Anthem Updates: Formulary Review Process and myStrength Program

Anthem Drug List Changes Coming April 1

Through Anthem’s quarterly formulary (drug list) review process, they make additions, deletions, and tier changes to drug lists that maintain the highest level of clinical integrity, while delivering cost savings to their members. Medications may move to a higher tier or be removed from our drug lists twice a year. The next update is coming soon, and the updated drugs lists* will be available as of April 1, 2019.

Learn more.

myStrength, a Virtual Gym for Emotional Health 

Anthem’s myStrength program delivers personalized online and mobile resources to help manage symptoms of depression, anxiety, substance use, stress, chronic pain and sleep problems. Members get 24/7 access to stress-management tools, inspirational videos, articles and quotes, as well as step-by-step e-Learning modules to help them feel and stay their emotional best. And it’s completely confidential.

Learn more.

Contact your Cornerstone representative with any questions.

Aetna Funding Advantage 1095-B Tax Forms Are On Their Way

Aetna Funding Advantage groups with 5 to 50 employees will receive 1095-B 2018 tax forms starting the week of January 28. Members can access these forms electronically through the Aetna Navigator or by mail.

Reminder: Members do not need to file their 1095-B forms.

Questions? Contact your Cornerstone representative.

Updates to Aenta Funding Advantage Broker Bonus Program

Aetna has extended its new business bonus for brokers selling the Aetna Funding Advantage product through April 1, 2019, effective dates.

Click here to learn more!

Learn About Cornerstone’s Newest Short-Term Carrier!

Cornerstone’s first Individual Corner webinar of 2019 will kick off with Individual expert Geoff Beglen and IHC’s Marc Capogrossi this coming Wednesday!

IHC is a premier short-term carrier with national coverage and excellent service and support. The webinar will cover IHC’s short-term and critical illness portfolio, as well as how to quote and enroll clients.

Register today!

DATE: Wednesday, January 16, 2019

TIME: 9:30 am–10:30 am

Click here to register.

Molina Will Pay SEP Commissions At The Same Rate As OEP

Cornerstone is excited to announce that Molina will be paying commissions for any ACA business written outside of Open Enrollment.

See the recent announcement from Molina here.

See the Molina product map here.

See Molina plan information here.

For further questions or to get contracted, contact Geoff Beglen.

FormFire Has New Requirements For SOCA Sold Case Submissions

Effective immediately, FormFire is enforcing new requirements for Anthem for SOCA BP sold case submissions.

What does this mean?

Brokers will not be able to submit a sold case to Anthem in Send Forms unless the group has completed the following:

  • Employer plan(s) assigned
  • Assigned plan(s) pricing added
  • Each employee has a plan elected (unless waiving coverage)

Why is this being enforced?

This information is required for FormFire to generate files for the continuation vendor, myCOBRAPlan. Failure to include this information when the group is sold creates a delay in the files being generated and sent to myCOBRAPlan in a timely fashion.

Continuation services are embedded in the Anthem SOCA BP product. myCobraPlan is the exclusive continuation provider for participating employers in the Anthem for SOCA BP. Employers must use myCobraPlan, so that continuation can be administered for SOCA participants. myCobraPlan will administer federal and state continuation services for employees enrolled in the Anthem for SOCA BP product, including: general notice distribution, qualifying event administration, premium billing and collection, and COBRA termination processing.

For assistance on adding plans, pricing and employee plan elections, please refer to our help articles below.

How to assign plans to a client

How to select a plan (Employee view)

How to use Group Enroll

Contact your Cornerstone representative with any questions.

Do You Have Securian Dental Clients?

As you may know, Securian is shutting down its dental insurance and not offering renewals to customers. Cornerstone proactively negotiated an arrangement with Principal to match Securian rates and plans with some great value added benefits. This arrangement has been extended to 2/1/2019 effective dates. This is open to any broker who works with Cornerstone and doesn’t impact your commissions!

Please contact your Cornerstone representative for more details.

Anthem Simplifies Processes to Improve Member Experiences

Anthem AllClear Identity Protection Services Will Expire 12/31

Starting December 21, 2018, Anthem’s AllClear will send email notices to members who were enrolled in AllClear Credit and Identity Theft Monitoring services in 2018. Those members and their dependents who have an active, eligible Anthem medical health plan as of January 1, 2019 can continue with the service at no charge.

Anthem Simplifies the Client Benefit Approval Process 

The approval email that you will receive from Anthem will now be written directly to your groups, so you can easily forward it on to them as is.

Download Anthem’s 2019 Calendar

Anthem put together a 2019 calendar that contains information about their specialty products (dental, vision, life, disability, and voluntary supplemental health plans).

Downloadand print the free 2019 calendar for your use, or feel free to share with clients.

Anthem Releases New Health Guides

Starting January 1, 2019, all members in Anthem’s Small Group Affordable Care Act (ACA) health plans will be connected directly to a Health Guide when they call the Member Services number on the back of their ID card. The Health Guides use smart engagement technology and concierge-quality service to help members receive the best personalized experience.

Anthem Launches New Welcome Experience for Small Groups

Anthem is launching a new welcome experience for new small groups sold off the exchange. Using feedback from research, Anthem updated the welcome kit’s content with more customized information about the group’s plan and how to get the most from it. There’s an overview of the medical, pharmacy and any ancillary plans (dental, vision, life, disability), plus important features exclusive to Anthem plans, like Care & Cost Finder, Find a Doctor, Anthem Anywhere and LiveHealth Online.

Important News Regarding Ambetter SEP Commissions!

We just received word that Ambetter will continue to pay commissions year round for ACA business during SEP.

Contact Individual expert Geoff Beglen with any questions.

IRS Extends Deadline for Distributing Forms 1095-C or 1095-B to Individuals

The IRS recently released Notice 2018-94, which outlined extensions for 2018 information-reporting requirements for insurers, self-insuring employers, and certain providers of minimum essential coverage as well as applicable large employers.

Specifically, the notice extends the deadlines for forms 1095-C and 1095-B from January 31, 2019, to March 4, 2019. In addition, the notice extends good-faith transition relief from section 6721 and 6722 penalties to the 2018 information-reporting requirements under sections 6055 and 6056.

Click here for the full IRS Notice 2018-94.

Contact your Cornerstone representative with any additional questions regarding the notice.