News Archive

Designing Workplace Wellness Programs With Purpose: The Value Of Assessment Tools

Broker Update | June 2026 | Vol. 21 No. 6

Creating a workplace wellness program without data is like throwing a dart into the ocean and hoping to catch a fish. Without insight, even well...

July Wellbeing Tip – Summer Safety

Broker Update | June 2026 | Vol. 21 No. 6

As the days get warmer, it’s important to make sure you are taking precautions to keep yourself well. When the summer heat kicks in, staying...

Qualifying Life Event Grid For Special Enrollment Periods

Broker Update | June 2026 | Vol. 21 No. 6

As a reminder, the off exchange qualifying life event grid for special enrollment periods (PDF) can be located below or on Univera on Demand under...

Quarterly Legislative Update — June 2026

Broker Update | June 2026 | Vol. 21 No. 6

In this quarter’s legislative update, we highlight key political, legislative and regulatory developments that may affect our industry. This issue...

Rx Update - Make It Easier For Employees To Check Pharmacy Costs, Coverage And Prior Authorizations

Broker Update | June 2026 | Vol. 21 No. 6

Employees across Western New York can access pharmacy tools through their Univera Healthcare member account. They can check prescription prices,...

Rx Update - Prescription Drug Collection (RxDC) Report Submitted

Broker Update | June 2026 | Vol. 21 No. 6

On June 1, 2026, Univera Healthcare submitted the Prescription Drug Data Collection (RxDC) report to the Centers for Medicare and Medicaid Services...

Rx Update - Support Western New York Clients Facing Rising Specialty Drug Costs

Broker Update | June 2026 | Vol. 21 No. 6

Specialty drug costs are rising and many employers across Western New York are feeling the impact. These medications can improve care, but they...

Stop Loss Update For Groups With Less Than 250 Contracts

Broker Update | June 2026 | Vol. 21 No. 6

Effective immediately, we will no longer require self-funded groups with under 250 contracts to write stop loss with Univera Healthcare.  If...

Understanding Your Wellbeing: June - Upcoming Webinars

Broker Update | June 2026 | Vol. 21 No. 6

Help keep your groups engaged and inspired with our monthly webinars, featuring fresh, practical insights to support members’ health and wellbeing....

We Want To Hear From You: Take Our Annual Broker Satisfaction Survey

Broker Update | June 2026 | Vol. 21 No. 6

You should receive the annual broker satisfaction survey from noreply@qualtrics-survey.com on Monday, June 22. Your feedback and experiences are...

Individual & Small Group Rate Requests Filed With NYS

Broker Update | June 2026 | Vol. 21 No. 6 - Special Issue

In May 2026, an application was submitted to the New York State Department of Financial Services (NYSDFS) requesting 2027 premium rate changes for...

Mona's Minute: The Pharmacy Landscape and Three Things You Should Know

Broker Update | May 2026 | Vol. 21 No. 5 - Special Issue

A Message From Mona Chitre The Pharmacy Landscape and Three Things You Should Know The prescription drug market is evolving rapidly, driven by...

A More Transparent Pharmacy Prior Authorization Experience For Your Clients

Broker Update | May 2026 | Vol. 21 No. 5

If a doctor prescribes a medication that needs approval before it can be filled, also known as a prior authorization, there’s a way for members to...

June Wellbeing Tip – Men’s Health

Broker Update | May 2026 | Vol. 21 No. 5

June is Men’s Health Awareness Month. Long work hours, busy schedules, and lingering stigma around seeking care often lead men to delay routine...

Rx Update - Don’t Forget To Join Our May Pharmacy Webinar!

Broker Update | May 2026 | Vol. 21 No. 5

May Topic: "Rx Market Insights: Navigating Rising Pharmacy Costs While Facing Expanding Drug Utilization" Date: Tuesday, May 26    Time:...

Rx Update - Guiding Clients Toward Cost Saving Specialty Pharmacy Decisions

Broker Update | May 2026 | Vol. 21 No. 5

With specialty drug costs continuing to grow, your clients are weighing different approaches to managing their pharmacy benefits. While some...

Rx Update - Supporting Better Adherence And Lower Costs For Your Groups

Broker Update | May 2026 | Vol. 21 No. 5

“I am so thankful for this program, one of the most important reasons for me is that I don’t have to skip or ration my medication. Thank you!” ...

Supporting Member Health While Addressing Rising Costs

Broker Update | May 2026 | Vol. 21 No. 5

We recognize the challenges associated with managing rising costs in today’s economic environment. As prices continue to rise across everyday...

Understanding Your Wellbeing: May - Upcoming Webinars

Broker Update | May 2026 | Vol. 21 No. 5

Help keep your groups engaged and inspired with our monthly webinars, featuring fresh, practical insights to support members’ health and wellbeing....

Delivering The Best For Your Clients: Three Tips For A More Efficient Proposal

Broker Update | April 2026 | Vol. 21 No. 4

Thank you for trusting Univera Healthcare with your clients’ business and for including us in your RFP process. As 2026 gets off to a fast start,...

May Wellbeing Tip: The Power Of Nature For Mental Health

Broker Update | April 2026 | Vol. 21 No. 4

May is National Mental Health Awareness Month, a time to reflect on simple, effective ways to support our mental wellbeing. One of the most...

REMINDER: Updated Medical Commercial Community Rated Underwriting Guidelines

Broker Update | April 2026 | Vol. 21 No. 4

The Medical Commercial Community Rated Underwriting Guidelines have been updated to include the newly implemented Out of Area (OOA) and...

Rising Cost Support For Small Businesses: How To Get The Most From Your Health Plan

Broker Update | April 2026 | Vol. 21 No. 4

For many businesses, health and wellness benefits are an important employee attraction and retention driver. With the ongoing rising costs of...

Rx Update - Join Our May Pharmacy Webinar!

Broker Update | April 2026 | Vol. 21 No. 4

May Topic: "Rx Market Insights: Navigating Rising Pharmacy Costs While Facing Expanding Drug Utilization" Date: Tuesday, May 26    Time:...

