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.

IMPORTANT: Anthem OHIO Notification

A reminder for brokers who received an appointment renewal notice from Anthem.

To remain an appointed broker with Anthem for July 2019 through June 2020, please pay your $45.00 appointment renewal fee by May 31, 2019 using the NoMoreForms link you received in your email from Anthem.

If Anthem does not receive payment of your appointment renewal fee by May 31, 2019, Anthem will terminate your appointment and your agent agreement effective June 18, 2019.

Please contact Sandy Weber with any questions.

Which Social Security Programs Pay Disability Benefits?

Social Security Solutions, LLCThe Social Security Administration (SSA) administers two programs that pay disability benefits:

  1. Social Security Disability (SSD) and
  2. Supplemental Security Income Disability (SSI)

SSD is based on your earnings from a job or self-employment. SSI is a needs-based program with income and resource limits. Both programs use the same disability definition: You must have a physical or mental condition that is expected to last at least 12 months or end in death. Both programs have complicated rules and limits if you return to work.

Disability medical decisions are made by an agency of the state where you live, not Social Security. An adjudicator from this agency reviews your medical records and decides if you meet the SSA “disability” definition. Several factors are considered to decide if you are disabled: age, education, work experience, and the severity of the medical condition(s). Some conditions are automatic approvals, like ALS, some advanced cancers, or other terminal diseases. Other conditions, like heart conditions and stroke, require more time and information. If you are denied Social Security, you have appeal rights.

There is a five-month waiting period after your disability onset month before SSD benefits are paid. The benefit amount is based on your work record. It takes an average of four to five months to process a disability claim.

There is no waiting period for SSI and the maximum SSI benefit for 2019 is $771/month and depends on other income available to you. SSI is not payable if you have over $2000 in liquid resources (individual) or $3000 (couple). Many children with physical or mental impairments can receive SSI. A parent’s income is no longer considered for children over age 18 living with them.

For more information please contact me.

About Dennis Heywood

Denny’s career with Social Security provides an in-depth, working knowledge of the Social Security Administration’s internal organization and processes. An expert in all phases of SSA programs: retirement, survivor, disability, and Medicare, Denny has expertise with the complex Social Security regulations based on more than 40 years of experience.

ss-help.com

Register Today for UnitedHealthOne’s TriTerm Medical Incentive

With UHOne’s TriTerm Medical Incentive program, you can earn a $100 bonus for every eligible TriTerm Medical application submitted between May 1, 2019 and July 31, 2019, and issued by August 15, 2019.

Earn an additional $25 bonus per product for bundling Dental, Accident or HealthiestYou with a TriTerm Medical plan.

Eligible Products Include: Bonus per Issued Product (min. 6 months persistency required)
TriTerm Medical $100

Earn an additional bonus when you bundle TriTerm Medical plans with:

Dental $25
Accident Pro Series (ExpenseGuard, ProGuard, & ProGap) $25
HealthiestYou by Teladoc $25

Click here to register.

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

Register for Altrua’s Training and Certification Webinars!

Altrua is the leader in health care sharing ministries and provides a unique solution to your clients’ health care needs. Take the first step to offering their products by completing the training and certification.

Register for one of Altrua’s available training and certification webinars in May and June.

Date: May 9, 2019

Time: 3:00 pm EST

REGISTER

Date: May 23, 2019

Time: 3:00 pm EST

REGISTER

Date: June 6, 2019

Time: 3:00 pm EST

REGISTER

Date: June 20, 2019

Time: 3:00 pm EST

REGISTER

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.