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Title Issued Date

2021 Large & Small Group Product Updates

Broker Update | January 2021

2020 tested the resilience of Western New York businesses and individuals alike, us included. And, in a bigger way than ever before, it brought to light the importance of supporting and protecting the health and wellbeing of every business’ greatest asset: your employees....

Updated Microsite And New COVID-19 Resources

Broker Update | December 2020 | Vol. 15 No. 12 - Special Issue

Keeping you informed throughout this global pandemic is one of our top priorities. Earlier this year, we launched a dedicated COVID-19 Resource Website: UniveraHealthcare.com/covid19. We are closely monitoring COVID-19 and vaccine developments and this website has a...

Stay Safe. Spread Joy.

Broker Update | December 2020 | Vol. 15 No. 12 - Special Issue

Though this holiday season may look different than what we’re used to, we’d like to encourage you to celebrate the things we can do. Sending cards. Keeping in touch with friends and family. Virtual gatherings. Learning to cook something new. Having a snowman contest. ...

Our Best Wishes For A Healthy Holiday Season

Broker Update | December 2020 | Vol. 15 No. 12

As we come to the end of an historic year, we want you to know how truly grateful we are for our broker partners. We have all had to process many changes—most happening on a moment’s notice—all while ensuring our members feel secure in knowing they have our support. ...

COVID-19 Related Exceptions For Univera Fit Dollars

Broker Update | December 2020 | Vol. 15 No. 12

Due to Covid-19, the reimbursement criteria will be expanded to allow reimbursement for the following new items: At-home online workout subscriptions (i.e., Daily Burn, Beach Body, etc.) At-home fitness equipment (i.e., dumbbells, Peloton bikes, ellipticals, etc.) ...

The Power To Quit Smoking

Broker Update | December 2020 | Vol. 15 No. 12

Beginning January 1, 2021, smoking cessation support will be provided through our Wellframe app. Members have access to a comprehensive program that includes program modules, videos, and articles to support them on their journey to quit smoking. And they can access all...

New Group Bill Pay Features - What You Need To Know

Broker Update | December 2020 | Vol. 15 No. 12

As we shared in October, as a result of the feedback provided by both brokers and employer groups, we’re improving our online bill pay features and invoices, so they are easier to use. In mid-January 2021, we will launch an improved online invoice and payment feature...

Commission for Individual Market/Direct Pay Dental

Broker Update | November 2020 | Vol. 15 No. 11 - Special Issue

Individual Market and Commercial Direct Pay Dental contracts will be eligible for commission in 2021. The PDF below includes details of the amount. And for additional information on the 2021 Individual Dental Products the article is below.  Please contact your...

Reminder: Premium Credit Will Appear in December Invoices

Broker Update | November 2020 | Vol. 15 No. 11 - Special Issue

December invoices will begin being issued on November 6, 2020. As a reminder, the December invoices will reflect a 20 percent refund of the medical billed premium for the month of April this year.  Please keep in mind the following:   The amount credited...

Broker Tips and Reminders for Individual Plans

Broker Update | November 2020 | Vol. 15 No. 11 - Special Issue

Our Group, Safety Net, and Individual Market Sales teams continue to work together to assist employer groups that have been impacted by the pandemic.  We’re providing helpful resources and important dates if you have groups in need of assistance.  Important...

2021 Small Group Package Update

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

The following Univera Access packages will no longer be offered directly through Univera Healthcare or on the New York State of Health (SHOP) Marketplace beginning January 1, 2021 Retiring Package Replacement Package Univera Access Gold 3 Univera...

Medicare Advantage Recognized for Quality

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

The federal government’s latest quality ratings have awarded the Medicare Advantage programs from Univera Healthcare with some of the highest ratings in the state.  Medicare awarded Univera with 4.5 stars out of a possible 5-star rating for its Medicare Senior...

Need Help with Individual Market?

