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Univera Healthcare Achieves 5-Star Rating For Its Medicare Plans

Broker Update | October 2021 | Vol. 16 No. 10

Among the highest in the nation and Western New York. The Centers for Medicare & Medicaid Services (CMS) annual Star Ratings for 2022 has awarded Univera Healthcare a five-star rating, making it among the highest-rated Medicare plans in the nation and in Western New...

Coming Soon – Online Billing For Brokers

Broker Update | October 2021 | Vol. 16 No. 10

We have started our pilot program and will be rolling out Online Billing to all Brokers in the coming months. With Online Billing you will be able to: Access all your group’s billing information under one login View and download your group’s invoices View your...

Annual Rate Notices Being Mailed

Broker Update | October 2021 | Vol. 16 No. 10

Groups will receive Annual Rate Notices (ARNs) at the end of October. This includes: Small Group Products Individual Medicare Advantage, Simply Prescription and Dental prospective pooled group notices and rates will be issued and viewable in Information Connection...

Update To Small Group Medical Underwriting Guidelines

Broker Update | October 2021 | Vol. 16 No. 10

Small Group medical underwriting guidelines have been updated and are available on our website and on Univera On Demand. Please reach out to your dedicated underwriter or account representative with any questions. View the Updated Guidelines  

Univera Healthcare Inside Rx Prescription Discount Card

Broker Update | October 2021 | Vol. 16 No. 10

Univera Healthcare continues its mission of helping people in our communities live healthier and more secure lives through high-quality and affordable health care access. As part of that ongoing commitment, we’re excited to announce that we have partnered with Inside Rx®,...

Update To COVID Treatment Benefits

Broker Update | October 2021 | Vol. 16 No. 10

Univera Healthcare will continue to cover IN-NETWORK COVID treatment benefits for fully insured members in full through December 31, 2021. Self-funded groups that previously opted-in will be given the choice to extend that option through December 31, 2021.  

November Is Diabetes Awareness Month

Broker Update | October 2021 | Vol. 16 No. 10

November is Diabetes Month, a national observance designed to raise awareness about the risk factors, symptoms, types of diabetes, and the impact this disease has every day on millions of Americans. According to the American Diabetes Association®, Diabetes is the seventh...

Coming Soon! Online Billing For Brokers

Broker Update | September 2021 | Vol. 16 No. 9

Earlier this year, we launched a new online bill pay tool for your groups. Soon, brokers will have access to online billing as well. Beginning in mid-October, brokers will be able to: Access all Group billing information under one login View Group invoices View...

Revised Waiting Period Policy

Broker Update | September 2021 | Vol. 16 No. 9

We understand that employers may be looking for ways to position themselves more competitively in the current hiring environment. Health insurance is often a key component of employee benefit packages. From now until January 1, 2022, employers may change their new hire...

2022 Community Rated, Small Group Medicare Advantage Rates/Plans Now Available

Broker Update | September 2021 | Vol. 16 No. 9

You can now view 2022 Community Rated, Small Group Medicare Advantage Plans on Univera on Demand. Univera on Demand allows you to compare plans and access your group's 2022 benefit summaries and rate sheets. Please contact your Group Medicare Sales Consultant with any...

Medicare Annual Notice Of Change Mailing

Broker Update | September 2021 | Vol. 16 No. 9

This month, group benefit administrators with Senior Choice (HMO-POS) or Univera Medicare (PPO) plans will be mailed an Annual Notice of Change (ANOC). The ANOC provides details on 2022 benefit changes. These members will receive their 2022 ANOC, along with their...

REMINDER: COBRA Subsidy Period Coming To An End

Broker Update | September 2021 | Vol. 16 No. 9

The COBRA subsidy period will end on September 30, 2021. Groups will NOT need to take any action to return to standard billing in October and going forward. If a Group wants to terminate a COBRA enrollee, they will need to notify us. As a reminder, the American Rescue...

Breast Cancer Awareness Month

Broker Update | September 2021 | Vol. 16 No. 9

October is Breast Cancer Awareness Month an annual campaign to increase awareness of the disease. According to the Centers for Disease Control and Prevention, about 255,000 women get breast cancer and 42,000 women die from the disease in the US every year. Here’s how...