Rx Update - Now Updated For 2026: Pharmacy Concierge Brochure And Inflammatory Bowel Disease (IBD) Flyer

Broker Update | April 2026 | Vol. 21 No. 4

We’ve recently updated two pharmacy materials for 2026 to support your conversations with clients: the Pharmacy Concierge brochure (PDF) and the...

Understanding Your Wellbeing: April - Upcoming Webinars

Broker Update | April 2026 | Vol. 21 No. 4

Help keep your groups engaged and inspired with our monthly webinars, featuring fresh, practical insights to support members’ health and wellbeing....

Discontinuance Of Essential Plan 200-250

Broker Update | March 2026 | Vol. 21 No. 3 - Special Issue

On April 1, NY State of Health is planning to notify current Essential Plan 200-250 members about the plan discontinuance scheduled for June 30,...

April Wellbeing Tip: Sleep Smarter

Broker Update | March 2026 | Vol. 21 No. 3

Sleep is when the body and brain restore energy, strengthen the immune system, and support learning and memory. Regularly getting less sleep than...

Building A Workplace Culture That Supports Preventive Care

Broker Update | March 2026 | Vol. 21 No. 3

Paul’s doctor recommended he get a colonoscopy but, even if he could get the time off work, his co-workers would give him a hard time. Maria can’t...

Quarterly Legislative Update - March 2026

Broker Update | March 2026 | Vol. 21 No. 3

In this quarter’s Legislative Update, we highlight key political, legislative, and regulatory developments that may impact our industry. New...

Reminder: Please Submit Group Data Using The RxDC Form

Broker Update | March 2026 | Vol. 21 No. 3

As a reminder, Univera Healthcare will complete the required pharmacy benefit and prescription drug cost reporting for all fully insured and...

Rx Update - A Specialty Pharmacy Partner That Enhances Employer Value

Broker Update | March 2026 | Vol. 21 No. 3

Specialty medication management is a defining factor in both member satisfaction and cost efficiency. Accredo offers comprehensive support ranging...

Rx Update - Expanded Indications: Key Trends Brokers Should Anticipate

Broker Update | March 2026 | Vol. 21 No. 3

As specialty drugs receive approval for broader uses, employers may experience shifts in utilization and unexpected cost impacts. In the article...

Rx Update - How Integrated Care Approaches Improve IBD Management

Broker Update | March 2026 | Vol. 21 No. 3

Managing IBD requires strong coordination across multiple providers and benefits. This month’s blog explores how integrated care can enhance...

Understanding Your Wellbeing: March - Upcoming Webinars

Broker Update | March 2026 | Vol. 21 No. 3

Help your groups stay engaged and inspired—our monthly webinars offer fresh, practical insights to support our members' health and wellbeing....

Updated Medical Commercial Community Rated Underwriting Guidelines

Broker Update | March 2026 | Vol. 21 No. 3

The Medical Commercial Community Rated Underwriting Guidelines have been updated to include the newly implemented Out of Area (OOA) and...

Important Information Regarding Annual RxDC Prescription Data Submission

Broker Update | February 2026 | Vol. 21 No. 2 - Special Issue

The Consolidated Appropriations Act (CAA) requires group and individual health plans to report annual data about prescription drugs and health care...

Ensure Broker Authorization To Deliver Streamlined Support

Broker Update | February 2026 | Vol. 21 No. 2

As a reminder, our online tools offer valuable convenience for members. To ensure fast, efficient support, it’s important that you, as brokers, are...

March Wellbeing Tip: Food As Medicine

Broker Update | February 2026 | Vol. 21 No. 2

The food you choose every day has a powerful impact on your health, energy, and overall wellbeing. Good nutrition fuels your body and mind. The...

New AGIF Requirement For Community Rated HMO Groups And Additional Underwriting Updates

Broker Update | February 2026 | Vol. 21 No. 2

Starting in 2026, Community Rated HMO groups will be required to provide an Annual Group Information Form (AGIF) for renewal. Community Rated HMO...

Support Preventive Care With A Ready-to-Use Toolkit

Broker Update | February 2026 | Vol. 21 No. 2

Help your employer clients encourage preventive care with our new preventive care toolkit. (ZIP) It includes practical, ready-made resources...

Tax Form 1095-B

Broker Update | February 2026 | Vol. 21 No. 2

Health insurers—including Univera Healthcare—are no longer mailing tax form 1095-B to members. Because taxpayers are not required to include the...

Understanding Your Wellbeing: February - Join Us For Our Upcoming Wellbeing Webinars

Broker Update | February 2026 | Vol. 21 No. 2

Help your groups stay engaged and inspired—our monthly webinars offer fresh, practical insights to support our members' health and wellbeing....

Vitalize℠ Toolkits Now Available: Make Member Engagement Easy

Broker Update | February 2026 | Vol. 21 No. 2

Vitalize℠, in partnership with Personify Health, is a digital wellbeing program dedicated to engaging our members in their health and wellbeing....

2026 - January - Pharmacy Updates From Mona Chitre

Broker Update | January 2026 | Vol. 21 No. 1 - Special Issue

A Message from Mona Chitre As we step into 2026, we’re proud to reflect on the progress we’ve made together - because caring for Western New...

Expanding Access To Behavioral Health Care: What Brokers And Employers Need To Know

Broker Update | January 2026 | Vol. 21 No. 1

The rapidly growing need for mental health services and the limited availability of service providers has been well-documented. In addition, those...

February Wellbeing Tip: Heart Disease

Broker Update | January 2026 | Vol. 21 No. 1

Heart disease is a broad term for conditions affecting the heart, most commonly Coronary Artery Disease. One of the most serious outcomes of heart...

Gag Clause Certificate Of Attestation Now Available

Broker Update | January 2026 | Vol. 21 No. 1

On December 30, 2025, Univera Healthcare completed the Gag Clause Attestation on behalf of our fully insured and minimum premium groups who have...

Simple Ways Preventive Care Can Support The Workforce

Broker Update | January 2026 | Vol. 21 No. 1

Preventive care plays an important role in keeping employees healthy while helping employers manage long-term costs. In this blog, we outline four...

