News Archive
All News
| Title | Issued Date |
|---|---|
ACTION REQUIRED: Multi-Factor Authentication Launching This Month For Broker And Employer Web AccountsBroker 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... |
October 15, 2025 |
Small Group Underwriting UpdatesBroker 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... |
October 15, 2025 |
Univera Healthcare Welcomes Dr.Martin Stallone To Executive Leadership TeamBroker 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... |
October 15, 2025 |
2025 Gag Clause Attestation Process & Separate Letter NotificationBroker 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 behalf of our fully insured and minimum premium groups in 2025, unless the group instructs us otherwise. For Self-funded, Rx... |
October 15, 2025 |
2026 Annual Rate Notices Being MailedBroker 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 Individual Medicare Supplement Annual Rate Notices (ARNs) will be mailed to groups by the end of October. Medicare Advantage,... |
October 15, 2025 |
Donate Life Registry Question Added To Health Plan ApplicationsBroker 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 update is in response to a new state mandate and applies to both paper and digital enrollment processes. This requirement applies... |
October 15, 2025 |
Manage Rising Health Care Costs: 3 Practical TipsBroker 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 to helping small businesses find meaningful ways to manage costs while improving the quality of care for employees. Growing... |
October 15, 2025 |
2026 Medicare Star RatingsBroker 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 areas such as quality of care provided to our members, clinical outcomes and preventive care, member satisfaction and... |
October 15, 2025 |
Understanding Your Wellbeing: October - Join Us For Our Upcoming Wellbeing WebinarsBroker 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 inspire and empower members on their wellbeing journey. Promotional flyers are available below so that you can easily share... |
October 15, 2025 |
November Wellbeing Tip: DiabetesBroker 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 gestational. According to the Centers for Disease Control and Prevention (CDC), type 2 accounts for about 90% to 95% of all... |
October 15, 2025 |
Rx Update - Watch the Recording: August Pharmacy Webinar Featuring OncoHealthBroker 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 explores how our strategic partnership with OncoHealth is transforming oncology management and delivering real value to our... |
October 15, 2025 |
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 & Family Qualified Health Plans Healthy Smile Stand-Alone Dental Plans 2026 Plan Highlights:Our 2026 plan updates are aimed... |
October 1, 2025 |
ANSI File Implementation DeadlineBroker 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 maintain service quality, we ask that all ANSI file implementation requests be submitted no later than September 30, 2025. ... |
September 26, 2025 |
Legislative Updates – September 2025Broker 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 guidance on recently enacted legislation. Attached are some key highlights we believe you’ll find relevant and informative. As... |
September 26, 2025 |
Formulary ChangesBroker 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 balance quality and cost of care while offering access to the treatments our members need to get and stay healthy. Local and... |
September 26, 2025 |
ACTION REQUIRED: How To Prepare For Multi-factor AuthenticationBroker 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 added layer of security helps protect your data and ensures safe access. MFA is scheduled to launch for brokers and employers in... |
September 16, 2025 |
Virtual Teledermatology – Telemedicine Powered By MDLIVEBroker 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, 2026, we’re expanding this partnership to include Teledermatology services—bringing even more care options to our members,... |
September 16, 2025 |
Request For Missing Social Security NumbersBroker 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 numbers from their members. In September, we will send Social Security number request letters to individuals who had health... |
September 16, 2025 |
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 here, for you and want to help close that gap. That’s why we are hosting a live Making the Most of Your Health Plan webinar for... |
September 16, 2025 |
Understanding Your Wellbeing: September - Join Us For Our Upcoming Wellbeing WebinarsBroker 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 inspire and empower members on their wellbeing journey. Promotional flyers are available below so that you can easily share... |
September 16, 2025 |
Univera Healthcare Provides 22 Scholarships For Students To Attend Jim Kelly Football CampBroker 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 entries, each student received a custom jersey signed by Pro Football Hall of Famer Jim Kelly and a special send-off to camp.... |
September 16, 2025 |
A Message From Medical Governance And Healthcare EngagementBroker 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 for all stakeholders. As we navigate a fast-changing health care landscape, our commitment remains rooted in serving our... |
September 16, 2025 |
The Power Of Communication: The Role Of Communication In Workplace Wellbeing ProgramsBroker 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 program, it is critical to have an effective communication strategy. Clear, consistent, and engaging messaging helps build... |
September 16, 2025 |
October Wellbeing Tip: Menopause & Midlife WellnessBroker 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 through it, this stage of life often aligns with other significant life transitions. You may be expecting or raising a new child,... |
September 16, 2025 |
Small Group Rates And Plans For 2026 Are Now AvailableBroker 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 healthcare costs, coverage changes, and provider shortages can feel overwhelming. But they don’t have to face it alone. We’re... |
September 15, 2025 |
Action Required: Multi-factor Authentication Coming To Broker And Employer Web Portals This FallBroker 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 extra layer of protection against cyber threats, helping to safeguard both your personal information and our systems. Key Dates:... |