Plan Highlights And New Resources For 2022

Broker Update | September 2021 | Vol. 16 No. 9 - Special Issue

New! 2022 Open Enrollment Highlights Streamlined collateral that provides a quick overview of the key updates planned for 2022 groups. Talk to your Univera Account Manager for more information about this and other supportive marketing collateral. What’s New for 2022...

Small Group Rates And Plans For 2022 Now Available!

Broker Update | September 2021 | Vol. 16 No. 9 - Special Issue

Small Group plans and rates for 2022 are available on Univera on Demand. Updated Open Enrollment tools, including At-A-Glance brochures and product guides are also available. Now available: NEW! Univera Clear Options Medical Plan Univera Access & Univera Access...

Individual Metal Plans And Rates For 2022 Now Available!

Broker Update | September 2021 | Vol. 16 No. 9 - Special Issue

Individual plans and rates for 2022 are now available on Univera on Demand. Updated Open Enrollment tools, including Product Placemats and Product Brochures are also available. Now available: Individual Metal Level Medical Plans Univera Healthy Smile Stand-Alone...

COBRA Subsidy Period Coming To An End

Broker Update | August 2021 | Vol. 16 No. 8

The COBRA subsidy period will end on September 30, 2021. Groups will NOT need to take any action to return to standard billing in October and going forward. If a Group wants to terminate a COBRA enrollee, they will need to notify us. As a reminder, the American Rescue...

Updates To Non-COVID Telehealth Benefits

Broker Update | August 2021 | Vol. 16 No. 8

The New York State regulation to cover non-COVID telehealth benefits in full for fully insured members, ended on June 24, 2021. Univera Healthcare will continue to cover IN-NETWORK NON-COVID telehealth benefits for fully insured members in full through December 31, 2021....

Univera Healthcare Addresses Health Disparities In Western New York With New Health Equity Awards

Broker Update | August 2021 | Vol. 16 No. 8

Recognizing structural racism as a driving force of health inequities and a barrier to its goal of health equity, Univera Healthcare invites nonprofit organizations to apply for Health Equity Awards of up to $30,000 each to help fund health and wellness programs that...

Help Protect Employees From The Flu

Broker Update | August 2021 | Vol. 16 No. 8

Every flu season is different, and influenza infection can affect people differently. Millions of people get the flu every year; many are hospitalized and some die from flu-related causes every year. Make plans to get vaccinated early in fall before flu season begins. The...

Request For Missing Social Security Numbers

Broker Update | August 2021 | Vol. 16 No. 8

Under the Affordable Care Act, the Internal Revenue Service requires health insurers to request missing subscriber and dependent Social Security numbers from their members. In September, we will send Social Security number request letters to individuals who had health...

NYS Prior Approval Of Rate Changes For Large Group HMO And Medicare Supplement

Broker Update | July 2021 | Vol. 16 No. 7

On July 15, 2021 an application was submitted requesting 2022 premium rate changes in accordance with New York state prior approval law. This rate application applies to Medicare Supplement products. Employer Group Communication Initial notification letters will be...

Online Bill Pay Available Now For Your Groups

Broker Update | July 2021 | Vol. 16 No. 7

Earlier this year, we launched new and improved online bill pay features. Your groups with bill pay access can log in to Employer.UniveraHealthcare.com to: View invoices, payments, and balance due Pay premium bills Setup automatic payments Pay for one or multiple...

The Price Of Back Pain In The Workplace And Home Office

Broker Update | July 2021 | Vol. 16 No. 7

According to the Centers for Disease Control and Prevention (CDC), low back pain (LBP) causes more global disability than any other condition. According to a report by Integrated Benefits Institute (IBI), nearly one in four U.S. employees report experiencing lower-back...

Your ARPA Questions Answered About The Individual Market

Broker Update | July 2021 | Vol. 16 No. 7 - Special Issue

We have received many questions from brokers regarding the American Rescue Plan Act of 2021 (ARPA) and how it impacts members who may have transitioned from group coverage to the individual market. Several new changes have been implemented for NY State Residents: New...