Understanding How Premium Dollars Are Used

Broker Update | January 2026 | Vol. 21 No. 1

Small businesses are feeling the pressure of rising health care costs and the impact of those costs on insurance premiums. The health care system...

Understanding Your Wellbeing: January - Join Us For Our Upcoming Wellbeing Webinars

Broker Update | January 2026 | Vol. 21 No. 1

Help your groups stay engaged and inspired—our monthly webinars offer fresh, practical insights to support our members' health and wellbeing....

January Wellbeing Tip: Building A Healthier You

Broker Update | December 2025 | Vol. 20 No. 12

A new year brings new opportunities to focus on your health and wellbeing. While resolutions can be exciting, they often feel daunting—and it’s...

Legislative Updates - December 2025

Broker Update | December 2025 | Vol. 20 No. 12

In this quarter’s Legislative Update, we highlight key political, legislative, and regulatory developments that may affect coverage and costs. ...

Save the Date: Upcoming Vitalize℠ Webinars for Members!

Broker Update | December 2025 | Vol. 20 No. 12

Vitalize℠, in partnership with Personify Health, is a digital home base dedicated to engaging our members in their health and wellbeing. Through...

Season’s Greetings From Univera Healthcare

Broker Update | December 2025 | Vol. 20 No. 12

As the year comes to a close, we extend our warmest appreciation and gratitude for your partnership and loyalty. We wish you and yours a joyous...

Strengthening Our Efforts To Streamline Prior Authorization

Broker Update | December 2025 | Vol. 20 No. 12

In support of our ongoing mission to help members access quality, affordable health care, Univera Healthcare is participating in a joint effort to...

Understanding Your Wellbeing: December - Join Us For Our Upcoming Wellbeing Webinars

Broker Update | December 2025 | Vol. 20 No. 12

Help your groups stay engaged and inspired—our monthly webinars offer fresh, practical insights to support our members' health and wellbeing....

Upcoming Change To Dental Data Distribution

Broker Update | December 2025 | Vol. 20 No. 12

Beginning January 1, 2026, we’re updating our criteria for dental data distribution to align with market standards. Currently, dental data is...

Updates To Small Group Paperwork For Commercial Medical And Healthy New York Products

Broker Update | December 2025 | Vol. 20 No. 12

Underwriting has recently updated several forms for our Small Group Commercial Medical and Healthy New York (HNY) products. The new group...

2026 Wellbeing Resources

Broker Update | November 2025 | Vol. 20 No. 11

Many members are not aware of all the programs, resources, and tools available to them through Univera Healthcare. We are right here to help close...

December Wellbeing Tip: Healthy Eating During The Holidays

Broker Update | November 2025 | Vol. 20 No. 11

Navigating food choices during the holiday season can feel overwhelming, especially when you’re trying to maintain balance. If you’ve ever felt...

Now Available: The 2026 Broker Guide

Broker Update | November 2025 | Vol. 20 No. 11

Designed to support your client service efforts and help grow your brokerage business, the guide can be accessed on the Broker Tools page. If you...

REMINDER: Manage Rising Health Care Costs: 3 Practical Tips

Broker Update | November 2025 | Vol. 20 No. 11

We understand the pressures your small businesses clients face in today’s economic climate. As your local, nonprofit Health Plan, we’re committed...

Rx Update - Stelara And Biosimilar Formulary Updates For 2026

Broker Update | November 2025 | Vol. 20 No. 11

Biosimilars represent an opportunity to improve access and affordability for our community. Univera Healthcare has advocated for the use of...

Understanding Your Wellbeing: November - Join Us For Our Upcoming Wellbeing Webinars

Broker Update | November 2025 | Vol. 20 No. 11

Help your groups stay engaged and inspired—our monthly webinars offer fresh, practical insights to support our members health and wellbeing....

2025 Gag Clause Attestation Process & Separate Letter Notification

Broker Update | October 2025 | Vol. 20 No. 10

As part of our ongoing support for the Consolidated Appropriations Act (CAA) gag clause attestation, Univera Healthcare will continue to attest on...

2026 Annual Rate Notices Being Mailed

Broker Update | October 2025 | Vol. 20 No. 10

The New York State Department of Financial Services (DFS) has finalized the 2026 rate adjustments for the following products: Small Group ...

2026 Medicare Star Ratings

Broker Update | October 2025 | Vol. 20 No. 10

The Centers for Medicare & Medicaid Services (CMS) has released its 2026 Medicare Star Ratings. These ratings measure our plan’s performance in...

ACTION REQUIRED: Multi-Factor Authentication Launching This Month For Broker And Employer Web Accounts

Broker Update | October 2025 | Vol. 20 No. 10

To improve account security, multi-factor authentication (MFA) will be enabled toward the end of October. What you can do to prepare for this...

Donate Life Registry Question Added To Health Plan Applications

Broker Update | October 2025 | Vol. 20 No. 10

A new question regarding the New York State Donate Life Registry has been added to select health plan enrollment forms and online tools. This...

Manage Rising Health Care Costs: 3 Practical Tips

Broker Update | October 2025 | Vol. 20 No. 10

We understand the pressures your small businesses clients face in today’s economic climate. As your local, nonprofit Health Plan, we’re committed...

November Wellbeing Tip: Diabetes

Broker Update | October 2025 | Vol. 20 No. 10

Type 2 diabetes is one of the most common – and preventable – chronic conditions. There are three main types of diabetes: type 1, type 2 and...

Rx Update - Watch the Recording: August Pharmacy Webinar Featuring OncoHealth

Broker Update | October 2025 | Vol. 20 No. 10

Thank you to everyone who joined us live! If you missed it—or want to revisit the insights—the recording is now available. (VIDEO) This session...

Small Group Underwriting Updates

Broker Update | October 2025 | Vol. 20 No. 10

Standalone dental single contract groups As a reminder, any groups that have a standalone dental product with only one contract enrolled do not...

Understanding Your Wellbeing: October - Join Us For Our Upcoming Wellbeing Webinars

Broker Update | October 2025 | Vol. 20 No. 10

Discover new ways to support a healthier lifestyle through our upcoming wellbeing webinars. Each month, we’ll explore a different topic designed to...

