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Underwriting Guideline Changes Filed With The Department Of Financial Services

Broker Update | November 2019 | Vol. 14 No. 11

Changes to our underwriting guidelines were recently filed for reference with the Department of Financial Services. There are changes in several areas including group and subscriber eligibility.  Please contact your account consultant with any questions. ...

NEW! A Clear Look Ahead – 2020 Small Group Plans and Rates for all Quarters Now Available!

Broker Update | November 2019 | Vol. 14 No. 11

You will no longer have to wait to see upcoming quarterly rates for Small Group. New this year, the 2020 Small Group plans and rates are available for all quarters now. Now Available: Q1 At-A-Glance (PDF) Open a PDF Q2 At-A-Glance (PDF) Open...

Caring. Now Available Anywhere.

Broker Update | November 2019 | Vol. 14 No. 11

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

New Feature For ActiveRewards Members - Rally Marketplace™

Broker Update | October 2019 | Vol. 14 No. 10

Starting January 1, members with Active Rewards will have an additional option for using the coins they earn from completing tasks through the Rally platform. Previously, members only had the option of donating their coins to a charity of their choice. With the...

Annual Rate Notices Being Mailed

Broker Update | October 2019 | Vol. 14 No. 10

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 Information Connection with your January 2020 renewals. This includes: ...

We're Ramping Up Efforts To Curb E-Cigarette Use And Boost Education

Broker Update | October 2019 | Vol. 14 No. 10

   

New 2020 Broker Commission Programs

Broker Update | October 2019 | Vol. 14 No. 10

Beginning on January 1, 2020, two new broker commission programs will go into effect; Medicare Advantage Plans and Rx Concierge. Brokers will be eligible for commission for both new and existing Medicare Advantage plans. We’re also very excited to offer a new...

Employer-Based Waiting Periods for Medical and Dental

Broker Update | October 2019 | Vol. 14 No. 10

A reminder for your groups; when an online request is submitted to add a new hire for medical and dental, please be aware of the employer-based waiting period. If the employer waiting period for medical is different than the waiting period for dental, the...

2020 Community Rated, Small Group Medicare Advantage Plans are now Available on Univera on Demand

Broker Update | October 2019 | Vol. 14 No. 10

You can now view 2020 Community Rated, Small Group Medicare Advantage Plans on Univera on Demand. Univera on Demand allows you to compare plans and access your group's 2020 benefit summaries and rate sheets. Please contact your Group Medicare Sales...

Get Your Groups Ready for Open Enrollment

Broker Update | September 2019 | Vol. 14 No. 9

We have received great feedback about our member portal and the personalized information members can access when they register for an online account. This is a great way to educate your employees about their health insurance and to prepare them for this year’s open...

Compliance With New York State Insurance Law and Small Group Eligibility

Broker Update | September 2019 | Vol. 14 No. 9

As part of our ongoing commitment to maintain compliance with New York State Insurance Law 4317(a)(1), we will continue to verify that our small groups are receiving community rates.  As has been our practice, this process will include our request for confirmation...

A Valuable New Tool to Make You a More Valuable Partner

Broker Update | September 2019 | Vol. 14 No. 9

You’re always looking for new ways to add value to your groups. We’re always looking for new ways to help you deliver it. That’s why we’re introducing the Wellframe® app, a free and convenient way for our Care Managers to provide confidential, text-based, one-on-one...

Have Your Members Changed Their Password Yet?

Broker Update | September 2019 | Vol. 14 No. 9

On August 3, we made enhancements to our website including our member portal. At that time, members were asked to reset their password when they visited the site to login.  If they HAVE NOT accessed their online account since August 3, they will be prompted to...

Individual & Small Group Rates and Plans for 2020 now Available!

Broker Update | September 2019 | Vol. 14 No. 9 - Special Issue

Individual & Small Group plans and rates for 2020 and stand alone small group dental plans 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...

The Future of Care Management

Broker Update | August 2019 | Vol. 14 No. 8

The Univera Healthcare Sales Leadership Team invites you to attend "The Future of Care Management," on September 19. A networking reception will follow. The presentation will provide an overview of our clinical care management strategies, including emerging...

Individual & Small Group Plans, Rates and Product Updates for 2020

Broker Update | August 2019 | Vol. 14 No. 8

Individual & Small Group plans and rates for 2020 will be available on Univera on Demand in early September, tentatively the week of the 9th. Updated Open Enrollment tools, including At-A-Glance Brochures and Product Guides will also be available. Good news—no...

Annual Notice of Change (ANOC) Letters

Broker Update | August 2019 | Vol. 14 No. 8

Coming soon, group benefit administrators with Senior Choice (HMO-POS) or Univera Medicare (PPO) plans will be mailed an Annual Notice of Change (ANOC).  The ANOC provides details on 2020 benefit changes. Your members will receive their 2020 ANOC, along with...

Department of Financial Services (DFS) Guidance Regarding Rate Guarantees and New Business Discounts

Broker Update | August 2019 | Vol. 14 No. 8 - Special Issue

Because the DFS guidance may impact your business with us, we’d like to provide some additional information:  The guidance only applies to non-Medicare, comprehensive, fully insured medical commercial products.  The guidance prohibits the application...