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

Our Group, Safety Net, and Individual Market Sales teams having been working together closely since spring when the pandemic began having an impact on some of our Groups. We’ve created an Individual Market Broker Tip Sheet to help walk you through key dates, renewal...

Social Security Number Updates for Subscribers

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

Please remember, if you need to add or update a subscriber’s social security number for an existing enrollee, you must do it manually before it can be submitted on your electronic file (either eFile or ANSI834). Manual updates can be requested using the enrollment and...

Premium Payment Processor Change

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

On January 1, 2021 our premium payment processor will change from Chase Paymentech to InstaMed®, a J.P. Morgan company. Groups that have scheduled online automatic premium payments and invoice delivery preferences will continue uninterrupted.  The AutoPay feature...

Annual Rate Notices Being Mailed

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

Rate Information Available through Information Connection for Community Rated Groups  Your groups will receive their Annual Rate Notices (ARNs) at the end of October. Also, at the end of October, you will be able to access the Monthly Rate Summary report through...

PPE Notification to Members

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

The New York State Department of Financial Services (DFS) is requiring us to notify members that our participating providers cannot bill their patients for the costs related to their purchase of personal protective equipment (PPE). Providers may only collect any...

New Individual Medicare Toolkit Now Available

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

With many people continuing to work past age 65, employees are turning to their employers for guidance when making important decisions about their health insurance. The right advice may save employees money by avoiding lifetime late Medicare enrollment penalties. We’re...

Pharmacy Network Change

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

As of September 1, 2020, Kroger, Albertson’s and Publix pharmacies are no longer part of the Univera Healthcare network. Express Scripts (ESI), our pharmacy benefit manager, is working hard to help reduce overall costs for members by removing higher-cost pharmacies from...

Simplified AGIF Now Available

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

A shorter, simpler version of both the web and paper versions of the Annual Group Information Form (AGIF) are now available.  We redesigned the look and feel of the form and reduced the number of fields by over 60 percent—just in time to help simplify your open...

Annual Notice of Change (ANOC) Letters

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue Pharmacy Network Change

Medicare Advantage members with Univera SeniorChoice (HMO-POS) or Univera Medicare PPO (PPO) plans were mailed an Annual Notice of Change (ANOC) in September as required by the Centers for Medicare and Medicaid Services. Members who receive extra help paying for premiums...

It’s More Important Than Ever to Get Your Flu Shot This Year

Broker Update | October 2020 | Vol. 15 No. 10 - Special Issue

Because of COVID-19, you should do everything you can to keep yourself and your family healthy. It is recommended that everyone six months and older get a flu shot every year in the fall—especially if you or someone in your home is at high risk of serious complications...

We’re Here to Help You Navigate the Individual Market

Broker Update | September 2020 | Vol. 15 No. 9 - Special Issue

The Special Enrollment Period has now been extended to December 31, 2020. We continue to be here to support you and help with the many questions you and your clients may have about free or low-cost health insurance alternatives to COBRA.  We have engaged with many...

Important Update on Clear Options℠

Broker Update | September 2020 | Vol. 15 No. 9 - Special Issue

Clear Options brings together the clarity and predictability of a copay plan—without the higher premiums. This innovative new plan has been pending DFS approval, and we have learned that it will not be approved for fully insured groups at this time. Clear Options will...

Small Group Rates and Plans for 2021 now Available!

Broker Update | September 2020 | Vol. 15 No. 9 - Special Issue

Small Group plans and rates for 2021 are now available on Univera on Demand. Updated Open Enrollment tools, including At-A-Glance Brochures and Product Guides are also available. Learn more and order open enrollment materials now. Now available:   Univera Access...

NEW Individual Standalone Dental Plans for 2021 now Available!

Broker Update | September 2020 | Vol. 15 No. 9 - Special Issue

Introducing a new stand-alone dental plan designed specifically for the individual market.  This new dental offering has 2 plan choices: Healthy Smile Family Dental Healthy Smile Premier Dental Both plans offer adult/family coverage Both plans feature...