Univera Healthcare Welcomes Dr.Martin Stallone To Executive Leadership Team

Broker Update | October 2025 | Vol. 20 No. 10

We’re thrilled to announce that Martin Stallone, M.D. has been appointed Executive Vice President and Chief Healthcare Services Officer for Univera...

Individual Metal Plans And Rates For 2026 Now Available!

Broker Update | October 2025 | Vol. 20 No. 10 - Special Issue

Individual plans, rates, at-a-glance brochures and tip sheets for 2026 are now available on Univera on Demand. Now available: Individual &...

ANSI File Implementation Deadline

Broker Update | September 2025 | Vol. 20 No. 9 - Special Issue

As we prepare for the upcoming Open Enrollment season, we want to ensure a smooth experience for you and your clients. To help us manage volume and...

Formulary Changes

Broker Update | September 2025 | Vol. 20 No. 9 - Special Issue

In light of the rising costs of health care, we are committed more than ever to identifying opportunities for group savings. We also know we must...

Legislative Updates – September 2025

Broker Update | September 2025 | Vol. 20 No. 9 - Special Issue

With Federal officials back from their summer recess, we’re closely monitoring upcoming budget and policy negotiations and awaiting further...

A Message From Medical Governance And Healthcare Engagement

Broker Update | September 2025 | Vol. 20 No. 9

As we progress through 2025 and into 2026, we’re pleased to share our collective efforts to engage members, enhance outcomes, and expand services...

ACTION REQUIRED: How To Prepare For Multi-factor Authentication

Broker Update | September 2025 | Vol. 20 No. 9

As previously communicated, multi-factor authentication (MFA) will soon be required to access your Univera Healthcare broker web account. This...

October Wellbeing Tip: Menopause & Midlife Wellness

Broker Update | September 2025 | Vol. 20 No. 9

Most women experience menopause between ages 45 and 55. Whether you’re approaching menopause, currently experiencing it, or have already gone...

REMINDER For Small Groups: Upcoming Member Webinar – Making The Most Of Your Health Plan!

Broker Update | September 2025 | Vol. 20 No. 9

Many Small Group members are not aware of the programs, resources, and tools available through their Univera Healthcare membership. We are right...

Request For Missing Social Security Numbers

Broker Update | September 2025 | Vol. 20 No. 9

Under the Affordable Care Act, the Internal Revenue Service requires health insurers to request missing subscriber and dependent Social Security...

The Power Of Communication: The Role Of Communication In Workplace Wellbeing Programs

Broker Update | September 2025 | Vol. 20 No. 9

You have 2.7 seconds to catch someone’s attention with your message. So, if your clients want their employees engaged in their workplace wellbeing...

Understanding Your Wellbeing: September - Join Us For Our Upcoming Wellbeing Webinars

Broker Update | September 2025 | Vol. 20 No. 9

Discover new ways to support a healthier lifestyle through our upcoming wellbeing webinars. Each month, we’ll explore a different topic designed to...

Univera Healthcare Provides 22 Scholarships For Students To Attend Jim Kelly Football Camp

Broker Update | September 2025 | Vol. 20 No. 9

Univera Healthcare proudly awarded full scholarships to 22 Western New York students for the 2025 Jim Kelly Football Camp! Selected at random from...

Virtual Teledermatology – Telemedicine Powered By MDLIVE

Broker Update | September 2025 | Vol. 20 No. 9

We are proud to partner with MDLIVE to offer convenient telemedicine services for Acute Medical and Behavioral Health needs. Starting January 1,...

Small Group Rates And Plans For 2026 Are Now Available

Broker Update | September 2025 | Vol. 20 No. 9 - Special Issue

Small businesses are the heart of our Western New York community—and at Univera Healthcare, we understand the challenges they’re facing. Rising...

Action Required: Multi-factor Authentication Coming To Broker And Employer Web Portals This Fall

Broker Update | August 2025 | Vol. 20 No. 8

To enhance security and protect your data, multi-factor authentication (MFA) will soon be required when accessing our web portals. MFA adds an...

Attention Small Groups, Upcoming Member Webinar – Making The Most Of Your Health Plan!

Broker Update | August 2025 | Vol. 20 No. 8

Many Small Group members are not aware of the various programs, resources and tools available through their Univera Healthcare membership. We want...

Claims Based Business Pharmacy Broker Commission Changes

Broker Update | August 2025 | Vol. 20 No. 8

In 2026, we will be eliminating the current tiered commission structure for pharmacy broker commissions. We will be changing to a flat Per Script...

Legislative Updates - One Big Beautiful Bill Act

Broker Update | August 2025 | Vol. 20 No. 8

On July 4th, 2025, following months of Congressional negotiations, President Trump signed the “One Big Beautiful Bill Act” into law. Included in...

New Community Rated Subgroup Application

Broker Update | August 2025 | Vol. 20 No. 8

Small group underwriting has a new community rated subgroup application available for groups looking to combine related businesses under one plan....

Rx Update - REMINDER: Join Our August Pharmacy Webinar Featuring Our Oncology Management Partner

Broker Update | August 2025 | Vol. 20 No. 8

Topic: Rx Market Insights: Leveraging the power of partnership with OncoHealth Date: August 28, 2025 Time: 2:00 – 2:40 p.m. ET This is your...

September Wellbeing Tip: Mental Health And Substance Use Disorders

Broker Update | August 2025 | Vol. 20 No. 8

A substance use disorder (SUD) is a medical condition (not a character flaw) that affects both the brain and behavior. It can impact people of all...

Understanding Your Wellbeing: August - Join Us For Our Upcoming Wellbeing Webinars

Broker Update | August 2025 | Vol. 20 No. 8

We are excited to host the following upcoming wellbeing webinars, geared towards helping our members learn about various health topics that can...

2025 - August - Pharmacy Updates From Mona Chitre

Broker Update | August 2025 | Vol. 20 No. 8

A Message from Mona Chitre As we continue through 2025, I’d like to pause and acknowledge the important work we’re doing together. Whether it’s...

