effective May 15, Anthem SOCA BP will require the Annual Rate and Census Reconciliation (ARC) form for new sold submissions to ensure that plans comply with reporting requirements. The Quarterly Wage and Tax Statement will no longer be required.

The revised Sold Case Checklist will include the following documents:

  • Participation Agreement
  • Benefit Rate Proposal
  • Association Membership/Proof
  • Electronic Funds Transfer (EFT) Banking Form
  • Voided Check
  • Business Acknowledgement Agreement
  • Annual Rate & Census Reconciliation Form

Click here to view the 2019 Anthem SOCA Benefit Plan Sold Case Checklist.

Contact your Cornerstone representative with any questions.