The COVID-19 State of Emergency in Ohio has ended. As a result, Medical Mutual is ending the extended grace period for premium payments. Customers who are currently taking advantage of the extended grace period must bring their account up to date by October 1, 2021, to avoid an interruption in coverage.
Contact your Cornerstone representative for more information.
Humana recently announced that their Level Funded Premium (LFP) product portfolio is expanding. They are adding 31 additional plan options to their LFP portfolio for September 1, 2021, and later effective dates. You will start to see these plans on your quotes starting August 1, 2021.
A few portfolio highlights include:
Did you know? Humana’s Canopy Plans have low premiums and low copays making the care people need both affordable and achievable. All canopy plans include a $0 Doctor on Demand copay, preventive care by in-network providers covered at 100%, and their Go365 wellness program. This is a great health plan for healthier client populations and clients looking for a lower cost dual option plan. Click here to learn more.
Contact your Cornerstone representative with any questions.
All Savers, by UnitedHealthcare, recently released the following updates regarding their rates, credits, and the Essential PDL:
Anthem recently launched their Broker Hub, which makes it easier for brokers to find sales and marketing resources.
Additionally, Anthem has released a number of other updates including…
Contact your Cornerstone representative with any questions.
Join UnitedHealthcare and All Savers for their 2021 Summer Broker and Agency Webinar program to learn more about their alternate funding small business products and services. The webinars will provide updates on their most current products, sales and renewal tools, wellness programs, member service tools, and everything else you need to know when it comes to selling, renewing, and servicing your UHC small business groups.
See below for their full webinar schedule:
Contact your Cornerstone representative with any questions.
OneAmerica’s new online disability claims feature provides you with direct access to both Disability Claim Reports as well as Disability Tax Reports.
All new claims received by OneAmerica beginning June 28, are available to view online. The reporting for claims received by OneAmerica prior to June 28, will continue to be available just as you are currently receiving it. For a short time, you will need to access reporting through both avenues, until all claims are migrated to the new claims platform.
This reporting is available currently only for employers or employers’ authorized representatives. The reports are not available currently for employee access for individual claims.
With the appropriate authorization in place, you as the employer or employer representative are now able to access Disability Claim Reports yourself anytime. The same reporting information you may be accustomed to is still available, with the addition of some new reports and information as well! The following reports are available for your direct access:
If you are a registered eBen user, navigate to: www.employeebenefits.aul.com and log in using your User ID and Password.
After logging into eBen, navigate to and select My Employees, and then select Disability Claim Reporting. From here, select the report you want to view. The Disability Tax Reports are available under this view. These reports are static and available for selection based upon certain dates contained within the view. The Disability Claim Reports are located under Policyholder Reports. From here, select the report you wish to view. These reports provide claim information as of prior day. For more details on how to access the various reports, please review the Policyholder Guide to access the step-by-step guide and an explanation of each report.
If you are not already a registered eBen user and need access to Disability Claim Reporting, authorization must first be provided by the authorized employer representative to ensure OneAmerica maintains confidentiality.
Contact your Cornerstone representative for more information.
UnitedHealthcare EServices update training available! You won’t want to miss the upcoming training with UHC (schedule just made available) to learn the new navigation of United EServices. Plans like All Savers will eventually be migrating to this common platform with the newest navigation. So please plan to attend one of the two remaining trainings this summer (see schedule below).
As previously announced, the American Rescue Plan Act of 2021 (ARPA), enacted on March 11, 2021, subsidizes the full continuation coverage premium for “Assistance Eligible Individuals” (AEIs) for periods of coverage from April 1, 2021, through September 30, 2021.
To assist groups with fewer than 20 employees during the state continuation subsidy period, Medical Mutual has received guidance to directly apply for federal tax credits for eligible existing state continuation contracts if the member completes a new AEI 2021 Subsidy Eligibility Attestation Form.
Previously, groups were billed for state continuation premiums after they collected the premium payments from the employee. However, with a completed and signed attestation form, Medical Mutual can apply for the tax credit directly and both the group and member will be exempt from making those payments.
Medical Mutual will send the form (with a letter) to groups to distribute to all identified AEIs, who must complete, sign, and return it to their group official. The group official must then complete the “Group Use Only” section, which includes the subsidized amount of that member’s premium, and return the completed form to Medical Mutual.
Note: Some employers are subsidizing a portion of the member’s state continuation premium. If they are offering a subsidy, they cannot claim a tax credit for that part of the premium and they will need to continue paying it.
While groups will continue to see state continuation premiums for eligible existing state continuation contracts on their invoices, they will also see credits applied.
Contact your Cornerstone representative with any questions.
Below are some recent updates from Anthem Indiana:
Get the full stories in the Broker Plus mobile app, Producer Toolbox, and Producer News on anthem.com.
Contact your Cornerstone representative with any questions.
Getting a new business underwritten quote for 10 to 99 Fully Insured or Level Funded Premium groups in Ohio just got easier. Beginning July 1, 2021, for September 1, 2021, effective dates, Human is launching the Humana Risk Analytic Engine (HRAE) for all 10 to 99 small groups, regardless of whether it’s a virgin group or the renewal increase. For new medical small business groups 10 to 99 enrolled with less than 100 eligible employees in Ohio, Humana will only require three pieces of information to underwrite using HRAE:
For groups with 5 to 9 enrolled, quote requirements are not changing.
What is HRAE? A learning model designed to predict underlying risk and future claims cost. The model is built on data derived from multiple sources that include, but are not limited to, medical and pharmacy claims data. The HRAE allows Humana to reduce their underwriting requirements, and gives them an accurate view of future risk without the use of burdensome health questions.
Did you know? If your group uses FormFire, you can pull an employee and dependent level census from FormFire! From your Client Dashboard simply locate your client’s profile and then select Generate Census from the orange action bubble to right hand side. In the first drop down select census type Quote Census and in the second drop down select census Humana HRAE Census. Download Census.