August Wellbeing Tip: Immunizations

Broker Update | July 2025 | Vol. 20 No. 7

Vaccines have saved millions of lives and continue to save lives every day! Vaccines are remarkable scientific achievements that greatly reduce...

MDLIVE 6/1/2025 Increases

Broker Update | July 2025 | Vol. 20 No. 7

Univera Healthcare is excited to announce that we have renewed our partnership with our telemedicine partner, MDLIVE, for Medical and Behavioral...

Medicare Supplement Rate Requests Filed with NYS

Broker Update | July 2025 | Vol. 20 No. 7

On June 13, 2025, an application was submitted requesting 2026 premium rate changes in accordance with New York state prior approval law. This rate...

Multi-factor Authentication Coming Soon For Broker And Employer Web Portals

Broker Update | July 2025 | Vol. 20 No. 7

Starting in early October, we will be enabling multi-factor authentication for our broker portal. Multi-factor authentication is a way for us to...

Rx Update - Join Our August Pharmacy Webinar Featuring Our Oncology Management Partner

Broker Update | July 2025 | Vol. 20 No. 7

Topic: Rx Market Insights: Leveraging the power of partnership with OncoHealth Date: August 28, 2025 Time: 2:00 – 2:40 p.m. ET We recognize that...

Showcasing How We Are Right Here For Western New York

Broker Update | July 2025 | Vol. 20 No. 7

On July 7, we began a campaign that focuses on being right here, in real life. It’s about showing up in the moments that matter, offering support,...

Understanding Your Wellbeing: July - Join Us For Our Upcoming Wellbeing Webinars

Broker Update | July 2025 | Vol. 20 No. 7

We are excited to host the following upcoming wellbeing webinars, geared towards helping our members learn about various health topics that can...

Using Incentives To Engage Employees In A Wellbeing Program

Broker Update | July 2025 | Vol. 20 No. 7

Incentives are a powerful tool for your clients’ wellbeing programs as they can motivate or encourage a desired behavior. Incentives can be...

2026 Large Group Product Updates And Reminders

Broker Update | July 2025 | Vol. 20 No. 7 - Special Issue

Take a look at what’s new for 2026, along with helpful reminders about current benefits. Wellbeing And Incentive Programs Univera Healthcare gives...

Current Injectable GLP-1 Mail Order Prescriptions From Express Scripts® Pharmacy Transitioning To EnGuide Pharmacy

Broker Update | June 2025 | Vol. 20 No. 6 - Special Issue

Express Scripts® is launching EnGuide Pharmacy, a new home delivery pharmacy that will exclusively dispense injectable GLP-1 medications. It...

July Wellbeing Tip: Physical Activity

Broker Update | June 2025 | Vol. 20 No. 6

Physical activity is one of the best things you can do to improve your health and wellbeing. For adults, the Centers for Disease Control and...

Prescription Drug Collection (RxDC) Report Submitted

Broker Update | June 2025 | Vol. 20 No. 6

On May 28, 2025, we submitted the Prescription Drug Data Collection (RxDC) report as required under The Consolidated Appropriations Act (CAA). The...

REMINDER: We Want To Hear From You!

Broker Update | June 2025 | Vol. 20 No. 6

Over the next few weeks, check your inbox for the annual broker satisfaction survey. Your feedback and experience are valuable, and we want to...

Rite Aid Pharmacy Closures

Broker Update | June 2025 | Vol. 20 No. 6

Rite Aid has announced the closure of all 178 store locations in New York state. Our pharmacy team is working to understand the impacts of the...

Rx Update - Helping Your Clients Reduce Pharmacy Costs—without Sacrificing Care

Broker Update | June 2025 | Vol. 20 No. 6

Looking for a smarter way to help employers manage rising drug costs? Our core pharmacy suite combines five targeted strategies that drive down...

Understanding Your Wellbeing: June - Join Us For Our Upcoming Wellbeing Webinars

Broker Update | June 2025 | Vol. 20 No. 6

We are excited to host the following upcoming wellbeing webinars, geared towards helping our members learn about various health topics that can...

Updated Fully Insured And Minimum Premium Documentation For 2025 CAA Gag Clause Attestation

Broker Update | June 2025 | Vol. 20 No. 6

For 2025, Univera Healthcare will continue to attest on behalf of our fully insured and minimum premium groups for the Consolidated Appropriations...

Updated Qualifying Life Event Grid For Special Enrollment Periods

Broker Update | June 2025 | Vol. 20 No. 6

We have updated our off exchange qualifying life event grid for special enrollment periods. It now reflects the new monthly coverage effective...

Individual & Small Group Rate Requests Filed With NYS

Broker Update | June 2025 | Vol. 20 No. 6 - Special Issue

On May 15, 2025, an application was submitted requesting 2026 premium rate changes in accordance with New York state prior approval law. This rate...

What’s Driving The Rising Costs Of Health Care, How This Influences Premiums, And What Univera Healthcare Is Doing, Right Here, For You

Broker Update | June 2025 | Vol. 20 No. 6 - Special Issue

We know any increase in costs these days is difficult to absorb. At Univera Healthcare, we’re working to ensure rising costs don’t get in the way...

2025 Exclusive Pharmacy Update From Mona Chitre

Broker Update | May 2025 | Vol. 20 No. 5 - Special Issue

A Message from Mona Chitre As your partner in managing pharmacy benefits, we routinely share the latest news impacting health care in our...

June Wellbeing Tip: Musculoskeletal Health

Broker Update | May 2025 | Vol. 20 No. 5

If you have ever had back, joint, or muscle pain, you know how much it can affect your quality of life and ability to do your job. Musculoskeletal...

Rx Update - Don’t Miss This Webinar: Helping Employers Save On Pharmacy Costs

Broker Update | May 2025 | Vol. 20 No. 5

Webinar Topic: Rx Market Insights: Introducing Our Core Pharmacy Suite Date: May 20, 1:00 p.m. - 1:30 p.m. ET Every dollar saved on health care...