2022 Large Group Product Updates

Broker Update | July 2021 | Vol. 16 No. 7 - Special Issue

We know that health and wellbeing have taken on new meaning and significance over the past year. We’ve got exciting changes planned that will help groups and their employees enjoy even better health and wellbeing in 2022. Let’s look at what’s in store. Here’s What’s New...

Premium Payment Reminder

Broker Update | June 2021 | Vol. 16 No. 6

Please remind your groups, per contract, there is a 30-day grace period to make their premium payment. If payment is not received within the 30-day grace period, we will initiate the termination process. As a reminder, the first premium payment must be made prior to the...

New Feature Added To Enroll & Update

Broker Update | June 2021 | Vol. 16 No. 6

Based on feedback provided by our brokers, we have added a filtering feature to Enroll & Update. Login to the broker portal → Click on Enroll & Update. Click on View Member Roster Filter by package status: Active, Terminated, Pending, All View a screenshot...

Free Mobile Health Support

Broker Update | June 2021 | Vol. 16 No. 6

Caring for your employees isn’t something you only do from 9 to 5. In this 24/7 world we’re helping you help employees manage their health every day with the Wellframe® app. It’s an easy way for our dedicated team of health care professionals to give confidential,...

Our Opioid Management Strategy

Broker Update | June 2021 | Vol. 16 No. 6

Over 81,000 drug overdose deaths occurred in the United States between May 2019 and May 2020. This is the highest number of overdose deaths ever recorded in a 12-month period. According to the Center for Disease Control and Prevention (CDC), overdose deaths were already...

Broker Support Needed For SELECT GROUPS With COBRA

Broker Update | June 2021 | Vol. 16 No. 6 - Special Issue

As a reminder, the Department of Labor (DOL) and the Internal Revenue Service (IRS) issued Disaster Relief Notice 2021-01 (the Notice) that further defined previously issued tolling periods for certain COBRA timeframes. Shortly after, Congress passed the American Rescue...

Individual & Small Group – NYS Prior Approval Of Rate Changes

Broker Update | May 2021 | Vol. 16 No. 5

On May 12, an application was submitted requesting 2022 premium rate changes in accordance with New York state prior approval law. This rate application applies to Community Rated Individual and Small Group products. The following products are included in this 2022 rate...

Pediatric Dental Updates To Small Group Rate Sheets

Broker Update | May 2021 | Vol. 16 No. 5

New language has been added to the pediatric dental section of all small group medical plan rate sheets. The update states that groups with pediatric dental excluded from their medical plan must notify Univera Healthcare if their dental coverage changes. This is to...

Our Pandemic Response And Support For Pharmacy Members

Broker Update | May 2021 | Vol. 16 No. 5

Our number one priority is to always provide our members with high-quality, low-cost care. The importance of doing this came to the forefront at the height of the pandemic; especially when the search for therapies to treat COVID-19 were at a peak. Early in the pandemic,...

24/7 Access With Our Mobile App

Broker Update | May 2021 | Vol. 16 No. 5

Remember, our mobile app offers members 24/7 access to their health plan. They can view member cards, find participating doctors, view plan benefits and claims, at home or on the go. Creating an account is easy with a quick scan of their member card or by typing their...

Univera Healthcare Website Now Supports Edge

Broker Update | May 2021 | Vol. 16 No. 5

Our website now officially supports the Edge browser and will no longer be supporting Internet Explorer, since it is being retired by Microsoft. Please recommend to your groups that they change to either Microsoft Edge or Google Chrome. Edge or Chrome continue to be...

Google Certification For Health Insurance Advertising

Broker Update | May 2021 | Vol. 16 No. 5

On April 20, Google announced they are instituting a certification process for health insurance advertising intended to protect consumers. Google has seen an influx in advertising for misleading products and services and wants to ensure that the only brands permitted to...

American Rescue Plan Act (ARPA) Impact On Individual Market Members

Broker Update | May 2021 | Vol. 16 No. 5 - Special Issue

We’re reaching out as follow up to information you should have received from NY State of Health (NYSOH) regarding Individual Market members. On March 11, 2021, the American Rescue Plan Act was signed into law. The law delivers immediate relief to working families bearing...

