Anthem KY ChamberAdvantage Plans Include Two Separate Fees

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Your Small Group clients who enroll in a ChamberAdvantage plan will be billed for Kentucky Chamber of Commerce product dues 30-45 days after enrollment and again at renewal. They’ll also be billed annually for membership dues, because this plan requires Chamber membership in a participating chamber. Make sure your clients understand that they have to pay the chamber both membership dues and product dues.

Product dues are an administrative fee billed per plan term by the Kentucky chamber. They’re calculated for each enrolled employee (employee only, not dependents) for each month of the policy term.

Here’s an example: Your client has a 17-month rate. Product dues will be $4 for each enrolled employee for 17 months.

The ChamberAdvantage product dues acknowledgement form explains the details. Go over it with your clients when they sign it, and submit it with the enrollment application. Don’t let them get surprised by a bill from the Kentucky Chamber of Commerce.  And be sure to set clear expectations with them about the dues. Payment of product dues is required, and Anthem has the right to terminate their policy if product dues are not paid.

Please call your Cornerstone Broker Advisor if you have any further questions.

Anthem Anywhere App Retires January 20 (OH, IN, KY)

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Anthem recently communicated to clients that Sydney Health is replacing the Anthem Anywhere mobile app. Members won’t be able to access Anthem Anywhere after January 20, 2020. If they try to open it, they’ll get a message to download Sydney Health from the app store.
In one click, Sydney lets members:

  • Find care and check costs
  • See all benefits and view claims
  • Use the interactive chat feature to get answers quickly
  • Build an action plan for health goals
  • Sync fitness trackers and earn points for progress

For questions please call your Cornerstone Broker Advisor!

Check Out Humana’s Most Recent Updates!

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See below for the most recent updates from Humana:

  • Humana is making exciting changes to Go365 throughout 2020.  Below are a couple changes by funding type that were effective 1/1/20:

Funding Type

New and Existing Business
Fully Insured & Level-Funded Premium (LFP) ·         First verified workout each new program year (750 points bonus) sunsets January 1, 2020, regardless of a group’s renewal

·         Bucks expiration adjusted from three years to two years beginning for 2/1 renewals and new business and forward
Go365 Standalone & ASO (excludes LFP) Beginning for January 1 renewals and new business, groups can elect to:

·         Turn off direct-to-consumer apps by category or individual app

·         Double the cost for select items in the Go365 Mall

IMPORTANT: Anthem SOCA MEWA Product Dues

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Anthem has provided a list of groups with delinquent SOCA BP product dues that need to be paid by January 15, 2020, or the employer will not receive a May 1, 2020, renewal. The group has already been notified by SOCA BP of the dues owed, but have neglected to send in the due amount.

The following information can be used in a letter or email your groups:

Please be advised you are receiving this email because the below Anthem SOCA MEWA group, which is managed through your brokerage, has overdue product dues that need to be remitted as quickly as possible. Employers who do not respond by 12/15/19 will not be eligible for renewal in 2020. The Anthem Small Group Sales Office requests that your agency assist in encouraging the group to remit payment as soon as possible. Brokers can retrieve signed copies of the “Participating Business Acknowledgment” for each client via FormFire. If you have further questions, please call SOCA at 866-486-9482 or email SOCA at info@joinsoca.com. Please ensure the group name and number are included in the subject line of your email inquiry.

Employers are encouraged to pay product dues online at https://www.joinsoca.com/dues/. Alternatively, checks may be mailed to the address below. If mailing, please notify SOCA at the email address above.

Southern Ohio Chamber Alliance

P.O. Box 49358

Dayton, OH 45449

Anthem SOCA BP 1095 Tax Forms Available February 3

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The IRS recently extended the deadline for employers to submit 1095 Tax Forms from January 31 to February 28. According to FormFire, the Plan Administrator for the SOCA Benefit Plan is preparing the completed 1094-B and 1095-B Tax Forms on behalf of participating employers in the SOCA Benefit Plan. The forms will be available for active groups to download from FormFire’s Manage Documents folder on Friday, February 3.