August 15, 2025 |
Legislative Updates - One Big Beautiful Bill ActBroker 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 the wide range of domestic policy priorities are sweeping changes to the overall healthcare landscape. The attached PDF... |
August 15, 2025 |
Claims Based Business Pharmacy Broker Commission ChangesBroker 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 Per Member (PSPM) payment regardless of group effective date (unless a custom arrangement is agreed upon during the sale). ... |
August 15, 2025 |
Rx Update - REMINDER: Join Our August Pharmacy Webinar Featuring Our Oncology Management PartnerBroker 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 opportunity to explore how a strategic partnership is transforming oncology management and delivering real value to our groups and... |
August 15, 2025 |
New Community Rated Subgroup ApplicationBroker 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. This should allow for greater ease in capturing the required information for each related business. The new form is available... |
August 15, 2025 |
Understanding Your Wellbeing: August - Join Us For Our Upcoming Wellbeing WebinarsBroker 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 support and improve their wellbeing. Please share the following webinar flyers and registration links with your groups. August... |
August 15, 2025 |
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 to help close that gap. That’s why we are hosting a live “Making the Most of Your Health Plan” webinar for our Small Group,... |
August 15, 2025 |
September Wellbeing Tip: Mental Health And Substance Use DisordersBroker 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 ages and walks of life. Individuals with a SUD may struggle with work and relationships, lose interest in activities they... |
August 15, 2025 |
2025 - August - Pharmacy Updates From Mona ChitreBroker 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 expanding access to care, improving health outcomes, or honoring the trust you place in us, your partnership makes it possible.... |
August 5, 2025 |
MDLIVE 6/1/2025 IncreasesBroker 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 Health telemedicine services through 12/31/2028. As part of our multi-year renewal, the following fee schedule/allowable... |
July 16, 2025 |
Medicare Supplement Rate Requests Filed with NYSBroker 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 application applies to Medicare Supplement products. Employer Group Communication Initial notification letters will be... |
July 16, 2025 |
Multi-factor Authentication Coming Soon For Broker And Employer Web PortalsBroker 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 ensure that the person attempting to log into to the web portal is truly them. Implementing multi-factor authentication will... |
July 16, 2025 |
Rx Update - Join Our August Pharmacy Webinar Featuring Our Oncology Management PartnerBroker 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 providing groups and members with the highest-quality pharmacy care is a team effort. Sometimes that means bringing in a... |
July 16, 2025 |
Showcasing How We Are Right Here For Western New YorkBroker 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, reassurance and a helping hand. This campaign brings real-life experiences to the forefront, highlighting the ways we stand... |
July 16, 2025 |
Understanding Your Wellbeing: July - Join Us For Our Upcoming Wellbeing WebinarsBroker 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 support and improve their wellbeing. Please share the following webinar flyers and registration links with your groups. July... |
July 16, 2025 |
Using Incentives To Engage Employees In A Wellbeing ProgramBroker 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 anything from inexpensive raffle prizes to extra days off to reduced health care premiums or HSA contributions. When used... |
July 16, 2025 |
August Wellbeing Tip: ImmunizationsBroker 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 the rates of death and disease across the world. Vaccines are vital to protecting yourself, your family, and your community... |
July 16, 2025 |
2026 Large Group Product Updates And RemindersBroker 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 you access to a wide variety of reward and incentive programs, including perks that help members save on healthy products... |
July 1, 2025 |
Current Injectable GLP-1 Mail Order Prescriptions From Express Scripts® Pharmacy Transitioning To EnGuide PharmacyBroker 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 replaces Express Scripts® Pharmacy as the mail order fulfillment source for injectable GLP-1 medications used for any indication,... |
June 13, 2025 |
Updated Fully Insured And Minimum Premium Documentation For 2025 CAA Gag Clause AttestationBroker 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 Act (CAA) gag clause attestation, unless directed otherwise by the group. For self-funded groups, we will continue to send... |
June 11, 2025 |
Prescription Drug Collection (RxDC) Report SubmittedBroker 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 submission included information for fully insured policies issued and for self-funded group health plans administered by... |
June 11, 2025 |
Rite Aid Pharmacy ClosuresBroker 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 closures on our members and our pharmacy network. We have mailed letters to members who currently use Rite Aid as their primary... |
June 11, 2025 |
Updated Qualifying Life Event Grid For Special Enrollment PeriodsBroker 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 dates for 2025. Download the grid at the link below or log in to Univera on Demand to locate the grid under Sales Tools. Please... |
June 11, 2025 |
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 learn more from you. You will receive an email with a link to the survey. Please respond at your earliest convenience. If you... |
June 11, 2025 |
Understanding Your Wellbeing: June - Join Us For Our Upcoming Wellbeing WebinarsBroker 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 support and improve their wellbeing. Please share the following webinar flyers and registration links with your groups. June... |
June 11, 2025 |