Understanding Your Wellbeing: May - Join Us For Our Upcoming Wellbeing Webinars

Broker Update | May 2025 | Vol. 20 No. 5

We are excited to host the following upcoming wellbeing webinars, geared towards helping our members learn about various health topics that can...

Upcoming Member Webinar For Large Group, Fully Insured Plans – Making The Most Of Your Health Plan!*

Broker Update | May 2025 | Vol. 20 No. 5

Date: Tuesday, June 24, Noon - 12:45 p.m. ET Many members may not be aware of the wellbeing programs, tools and resources available to them...

We Want To Hear From You!

Broker Update | May 2025 | Vol. 20 No. 5

Over the next few weeks, check your inbox for the annual broker satisfaction survey. Your feedback and experience are valuable, and we want to...

Community Spotlight: Addressing Gaps In Care In Western New York

Broker Update | April 2025 | Vol. 20 No. 4

Patients in Western New York who face gaps in medical care will soon have access to essential support and guidance, thanks to funding support that...

Getting The Best For Your Clients: 3 Tips For An Efficient Proposal

Broker Update | April 2025 | Vol. 20 No. 4

Thank you for trusting Univera Healthcare with your clients’ business and for including us in your RFP process. 2025 is already off to a fast...

May 2025 Wellbeing Tip: Stroke Awareness

Broker Update | April 2025 | Vol. 20 No. 4

May is National Stroke Awareness Month. A stroke occurs when something blocks blood supply to part of the brain or when a blood vessel in the brain...

Right Here, For You With New Comprehensive Care And Disease Management Materials

Broker Update | April 2025 | Vol. 20 No. 4

We’re proud to provide Western New York with a coordinated, caring, personalized and holistic health insurance experience. In 2024, we launched our...

Rx Update - $27.77 PMPM. Savings Back In The Hands Of Your Groups

Broker Update | April 2025 | Vol. 20 No. 4

Webinar Topic: Rx Market Insights: Introducing Our Core Pharmacy Suite Date: May 20, 1:00 p.m. - 1:30 p.m. ET Every dollar counts when managing...

Understanding Your Wellbeing: Join Us For Our Upcoming Wellbeing Webinars

Broker Update | April 2025 | Vol. 20 No. 4

We are excited to host the following upcoming wellbeing webinars, geared towards helping our members learn about various health topics that can...

Univera Healthcare Serves As The Presenting Sponsor Of The Buffalo Business First Best Places To Work Awards

Broker Update | April 2025 | Vol. 20 No. 4

Univera Healthcare is proud to have been the presenting sponsor of the 2025 Buffalo Business First Best Places to Work Awards. The Best Places to...

Annual Group Information Renewal - Webtool Update

Broker Update | March 2025 | Vol. 20 No. 3

The webtool used to submit the annual group information form for small groups has been updated. The year dropdown has been updated to include 2026,...

April Wellbeing Tip: Breaking The Stress Cycle

Broker Update | March 2025 | Vol. 20 No. 3

April is National Stress Month. Stress is a natural response to challenges we face in everyday life. Common stressors include relationships,...

REMINDER: It’s Time To Report Your 2024 Prescription Data

Broker Update | March 2025 | Vol. 20 No. 3

This is a reminder for the Broker Update eblast that was sent on Tuesday March 4, 2025. You can read that full eblast in the news archive at:...

Rx Update - Innovative Care For Inflammatory Bowel Disease Management

Broker Update | March 2025 | Vol. 20 No. 3

Inflammatory Bowel Disease (IBD), which includes Crohn’s disease and ulcerative colitis, impacts millions of people worldwide. Check out our new...

Rx Update - Launching Our NEW Pharmacy Value Story

Broker Update | March 2025 | Vol. 20 No. 3

We are excited to announce the launch of our new pharmacy value story. Discover how we deliver an approach that improves health outcomes, cost...

Small Group Healthy New York Application And Forms Updated For 2025

Broker Update | March 2025 | Vol. 20 No. 3

The Healthy New York (HNY) maximum wage has been increased to $53,650 and the HNY New Business form and HNY Recertification form have been updated....

The Value Of A Wellbeing Strategy

Broker Update | March 2025 | Vol. 20 No. 3

Your groups’ employees are their organization’s greatest asset. Creating a culture of wellbeing where employees feel holistically supported by...

Understanding Your Wellbeing; 2025 Wellbeing Webinar Series

Broker Update | March 2025 | Vol. 20 No. 3

We are excited to host a new wellbeing webinar series in 2025, geared towards helping our members learn about various health topics that can...

It’s Time To Report Your 2024 Prescription Data

Broker Update | March 2025 | Vol. 20 No. 3 - Special Issue

The Consolidated Appropriations Act (CAA) requires group and individual health plans to report annual data about prescription drugs and health care...

2025 Pharmacy Updates From Mona Chitre

Broker Update | February 2025 | Vol. 20 No. 2 - Special Issue

A Message from Mona Chitre We're kicking off the year with a lot of excitement! As a pharmacy partner, we are always keeping an eye on market...

Enrollment Portal Reminder – Accuracy Is Important

Broker Update | February 2025 | Vol. 20 No. 2

There has been an increase in keying errors submitted from the web and requests submitted through the enrollment portal. This has resulted in ID...

Managed Care Organization Tax

Broker Update | February 2025 | Vol. 20 No. 2

The Centers for Medicare and Medicaid Services (CMS) recently approved New York's Managed Care Organization tax (MCO), effective 1/1/2025. This...

March Wellbeing Tip: Healthy Eating On A Budget

Broker Update | February 2025 | Vol. 20 No. 2

According to the Centers for Disease Control & Prevention (CDC), good nutrition is essential for well-being across all stages of life. A...

New Year, New Goals: Take Charge With Preventive Health Today

Broker Update | February 2025 | Vol. 20 No. 2

Preventive care can help catch potential issues early before they develop into more serious health conditions. Things like routine checkups,...

Rx Update - Updated Integrated Pharmacy Program Flyers Now Available

Broker Update | February 2025 | Vol. 20 No. 2

We've refreshed our integrated pharmacy program flyers to showcase new offerings and remove discontinued ones. These flyers highlight all the...