Contact your Cornerstone representative with any questions.

Humana’s 2020 Specialty Product Bonus Programs

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Humana offers bonuses for new specialty lines of coverage. To earn a bonus, place new specialty lines of coverage with the same employer and initial effective dates of coverage between February 1 and July 31, 2020:

5–99 SIZE GROUPS (AT LEAST FIVE SUBSCRIBERS ENROLLED):

  • $500 for Dental + Vision per case
  • $1,000 for Dental + Vision + Life per case

REMINDER:

  • All Humana dental plans include 3 routine and 4 perio dental cleanings with no frequency requirements
  • Humana’s plans include exclusive Extended Annual Max benefit allowing members to receive unlimited 30 percent coinsurance after a member meets their annual maximum (excludes orthodontia benefits).
  • Humana’s vision plans provide an outstanding member experience for popular add-on options. Ask about the new 150 plan option.
  • No overall participation requirement allows you to write more groups.
  • No employer contribution requirement for Employer Sponsored rating.

Learn more about the Humana 2020 Agent Bonus Program.

Learn more about the Humana 2020 Vision Bonus Program.

Learn more about Humana’s 2020 100+ Bonus Program.

Medical Mutual’s SuperDental Network Expands Provider Options

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Effective January 1, 2020, Medical Mutual will combine Superior Dental Care’s dental network with their DenteMax network to create the SuperDental Network, which will provide dental members with nearly 1,600 more dental providers than the current network. This network will give members access to more than 4,000 dentists, orthodontists, periodontists, and other dental professionals.

Members can view the expanded selection of participating SuperDental dentists and specialists in their area by visiting ProviderSearch.MedMutual.com.

Emergency Medicine Physicians of Cincinnati is Leaving Anthem’s Networks

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Pending final negotiations, Emergency Medicine Physicians of Cincinnati will leave Anthem’s networks effective December 24, 2019. Consequently, Emergency Medicine Physicians of Cincinnati may choose to balance bill Anthem members for amounts above and beyond Anthem’s reimbursement. Because Anthem members do not have a choice of emergency room doctors at these hospitals, Anthem will apply the equivalent of any member liability amounts such as copays, deductibles, etc., at the member’s in-network level (rather than the out-of-network benefit level equivalent). In most circumstances, payment for services will be issued directly to the member, who will then be responsible for paying Emergency Medicine Physicians of Cincinnati.

The Emergency Medicine Physicians of Cincinnati is a group of emergency room doctors that provides emergency services at Mercy Health’s Anderson, Fairfield, West, and Clermont hospitals and Mercy Health’s Rookwood, Mt. Orab, Queen City, and Harrison medical centers.

Contact your Cornerstone representative with any questions.

Grow your Business With The Standard’s Partnership Rewards Producer Bonus Program

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The Standard’s Partnership Rewards producer bonus program offers incentives for small business sales, as well as large cases, and rewards new and retained business. You can qualify for the program based on the total lines of coverage sold, as well as the level of premium, starting with a $25,000 minimum in new business and six lines of coverage. Or, for large cases, qualify with as few as three lines of coverage with total premium of $750,000 or more.

Note: Agility products will count towards the bonus!

Click here to learn more about the program.

Contact your Cornerstone representative with any questions.

Take Advantage of Principal’s Broker Bonus Program

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Increase your earning potential with Principal. Place new business and retain business and you may be eligible for their group benefit bonus programs.

There are two types of bonus programs.

  1. Production bonus—Rewards you for placing business with Principal. The more you sell, the higher the bonus factor. You can qualify for a production bonus based on new sale credits.
  2. Premium persistency bonus—Rewards you for placing and keeping business with Principal. The more premium you retain, the higher the bonus factor.

Click here to learn more about Principal’s 2020 Bonus Programs.

Click here to learn more about Principal’s Privileged Partner Program

Contact your Cornerstone representative with any questions.

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