Overview Of The Consolidated Appropriations Act (CAA), 2021

Broker Update | April 2021 | Vol. 16 No. 4

The Consolidated Appropriations Act, 2021, contains multiple provisions that will affect group health plans and the health care system, overall. The timeline to implement these provisions is an aggressive one with many effective dates of January 1, 2022. Mental Health...

Safeguarding Member Information In A Remote Work Environment

Broker Update | April 2021 | Vol. 16 No. 4

Remember, the Personally Identifiable Information (PII) and Protected Health Information (PHI) of our members always needs to be safeguarded. Here are some important reminders to keep in mind, especially while working in a remote environment. Keep documents with...

May Is Mental Health Awareness Month

Broker Update | April 2021 | Vol. 16 No. 4

Each year millions of Americans face the reality of living with a mental illness. Now—more than a year into a global pandemic—isolation, anxiety, and loneliness have made a difficult time more challenging for many people. Learn more about how to fight the stigma of mental...

Changes To Member ID Cards Coming In April

Broker Update | March 2021 | Vol. 16 No. 3

In December, the NYS Department of Financial Services (DFS) issued new minimum standards for the content on health insurance identification cards. Changes apply to MEDICAL and MEDICAL/PHARMACY IDENTIFICATION CARDS ONLY (changes will not apply to dental only and pharmacy...

MDLIVE Partnership

Broker Update | March 2021 | Vol. 16 No. 3

Univera Healthcare partners with MDLIVE for its telemedicine services.  We are aware that Evernorth has entered into an agreement to acquire MDLIVE and is expected to complete the acquisition in second quarter 2021.  At this time, Univera Healthcare plans to...

Tools To Help Members Make The Most Of Their Health Plan

Broker Update | March 2021 | Vol. 16 No. 3

It’s easier than ever for your groups to navigate and use their high deductible health plans (HDHP). Did you know? Groups and employees new to HDHP take time to transition, and satisfaction is often lower the first year. An online member account, paired with a health...

UPDATE: Employee Benefits Security Administration (EBSA) Disaster Relief Notice 2021-01

Broker Update | March 2021 | Vol. 16 No. 3 - Special Issue

As a follow-up to our communication sent on March 8, we have additional information to share with you regarding the recently announced Disaster Relief Notice 2021-01 and what this means for certain members. COBRA Participants in their Tolling Period We are currently...

Employee Benefits Security Administration (EBSA) Disaster Relief Notice 2021-01

Broker Update | March 2021 | Vol. 16 No. 3 - Special Issue

On February 26, the Department of Labor (DOL) together with the Internal Revenue Service (IRS), issued Disaster Relief Notice 2021-01, which impacts COBRA, as well as Medical and Dental members. The notice clarified that the COVID-19-related tolling periods will continue...

2021 Broker Guide Is Available Now

Broker Update | February 2021 | Vol. 16 No. 2

Guiding your clients as they navigate the complexities of health insurance is one way you can ensure they have confidence in their health plan in this uncertain world. We want you to have that same confidence knowing we’re here to support you every step of the way. The...

Special Enrollment Period Extended To May 15

Broker Update | February 2021 | Vol. 16 No. 2

The NYS Special Enrollment Period has been extended until May 15, for medical and standalone dental plans. Our Individual Market broker tip sheet has been updated and has complete details. Contact your account representative with any questions. For any clients that may...

Small Group Dental Changes To Minimum Enrollment Requirements For Orthodontic Coverage

Broker Update | February 2021 | Vol. 16 No. 2

Any New Dental groups looking to obtain dental coverage that includes Class IV Ortho coverage will only be required to have 5 enrolled as opposed to the 10 previously required. Additionally, any Existing Dental groups that are looking to align their Medical and Dental...

Call Out COVID-19 Vaccine Fraud With NYS Hotline

Broker Update | February 2021 | Vol. 16 No. 2

New York State has established a hotline that anyone can call to report suspected COVID-19 vaccine-related fraud or scams. Remember, it’s a red flag if anyone is promising individuals the vaccine in exchange for payment. To make a report, please direct individuals to...

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