Rx Update - We’re Making Medications More Affordable With Our Automatic Prescription Discount Program

Broker Update | February 2025 | Vol. 20 No. 2

Members who pay 100% out-of-pocket for certain medications outside of their pharmacy benefit now have access to the automatic prescription...

Tax Form 1095-B

Broker Update | February 2025 | Vol. 20 No. 2

Health insurers—including Univera Healthcare—are no longer mailing tax form 1095-B to members. Because taxpayers are not required to include the...

Understanding Your Wellbeing; 2025 Wellbeing Webinar Series

We are excited to host a new wellbeing webinar series in 2025, geared towards helping our members learn about various health topics that can...

Why Having A Primary Care Provider (PCP) Matters

Broker Update | February 2025 | Vol. 20 No. 2

Individuals with a PCP may receive higher value healthcare. PCPs provide preventive care such as cancer screenings, identify and treat common...

February Wellbeing Tip: Heart Health

Broker Update | January 2025 | Vol. 20 No. 1

February is American Heart Month. According to the Centers for Disease Control and Prevention (CDC), heart disease is the leading cause of death...

Gag Clause Certificate Of Attestation Now Available

Broker Update | January 2025 | Vol. 20 No. 1

On December 30, 2024, Univera Healthcare completed the Gag Clause Attestation on behalf of our fully insured and minimum premium groups who have...

Rx Update - Pharmacy Affordability Toolkit Available

Broker Update | January 2025 | Vol. 20 No. 1

Health care costs are continuing to rise, impacting both groups and members alike. To address these challenges and support employee wellbeing,...

Starting The Year Off Right

Broker Update | January 2025 | Vol. 20 No. 1

January is a great time of year for employer group members to review their online account information or register for an account if they don’t...

Understanding Your Wellbeing; 2025 Wellbeing Webinar Series

Broker Update | January 2025 | Vol. 20 No. 1

We are excited to launch a new wellbeing webinar series in 2025, geared toward helping our members learn about various health topics that can...

2025 Broker Guide Is Here

Broker Update | December 2024 | Vol. 19 No. 12

The 2025 Broker Guide is now available to help you better service our clients and grow your brokerage business. The guide is available on the...

2025 Workplace Wellbeing Resources

Broker Update | December 2024 | Vol. 19 No. 12

The new year brings new resources to help employers support the wellbeing of their employees. They can engage, educate and empower their workforce...

Automatic Payment Error Impact

Broker Update | December 2024 | Vol. 19 No. 12

Some members may have received an email from us via our vendor, Instamed, saying that their automatic payment agreement has been terminated. If...

January Wellbeing Tip: New Year, Well You

Broker Update | December 2024 | Vol. 19 No. 12

The new year is a great time to reflect and set intentions for the upcoming year. Many resolutions center on health and wellness, highlighting the...

Season’s Greetings From All Of Us At Univera Healthcare

Broker Update | December 2024 | Vol. 19 No. 12

As the year comes to a close, we extend our warmest appreciation and gratitude for your partnership and loyalty. We wish you and yours a joyous...

Upcoming Member Webinar For Small Groups

Broker Update | December 2024 | Vol. 19 No. 12

Many members are not aware of the programs, resources, and tools available to them through their Univera Healthcare membership. We want to help...

Updates: 2025 Qualified Health Plans And The Essential Plan

Broker Update | December 2024 | Vol. 19 No. 12

Changes to Special Enrollment Period Coverage Effective Dates: Beginning January 1, 2025, NY State of Health must make the coverage effective date...

December Wellbeing Tip: Self Care & Seasonal Blues

Broker Update | November 2024 | Vol. 19 No. 11

While the holiday season can be a time of joy, it may bring added stress, anxiety, and depression for some people. According to the American...

Health Status Questionnaire

Broker Update | November 2024 | Vol. 19 No. 11

We encourage all plan members to complete a health status questionnaire upon enrollment and annually thereafter. We use this information to...

Healthy New York - New Group Application and Recertification Form

Broker Update | November 2024 | Vol. 19 No. 11

The new Healthy New York – New Group Application and Recertification Form is now available for brokers and small groups.   The New Group...

Incorrect ID Card Mailing Impact

Broker Update | November 2024 | Vol. 19 No. 11

Univera Healthcare has identified that incorrect ID cards were recently mailed out to some small groups. Since ID cards are mailed in batches, not...

REMINDER: Gag Clause Prohibition Attestation Under the Consolidated Appropriation Act

Broker Update | November 2024 | Vol. 19 No. 11

As a reminder, Univera Healthcare has determined that we will be completing the attestation on behalf of our fully insured and minimum premium...

Rx Update - Improving the Affordability of Pharmacy Care Webinar Now Available

Broker Update | November 2024 | Vol. 19 No. 11

The rising trend in health care costs shows no signs of slowing, placing a growing burden on both employers and individuals. High prescription drug...

Rx Update - Introducing HelpScript, formerly Smart RxAssist

Broker Update | November 2024 | Vol. 19 No. 11

In July, we announced our partnership with Smart RxAssist to help maximize savings available from drug manufacturers assistance programs. This...

Gag Clause Prohibition Attestation Under the Consolidated Appropriation Act 

Broker Update Vol. 19 No. 11: Special Issue

The gag clause prohibition under the Consolidate Appropriations Act (CAA) prohibits health plans from entering into contracts that restrict...

Annual Renewal Request Submissions 

Broker Update • Vol. 19 No. 10 • October 2024

For Brokers that are submitting their annual renewal requests through the Annual Group Information Form (AGIF) Webtool, please ensure you are...

Medicare Recognizes Univera Healthcare For Quality

Broker Update • Vol. 19 No. 10 • October 2024

The Centers for Medicare and Medicaid Services (CMS) announced its 2025 quality ratings, and again this year recognized Univera Healthcare for its...

Member Mailing Notification

Broker Update • Vol. 19 No. 10 • October 2024

Due to new requirements of Section 1557 of the Affordable Care Act, we are required to send an annual Notice of Nondiscrimination and Notice of...

