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.

SAVE THE DATE: Cornerstone’s CE Program in NW Ohio

Cornerstone in NW Ohio is hosting a CE program for Cornerstone group agents on Wednesday, June 19, 2019, with 2 credit hours available at a location in Toledo and a location in Lima:

 

PLACE

Swan Creek Metro Park

Yager Center

4301 Airport Highway

Toledo, OH  43615

Cornerstone Office

1662 Breese Road, Suite G

Lima, OH  45806

TIME

9:00–11:00 am 1:30–3:30 pm

SUBJECT

9:00–10:00 am

Long-term Disability Products & Contracts

10:00–11:00 am

Voluntary Insurance Benefit Programs

1:30–2:30 pm

Long-term Disability Products & Contracts

2:30–3:30 pm

Voluntary Insurance Benefit Programs

RSVP

SHogan@crnstone.com SHogan@crnstone.com

This Month’s Updates from UnitedHealthcare

Changes to UnitedHealthcare’s Prescription Drug List (PDL)

Brokers and clients are invited to view UnitedHealthcare’s pre-recorded PDL presentation of the pharmacy benefit strategies that take effect July 1, 2019.

Access the presentation here.

Updates include:

  • Value- and outcomes-based contracting
  • Industry pricing dynamics
  • Continuous coverage evaluation and updates
  • Revisited PDL exclusions for ASO clients
  • Additional PDL pharmacy benefit updates
  • Clinical program updates

Fitbit Charge 3 Now Syncs with UnitedHealthcare Motion

Eligible UnitedHealthcare Motion participants now have the option to use the Fitbit Charge 3.

  • If a Motion participant already owns a Fitbit Charge 3, they may pair their existing device by visiting unitedhealthcaremotion.com and begin walking to earn rewards.
  • Those who don’t own a Fitbit Charge 3 will be able to purchase one via the Motion website.

Real Appeal Info Sessions

Real Appeal will host webcast information sessions once a month throughout 2019 for customers to learn more about the digital weight-loss program, how to register their company, and start offering this benefit to their employees.

Click here to view the schedule and register for the webcasts.

What’s New From Anthem: Paperless EOBs, the Anthem Anywhere App, and LiveHealth

Anthem’s Paperless EOB Process

Anthem will no long mail paper explanation of benefits (EOB) to clients for vision services.

  • At the time of service, members will get a receipt that shows their costs for vision services, similar to what they experience when they pick up a prescription at a drugstore.
  • When they get vision care outside their plan network, they’ll still get a breakdown of costs and what they pay, along with any reimbursement check.
  • At any time, members can go online to anthem.com and see how their claims were paid.
  • And if they want a copy of their EOB sent to them by mail or email, they can simply call the number on their member ID card and ask for it.

The Anthem Anywhere App

The redesigned Anthem Anywhere app enables clients to access their health plan information from their mobile device. A couple improvements on the app:

  • A new home page dashboard gives members quick access to key information, like benefits and claims — plus a quick snapshot of what they’ve spent so far.
  • Quick ID card access from home page.
  • One tap directs members from home page to sections on finding care and estimating costs.
  • Easier to check and update profile information.
  • Easy access to other health apps, like Engage, where applicable.

LiveHealth Online Allergy Campaign

Starting April 22, LiveHealth Online kicks off two campaigns to increase overall registration and to raise awareness about the LiveHealth Online Allergy practice. Among members already registered for the app, the allergy campaign targets some with and without past allergy claims, just to remind them how the allergy practice can help.

The registration campaign is a series of communications (emails, phone calls and a direct mail piece) going to group members, encouraging them to register for LiveHealth Online. The campaign targets members 18 years or older, who have not already registered for LiveHealth Online. Anyone who creates a LiveHealth Online account during the campaign is entered in a chance to win a $500 Amazon gift card.

Contact your Cornerstone representative with any questions.

Sell More and Earn More with Anthem SOCA MEWA’s New Business Bonus

Take advantage of Anthem’s SOCA MEWA New Business Bonus.

Tier

Contracts Sold Payout Rate Per Contract
0 Under 50

$0

1 50–149

$100

2 150–249

$150

3 250–399

$200

4 400+

$250

Here are the program details to note:

  • New Southern Ohio Chamber Alliance Benefit Plan (SOCA BP MEWA) groups sold with effective dates between 6/1/19 and 12/31/19 are eligible
  • Group needs to still be active with Anthem as of 2/1/20
  • Agent of record changes do not qualify for the bonus payout
  • Existing Anthem clients that transfer to the MEWA are not eligible for the bonus program
  • New contracts on existing groups are not eligible for the bonus program
  • Payout will be a one-time payment targeted for March/April 2020
  • Bonuses will be paid based on current Anthem commission and licensing contracts
  • Incentive payments will be disclosed and reported where required by applicable law
  • Anthem reserves the right to adjust future bonus amounts if groups are termed retroactively after the period’s bonus program calculations and payments have been made

Contact your Cornerstone representative with any questions.

Register NOW for Anthem SOCA MEWA Training Webinar

Please register for 2019 Anthem SOCA MEWA Training on Apr 30, 2019 9:00 AM EDT.

Click here to register.

Offer one of the hottest, most competitive, and EXCLUSIVE health insurance products in the Ohio small market. Get this training or you may lose clients to brokers who have invested the time to learn this product.

After registering, you will receive a confirmation email containing information about joining the webinar.

UnitedHealthcare Second Year Dental Rate Cap

Help your UnitedHealthcare customers get a 5 percent second-year rate cap when they add a dental plan by August 1, 2019.

The guidelines:

  • Effective dates are January 1, 2019 to August 1, 2019.
  • Group size 2 to 100 eligible lives.
  • Offer not available to groups located in RI, WI, WA, FL (2-50), ACEC groups.

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
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.

*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.