News You Can Use

Employer Action Required! Distribute Medicare Part D Notices by October 15, 2022

Group health plan sponsors must provide Medicare Part D “creditable coverage” notices prior to October 15th, the start date of the Medicare annual enrollment period for Part D, Prescription Drug coverage.
September 22, 2022/by Cornerstone

UnitedHealthcare Will Begin Mailing MLR Premium Rebate Checks to Impacted Groups in September

Premium rebate checks begin to go out mid-September and will be staggered over a three-week period. Fully insured customers who are qualified to receive premium rebates for the 2022 MLR Payout Year are expected to receive their checks by the September 30 deadline.
September 16, 2022/by Cornerstone

Ohio Chamber MEWA and UnitedHealthcare Level-Funded Ready to Quote

UnitedHealthcare is now ready to quote January 1, 2023, effective dates for their Ohio Chamber MEWA and level-funded products.
September 16, 2022/by Cornerstone

Consolidated Appropriations Act Section 204 Prescription Drug Data Collection Reporting for Anthem

The first reports, due on December 27, 2022, are for calendar years 2020 and 2021. Anthem did issue a notice to clients earlier this week.
September 9, 2022/by Cornerstone

Don’t Forget About the Anthem Broker Hub!

The Broker Hub is a one-stop shop for the marketing resources you need to sell and support your business across market segments.
September 9, 2022/by Cornerstone

2021 MLR Rebates Will Mail in Early September

Anthem groups and Individual members in 11 states will receive 2021 medical loss ratio (MLR) rebates this year.
September 9, 2022/by Cornerstone

How Anthem’s Supplemental Health Plans Can Help Your Clients

Your large group clients can support their employees with Anthem's supplemental health plans that reduce the impact of out-of-pocket expenses when facing a health emergency.
September 6, 2022/by Cornerstone

US Departments Issue Final Regulations to Clarify Federal Process to Protect Against Surprise Billing

The U.S. Departments of Labor, Health and Human Services, and the Treasury today issued final regulations concerning standards related to the arbitration process implementing the No Surprises Act, a bipartisan law to protect consumers against surprise medical bills.
September 6, 2022/by Larry Grudzien

FFM 2023 Training is Now LIVE!

ACA Marketplace Training is now live for both new and returning insurance agents. Complete your certifications to ensure you are ready for the 2023 Open Enrollment Period.
August 26, 2022/by Cornerstone

Humana New Small Business Level-Funded Premium Portfolio

New LFP plans will be available to quote September 1, 2022, for a October 1, 2022, effective date.
August 26, 2022/by Cornerstone

UnitedHealthcare Level-Funded Specialty Drugs Update

For new and existing members who are on level-funded and All Savers plans, UnitedHealthcare is changing the specialty day supply from 90 days to 31 days.
August 26, 2022/by Cornerstone

Reminder About UnitedHealthcare Dental Riders

UnitedHealthcare would like to remind you of two dental riders that can be added to your next UHC ancillary dental quote.
August 19, 2022/by Cornerstone

Upcoming Mandatory State-Based Marketplace (SBM) Refresher Web-Based Training for Agents!

Beginning September 1, 2022, you may access the required State-Based Marketplace (SBM) Refresher Web-Based Training via MyPurpose Learning Management System (LMS).
August 12, 2022/by Cornerstone

Updated UnitedHealthcare Ohio Chamber MEWA Quote and Install Checklist

UnitedHealthcare has made it easier for clients and employees to complete the UHC MEWA Employer and Employee Applications.
August 12, 2022/by Cornerstone

2023 Affordability Percentage Set at 9.12 Percent

The IRS recently issued Revenue Procedure 2022-34, which significantly decreases the affordability threshold for ACA employer mandate purposes to 9.12 percent for plan years beginning in 2023.
August 12, 2022/by Larry Grudzien

Check Out UnitedHealthcare’s Online Tool for Level-Funded and All Savers Plan Summaries

UnitedHealthcare has made it easier to download level-funded and All Savers SBC’s and benefit summaries! 
August 5, 2022/by Cornerstone

Will the New Transparency in Coverage Laws Help Contain Healthcare Costs?

The No Surprises Act placed limits and procedures for determining costs on certain out-of-network claims, while the Consolidated Appropriations Act enacted transparency requirements for insurance companies, hospitals, pharmacy benefit managers, and insurance brokers.
July 29, 2022/by Kim Kinnaird

UnitedHealthcare’s Premium Designation Helps Members Find Quality Providers

The UnitedHealth Premium program evaluates physicians in various specialties using evidence-based medicine and national standardized measures to help you locate quality and cost-efficient providers.
July 29, 2022/by Cornerstone

HHS Releases Proposed Regulations on Nondiscrimination

The proposed rule applies the same nondiscrimination standards to the Department’s health programs and activities as are required of federal funds recipients.
July 29, 2022/by Larry Grudzien

UnitedHealthcare ACA is Coming to Ohio in 2023!