Individual Metal Plans and Rates for 2021 now Available!

Broker Update | September 2020 | Vol. 15 No. 9 - Special Issue

Individual plans and rates for 2021 are now available on Univera on Demand. Updated Open Enrollment tools, including Product Placemats and Product Brochures are also available.  2021 Plan Highlights:  NEW Advantage Gold and Silver Plans  Modeled after a...

Open Enrollment Updates

Broker Update | September 2020 | Vol. 15 No. 9 - Special Issue

The New York State Department of Financial Services (DFS) has decided not to approve our new Univera Clear Options Gold product in the Small Group portfolio for the 2021 plan year. Therefore, we are unable to offer Univera Clear Options Gold for 2021. We will continue to...

2021 Small Group Dental Updates

Broker Update | September 2020 | Vol. 15 No. 9 - Special Issue

No Dental Rate Increases for 2021!  The ability to offer our customers quality, affordable Medical and Dental coverage during these difficult times is one of our top priorities. As a result, we have made the decision not to impose rate increases on our Pooled...

Request for Missing Social Security Numbers

Broker Update | September 2020 | Vol. 15 No. 9 - Special Issue

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 August, we sent Social Security number request letters to individuals who had health coverage at...

Helpful Guidelines As New York Goes Back to Work

Broker Update | August 2020 | Vol. 15 No. 8

As more businesses, schools and other organizations continue to reopen, reminding everyone of important safety measures is more important than ever. That’s why we’ve pulled together a toolkit with resources to help you provide a safer and healthier work environment. ...

Simplified AGIF Coming in September

Broker Update | August 2020 | Vol. 15 No. 8

We’ve received feedback from brokers and groups letting us know that our Annual Group Information Form (AGIF) is too long and overly complex. We listened and are pleased to let you know a shorter, simpler version of both the web and paper versions will be available by...

Mini-COBRA Timeframe Extension Information

Broker Update | August 2020 | Vol. 15 No. 8

The recent Department of Labor (DOL) regulation requiring COBRA timeframe extensions DOES NOT apply to mini-COBRA groups. COBRA regulations state that an employer qualifies as mini-COBRA if they employ fewer than 20 employees on at least 50 percent of the employer’s...

2021 Large Group Product Updates

Broker Update | July 2020 | Vol. 15 No. 7 - Special Issue

2020 is testing the resilience of Western New York businesses and individuals alike, us included. And, in a bigger way than ever before, it brought to light the importance of supporting and protecting the health and wellbeing of every business’ greatest asset: their...

Special Enrollment Period Extended to June 15

Broker Update | May 2020 | Vol. 15 No. 5 - Special Issue

The Special Enrollment Period for enrolling in Qualified Health Plans has been extended through June 15, 2020. Individuals can enroll between May 16 and June 15, and their coverage will begin June 1, or July 1. Our customer care advocates can assist with any...

Individual & Small Group – NYS Prior Approval of Rate Changes

Broker Update | May 2020 | Vol. 15 No. 5 - Special Issue

We know the focus for everyone the past two months has been the coronavirus pandemic. And now, our attention is turning to efforts to reopen businesses in accordance with state and local guidelines. While all of this is happening, there are still mandates set by New...

COVID-19 Pharmacy Update

Broker Update | April 2020 | Vol. 15 No. 4 - Special Issue

Our pharmacy team has been closely monitoring the supply of medications that are available during the COVID-19 outbreak. We’re taking several actions to ensure our members have access to clinically appropriate medications.  Providing early refill overrides....

Binder Checks No Longer Required For Small Groups Beginning June 1

Broker Update | April 2020 | Vol. 15 No. 4 - Special Issue

While much of our attention is committed to COVID-19, there are of course day-to-day activities and operations on which we remain laser focused.  One of these initiatives is our review of the feedback that comes from our broker community and how we can make it...