New: Affordability Pages

Broker Update • Vol. 19 No. 10 • October 2024

Increasing costs and growing demands for medical care are leading to premium rate increases and higher out-of-pocket expenses for members and...

November Is Diabetes Awareness Month

Broker Update • Vol. 19 No. 10 • October 2024

Diabetes is a chronic disease that affects how your body turns food into blood sugar to use for energy. There are three types of diabetes: type 1,...

Web Enrollment Training For Brokers 

Broker Update • Vol. 19 No. 10 • October 2024

A new Web Enrollment e-learning is now available for Brokers in the Sales Hub. This training provides brokers with interactive lessons on how to...

Individual Metal Plans And Rates For 2025 Now Available!

Broker Update | October 2024 | Vol. 19 No. 10 - Special Issue

Individual plans, rates, placemats, tip sheets and product brochures for 2025* are now available on Univera on Demand. Now available: ...

REMINDER: Medicare Part D Creditable Coverage

Broker Update | September 2024 | Vol. 19 No. 9

As part of the Medicare Modernization Act (MMA), employers and union groups offering prescription drug coverage must disclose to Medicare eligible...

Rx Update - New Integrated Medical & Pharmacy Diabetes Programs Brochure

Broker Update | September 2024 | Vol. 19 No. 9

We have a new brochure available to learn more about our integrated medical and pharmacy solutions for diabetes management. This piece offers...

Upcoming Member Webinar For Small Group Plans*

Broker Update | September 2024 | Vol. 19 No. 9

Many Small Group members are not aware of the programs, resources, and tools available to them through their benefit plan. We want to help close...

Reminder: Large Group Open Enrollment Materials

Broker Update | September 2024 | Vol. 19 No. 9 - Special Issue

If you need printed copies of the 2025 Large Group Open Enrollment materials, reach out to order through your Account Service Consultant. And...

All-Access To Member Benefits

Broker Update | August 2024 | Vol. 19 No. 8

Many people are getting ready for fall, a new school year, and open enrollment, making it the perfect time to check out their online account and...

Enterprise File Transfer Service Updates

Broker Update | August 2024 | Vol. 19 No. 8

As part of our ongoing commitment to ensuring the highest standards of digital security, we are updating our encryption protocols in line with...

Medicare Part D Creditable Coverage

Broker Update | August 2024 | Vol. 19 No. 8

Medicare beneficiaries can receive subsidized prescription drug coverage through the Medicare Part D program. Beneficiaries who have other sources...

NYS Prior Approval Of Rate Changes For Medicare Supplement

Broker Update | August 2024 | Vol. 19 No. 8

On June 25, 2024, an application was submitted requesting 2025 premium rate changes in accordance with New York state prior approval law. This rate...

Rx Update - Specialty Drug Webinar Recording Now Available

Broker Update | August 2024 | Vol. 19 No. 8

As we learned in our recent pharmacy webinar, the specialty landscape continues to evolve as advancements in care provide additional treatment...

September Wellbeing Tip: Substance Use Disorders

Broker Update | August 2024 | Vol. 19 No. 8

According to the National Survey on Drug Use and Health, about 17% of people aged 12 or older had a substance use disorder (being addicted to,...

August Wellness Topic: The Importance Of Vaccines

Broker Update | July 2024 | Vol. 19 No. 7

Most of us probably don’t remember when people regularly died from smallpox or polio. There have been no cases of smallpox anywhere in the world...

Right Here For A More Holistic Approach To Health

Broker Update | July 2024 | Vol. 19 No. 7

We’re proud to provide Western New York with a more coordinated, caring, personalized, and holistic health insurance experience. It’s an approach...

Rx Update - Join Us For Our First Univera Healthcare Pharmacy Webinar

Broker Update | July 2024 | Vol. 19 No. 7

Topic: Rx Market Insights: Specialty Drug Trends & Solutions July 26th, 11:00 - 11:45 a.m. ET What are the top trend drivers for specialty...

Rx Update - Site Of Care For Infusion Drug Therapy

Broker Update | July 2024 | Vol. 19 No. 7

We are continuously looking for ways to promote member convenience while lowering overall costs. The Site of Care (SOC) program provides outreach...

Warby Parker Added To Vision Network

Broker Update | July 2024 | Vol. 19 No. 7

Together with our partner, Davis Vision, we are excited to announce the expansion of our vision network to include Warby Parker as of July 1, 2024....

COBRA And The New York State Extension Of Benefits For Dental And Vision

Broker Update | July 2022 | Vol. 17 No. 7

Federal COBRA benefits are generally available to employers with 20 or more employees in the prior calendar year. The New York state continuation...

Coming In September: Virtual Training For 2023 Open Enrollment

Broker Update | July 2022 | Vol. 17 No. 7

Training for 2023 Open Enrollment will be virtual through the New Univera Sales Hub. This Sales Hub is designed to support all your open enrollment...

NYS Prior Approval Of Rate Changes For Medicare Supplement

Broker Update | July 2022 | Vol. 17 No. 7

On August 19, 2022, an application will be submitted requesting 2023 premium rate changes in accordance with New York state prior approval law....

Pharmacy Reporting Under The Consolidated Appropriations Act

Broker Update | July 2022 | Vol. 17 No. 7

To comply with the 2021 Consolidated Appropriations Act (CAA), we will complete the required pharmacy benefit and prescription drug cost reporting...

Univera Named To The Best Places To Work For Disability Inclusion®

Broker Update | July 2022 | Vol. 17 No. 7

Univera Healthcare is pleased to be named to the Best Places to Work for Disability Inclusion after receiving a top score of 100 percent on the...

2023 Large Group Product Updates

Broker Update | June 2022 | Vol. 17 No. 6 - Special Issue

We know that health and wellbeing have taken on new meaning and significance over the past few years. We’ve got exciting changes planned that will...

CAA Compensation Disclosure Requirement

Broker Update | April 2022 | Vol. 17 No. 4

As part of the Consolidated Appropriations Act (CAA), we are required to identify for our ERISA groups all direct or indirect compensation we may...