Great news! UnitedHealthcare will be offering ACA health insurance in Ohio in 2023 with competitive commissions.
July 28, 2022/by Cornerstone

Member Opt-Out Options for Humana’s Outreach Program

Humana has rolled out a program with Signify Health to make outreach calls to members in an attempt to improve engagement in healthcare with a health and wellness assessment.
July 25, 2022/by Cornerstone

UnitedHealthcare Updates Specialty Bundling Credit

UnitedHealthcare now only requires a minimum of two or more lines of specialty coverage in order to qualify for the administrative credit.
July 25, 2022/by Cornerstone

Aetna Funding Advantage Portfolio Updates: Now Quoting for October 1

Your customers get even more with the new Aetna Funding Advantage portfolio, which provides more choices and more convenient ways to access care, all while keeping plans affordable.
July 15, 2022/by Cornerstone

Anthem’s “Ask the Expert” Webinars: Broker Digital Tools to Support Your Clients

Anthem's Broker Marketing team will host another round of “Ask the Expert” Broker webinars will on July 21 and July 22.
July 11, 2022/by Cornerstone

UnitedHealthcare Webinar: 9/1 Readiness for UHC Small Business

Please join the UHC Small Business Ohio team for a 30-minute recap on all recent updates and changes that have been made over the last quarter.
July 11, 2022/by Cornerstone

Ohio Farm Bureau MEWA Sending Rate and Census Reconciliation to Clients Next Week

Within the next two weeks, Ohio Farm Bureau (MEWA) groups will receive an email request from mewa.io, the MEWA management system used to collect data for the Annual Rate and Census Reconciliation (ARC). 
July 1, 2022/by Cornerstone

The Latest Improvements From The Dental Care Plus Group to Make Dental Easier

The Dental Care Plus Group announced updates to their customer service, network, value, and more in their most recent update.
July 1, 2022/by Cornerstone

Anthem KY Adds Second Renewal Date for ChamberAdvantage MEWA

Groups sold July 1, 2022, to December 1, 2022, will renew on October 1,  with the first scheduled renewal being October 1, 2023.
July 1, 2022/by Cornerstone

Reminders About UnitedHealthcare Renewal Dates and Underwriting

UnitedHealthcare has released the following reminders regarding common renewal dates and underwriting for OH MEWA and level-funded groups.
July 1, 2022/by Cornerstone

Marketplace Learning Management System Closes on July 15

Starting July 15 at 6:00 p.m. ET, the Centers for Medicare & Medicaid Services (CMS) Marketplace Learning Management System (MLMS) will close or “Go Dark” in preparation for the launch of the Marketplace Plan Year 2023 registration and training.
June 24, 2022/by Cornerstone

Medical Mutual Makes Change to National Network Effective Jan. 1, 2023

Effective January 1, 2023, Medical Mutual will change from their current national network to the Cigna PPO network.
June 24, 2022/by Cornerstone

The Updated Medical Mutual COSE MEWA Small Employer Exception Form is Available

An updated COSE MEWA Small Employer Exception form has been posted to cosemewa.com. This form, with a revision date of June 2022 (6/22) replaces the April 2022 (4/22) version.
June 17, 2022/by Cornerstone

Departments Issue Checklist for Surprise Billing IDR Process

The Departments of IRS, DOL, and HHS recently issued a checklist of federal independent dispute resolution and related requirements to help plan sponsors and insurers understand their obligations when processing claims for items and services that fall within the scope of the surprise medical billing protections of the No Surprises Act.
June 17, 2022/by Larry Grudzien

Learn More About Humana’s EAP LifeWorks Transition

To ensure even greater success for their customers, Humana has decided to team up with LifeWorks, a global leader in total well-being, to administer Employee Assistance Program benefits for their customers.
June 3, 2022/by Cornerstone

Sun Life Completes Acquisition of DentaQuest

While they are now part of Sun Life U.S., Dental Care Plus Group, a DentaQuest Company is still your dental benefits partner.
June 3, 2022/by Cornerstone

Superior Dental Care Systems Migration to Medical Mutual Scheduled to Begin July 1

Starting July 1, 2022, all new sold SDC groups will be placed on the Medical Mutual platform and existing SDC groups will be migrated to the newly integrated systems as they renew.
June 3, 2022/by Cornerstone

Carrier Updates Regarding the Transparency in Coverage Rules and Machine Readable Files

The "Transparency in Coverage" final rules passed on October 28, 2020, requires health insurers and group health plans to create machine readable files (MRF) and member friendly cost estimation tools to be phased in throughout 2022, 2023, and 2024. 
June 3, 2022/by Cornerstone

Earn More with Anthem Ohio’s Individual SEP Bonus Program!

Anthem Ohio recently announced a new Individual special enrollment period (SEP) broker bonus program beginning with June 1, 2022, effective dates and running through December 1, 2022 effective dates.
May 20, 2022/by Cornerstone

The Dental Care Plus Group Releases New Updates and Improvements

The Dental Care Plus Group recently introduced new updates and improvements to provide better ways for their members to access and receive care.
May 20, 2022/by Cornerstone

Help Your Clients Resolve Their Marketplace Data Matching Issues

Large numbers of consumers are running out of time to submit documents to resolve their DMIs and consumers who do not resolve their issues will lose advance payments of the premium tax credit (APTC) or coverage.
May 20, 2022/by Cornerstone
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