Don’t Fall For Fraud During COVID-19 Fight

Broker Update | April 2020 | Vol. 15 No. 4 - Special Issue

Please remind your groups to be aware that there are various scams and fraudulent activities that can occur during this difficult time. As is often the case, a national and global emergency brings out people who prey upon the fears and vulnerabilities of others—especially...

Telemedicine Visits Covered At No Cost To Members

Broker Update | April 2020 | Vol. 15 No. 4 - Special Issue

A reminder for your groups; telemedicine visits are being covered at no cost to members for 90 days beginning with NYS’s State of Emergency issued on March 13, 2020. The purpose is to help alleviate the burden on provider offices, urgent care centers and hospitals as a...

Help For Our Small Groups

Broker Update | April 2020 | Vol. 15 No. 4 - Special Issue

In these uncertain times, we’re doing everything we can to fulfill our corporate mission: to provide the people in the communities we serve with access to high quality, affordable health care. One way we can help is by providing some financial relief for those small...

Finding Coverage During Job Loss

Broker Update | April 2020 | Vol. 15 No. 4 - Special Issue

We’re all facing an uncertain future, but for many employer groups this is a particularly anxious time. We have resources for groups and members, including those members who may be facing job loss and the loss of their employer-sponsored health insurance.  There are...

Cost Relief Available With Mid-Year Plan Changes For Groups

Broker Update | April 2020 | Vol. 15 No. 4 - Special Issue

Univera Healthcare wants to ensure as many of our group members as possible can maintain their health insurance benefits. Through June 1, 2020, we are allowing mid-year plan changes to allow for lower cost employer and employee plans to accommodate the COVID-19 impacts on...

Univera Healthcare Waives COVID-19 Cost Sharing

Broker Update | April 2020 | Vol. 15 No. 4 - Special Issue

Univera Healthcare will waive out of pocket costs for COVID-19 medical testing, diagnosis and treatment for its fully insured employer groups, individual market qualified health plans and Medicare Advantage members for the next 60 days.  This waives the member’s...

Can the CARES Act Help a Small Business You Know?

Broker Update | April 2020 | Vol. 15 No. 4 - Special Issue

We’re all continuing to navigate these unchartered waters while striving to find our new normal. Last week, the Federal government signed a stimulus package to help businesses with 500 or fewer employees to stay afloat as the country continues to battle the COVID-19...

Coronavirus (COVID-19) Small Business Guidance & Loan Resources

Broker Update | March 2020 | Vol. 15 No. 3 - Special Issue

During these uncertain and challenging times, the Univera Healthcare team is here to help provide access to critical resources to support you, our employers, their businesses and employees. If your employer groups need assistance, the Small Business Administration (SBA)...

Protecting the Health of Our Communities

Broker Update | March 2020 | Vol. 15 No. 3

The coronavirus COVID-19 pandemic is disrupting life for everyone as our communities battle this deadly virus. Those being hit hardest include many small businesses around the country and in our own communities, and many we insure. We have options for those employers who...

Our Sales Representatives Are Here to Help

Broker Update | March 2020 | Vol. 15 No. 3

If an employer has contacted you and needs additional information on health insurance options for employees who have been laid off, please contact your account representative. Our staff is working remotely, but we are available to meet with you and your group by phone or...

We're Here For You Every Step Of The Way

Broker Update | March 2020 | Vol. 15 No. 3 - Special Issue

To Our Valued Brokers: These are anxious and unsettling times. We’re bombarded by wall-to-wall news and around-the-clock social media about coronavirus (COVID-19) – and the impact on the economy. I want to reassure you that Univera Healthcare is well prepared and...

Pending Federal Regulations on COVID-19 (Coronavirus) Member Cost Share

Broker Update | March 2020 | Vol. 15 No. 3 - Special Issue

The coronavirus COVID-19 pandemic is disrupting life for everyone as our communities battle this deadly virus.  The number of confirmed coronavirus cases continues to grow in New York state and across the country. New York state is requiring all insured health...

Showing 1– 50 of 204 Results
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