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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, we appreciate the opportunity to partner with you. Our goal is always to provide you and your clients with the best, most...

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 healthcare, small businesses are looking for ways to continue offering comprehensive benefits to their teams. In this blog...

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 Professional Employer Organization (PEO) rules. You can find the updated guidelines on the broker and employer websites by following...

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. Webinar flyers and registration links are available below to share with your groups. April Topic: "The Power of Sleep: How...

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: 2:00 – 2:30 p.m. Across today’s pharmacy landscape, new drug indications, evolving formulations, and expanding patient...

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 Inflammatory Bowel Disease (IBD) flyer (PDF). These refreshed resources reflect the latest information. We encourage you to use...

Rx Update - Helping Employees Manage Inflammatory Bowel Disease (IBD) With Confidence

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

Inflammatory bowel disease (IBD) can be challenging for members to manage, especially when symptoms are unpredictable and ongoing. Our latest pharmacy blog explores how a more connected, personalized approach can help employers and their workforce with IBD feel more...

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 powerful—and accessible—ways to do this is by spending time outdoors. Research shows that spending time outdoors can help lower...

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, 2026. The health plan is planning on sending follow-up letters and emails to these impacted members on April 3. NY State of...

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 self-funded groups that have both our medical and pharmacy coverage. However, you or your clients must submit premium contribution...

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 York State Proposed New York State Budget The 2026 New York State legislative session began on Jan. 7, and shortly after...

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 Professional Employer Organization (PEO) rules. You can find the updated guidelines on the broker and employer websites by following...

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 take time off work to get her mammogram, even though she has a family history of breast cancer.  Carlo has diabetes...

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. Monthly flyers are available below to share with your groups. March Topic: "Eat Well, Live Well: Using Food as Medicine" Date:...

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 below, we break down how these expanded uses are reshaping pharmacy benefit strategies—and what brokers can do now to help...

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 patient experience, reduce fragmentation and support more predictable cost management for employer groups. Brokers will gain...

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 from clinical guidance to streamlined prescriptions coordination, helping reduce therapy interruptions and administrative...

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 you need increases the risk of chronic conditions such as obesity, diabetes, and heart disease, and slows reaction...

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 spending to the Centers for Medicare & Medicaid Services (CMS). The last day to submit this data to CMS for the 2025...

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 authorized to speak with us on a member’s behalf. Completing this authorization saves valuable time and allows us to support...

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 groups will be included as part of the small group AGIF renewal mailing notifications. Additionally, the AGIF Webtool has...

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 form when filing their taxes, the IRS no longer requires us to mail the form. Members can still download the form or request it...

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 designed to make preventive care easier to understand and promote. Inside you’ll find checklists, flyers, posters and...

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. Monthly flyers are available below to share with your groups. February: "Understanding Your Heart Health: Risks, Prevention, and...

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. Vitalize gives eligible members the tools and support needed to make small, everyday changes to their wellbeing that 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 foods you eat supply the essential nutrients that keep your brain sharp, muscles strong, bones healthy, skin glowing, and immune...

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 Yorkers starts with collaboration. We’re looking forward to the exciting developments this year has in store for pharmacy care. ...

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 is complex and understanding how premium dollars are used can be hard. Read more for a closer look at how premium dollars are...

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 same providers are experiencing burnout at higher levels than ever before and many are leaving or limiting their...

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 our Rx. A Gag Clause Certificate of Attestation is available to groups, upon request. Please reach out to your Account Manager...

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. Monthly flyers are available below to share with your groups. January: "Train Your Brain – The Psychology Behind Healthy Habits"...

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 easy, effective ways to encourage preventive care, such as sharing clear reminders and offering simple incentives. Many...

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 disease is a heart attack. A heart attack occurs when the flow of blood to the heart is severely reduced or blocked. Managing...

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 holiday season and look forward to continuing to be right here, for you in the New Year! Have a safe and happy holiday season!...

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 streamline, simplify and reduce prior authorization. This effort supports the federal government’s efforts to improve the...

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. Including: Federal & New York State Updates, Local Business Relief Coalition information and What We’re Reading. Learn More...

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 instructions, new group checklist and new group applications have been updated for our small group commercial medical and HNY...

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 provided for our groups with 50 or more contracts. Starting in 2026, only groups with 200 or more contracts will receive dental...

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. Monthly flyers are available below to share with your groups. December: "Savor the Season — Smart Eating for Festive Times"...

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 Vitalize, eligible members have access to a certified health risk assessment, digital health coaching modules, a variety of...

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 easy to get discouraged if things don’t go to plan. To build sustainable behavior change, start small. Bite-sized goals make...

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 have any questions on the 2026 Broker Guide, contact your Account Manager or email...

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 to helping small businesses find meaningful ways to manage costs while improving the quality of care for employees. Growing...

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 biosimilars since 2018 when we were the first standalone health plan to prefer a biosimilar in a major drug category. Today we...

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. Monthly flyers are available below to share with your groups. November: "Demystifying Diabetes" November 20: 12:00 p.m.-12:45 p.m....

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 that gap. Below are two resources that describe many of the programs and benefits available to members through their health...

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 guilt or anxiety around holiday eating, you’re not alone. Balancing indulgence with intention can be difficult, but there are...

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 change: Log into your broker web account and go to Account Settings in the upper right corner. Verify that your email address...

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 qualify for coverage and will be non-renewed starting with 1/1/2026 renewals. This only applies to groups that only have dental...

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 Healthcare and its parent company, The Lifetime Healthcare Companies. Dr. Stallone currently serves as CEO of Centralus...

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