Site Changes Coming The Weekend Of August 3

Broker Update | Vol. 14 No. 7 | July 2019 -Special Issue

This includes a password change, so have yours ready! Updates to our Broker and Employer web portals, which include a new look and menu options, will be going live on Saturday, August 3. The new look includes a simplified layout giving you easy access to...

Request for Missing Social Security Numbers

Broker Update | Vol. 14 No. 7 | July 2019

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 will send Social Security number request letters to individuals who had health...

Reminder: Q4 Small Group Rates Available

Broker Update | Vol. 14 No. 6 | June 2019

Fourth quarter rates were made available in Univera on Demand on July 1 Print versions of the 2019 Univera Access Small Group Products At-A-Glance brochures are also available to order through your account consultant. The At-A-Glance brochures provide you with our...

Adults With Diabetes Are Getting Better At Managing Their Disease

Broker Update | Vol. 14 No. 6 | June 2019

Compliance with care recommendations is on the rise. Upstate New York adults who have diabetes are better at managing their disease than they were just a few years ago, according to a review of self-reported patient data by Univera Healthcare. More adults with...

Reminder: Annual Group Information Form (AGIF) Non-Compliance

Broker Update | Vol. 14 No. 6 | June 2019

Please be advised that groups who have not submitted an Annual Group Information Form (AGIF) in the past 2 or more consecutive years will be non-renewed beginning January 2020. We ask for your assistance in ensuring your employer groups understand the importance of...

Dental Experienced Rated Pooled - Information Connection

Broker Update | Vol. 14 No. 6 | June 2019

Starting in June 2019, Stand Alone Dental will be added to the Broker Summary Report in Information Connection  for funding arrangements "prospective pooled voluntary" (2-50 Eligible Employees) and "prospective pooled contributory".  Login to Information...

Reminder: Univera Healthcare Mobile Office Hours Every Wednesday

Broker Update | Vol. 14 No. 6 | June 2019

Know someone looking for health insurance and can’t get it from an employer? Univera Healthcare Mobile Office Hours are available every Wednesday from 9 to 1 , at The Salvation Army of Buffalo located at 960 Main Street, across from the Buffalo Niagara Medical...

Individual & Small Group – NYS Prior Approval of Rate Changes

Broker News | May 2019 | Vol. 14 No. 5

On May 13, 2019, an application was submitted requesting 2020 premium rate changes in accordance with New York state prior approval law.  This rate application applies to Community Rated Individual and Small Group products. The following products are included...

Do your clients have unclaimed money?

Broker Update | Vol. 14 No. 5 | May 2019

It’s not pocket change. Univera Healthcare is looking for almost 11,000 individuals and companies who haven’t cashed checks totaling $1.77 million. The unclaimed checks were issued in 2015 to members and health care providers. A complete list of names of people and...

Reminder: The Medicare Access and CHIP Reauthorization Act (MACRA)

Broker Update | Vol. 14 No. 4 | April 2019

The Medicare Access and CHIP Reauthorization Act (MACRA) is a federal law which becomes effective January 1, 2020 and will change who can buy Medicare Supplement Plans C, F, and High F (F+). Beneficiaries who are newly eligible for Medicare Part A and B effective...

Rate of Registered Organ Donors Grows, but State and Regional Rates Still Lag National Rate

Broker News | April 2019 | Vol. 14 No. 4

More New Yorkers than ever before are signing up to be organ donors , but the state still lags the nation when it comes to the percentage of adults in the donor registry, according to an analysis by Excellus BlueCross BlueShield. At the same time, the need for...

Reminder: How Going to the Dentist Can Save Everyone a Lot of Money

Broker Update | Vol. 14 No. 3 | March 2019

When minor issues are left untreated, they can snowball into serious conditions  that can affect everything from an employee’s overall health to workplace productivity and health insurance costs. This one-page handout makes the case for oral health and provides a...

Reminder: Member Webinars - The Value of Your Health Insurance Coverage

Broker Update | Vol. 14 No. 3 | March 2019

Do your groups need a refresh on our telemedicine programs or what tools and resources are available to groups within their health plan coverage? Our Workplace Wellness & Telemedicine team will be hosting live monthly webinars for members. Please view the...

There’s a Difference Between Single Payer and Universal Coverage

Broker News | March 2019 | Vol. 14 No. 3

A “single payer” health care proposal is currently under consideration in the New York State Legislature. There is a significant difference between  “single payer”  and  “universal coverage”.   Many people are confused by these two terms....

“Who Will Speak for You?” Infographic Promotes Importance of Advance Care Planning

Broker Update | Vol. 14 No. 3 | March 2019

Univera Healthcare issued an infographic "Who Will Speak for You?" Open a PDF to prompt the beginning of advance care planning conversations between adults and their physicians or nurse practitioners. The infographic is being made available to doctors' offices...

This winter, consider prescription home delivery

Broker Update | Vol. 14 No. 2 | February 2019

Getting to the pharmacy to pick up maintenance medications to treat chronic conditions is easier for some people than for others.  That’s especially true in the cold weather months when roads and walkways can be snowy and treacherous, making staying home much more...

2019 Broker Guide - Committed to Helping You Better Meet Your Clients’ Needs

Broker Update | Vol. 14 No. 1 | January 2019

You want your clients to feel confident about their health plan selection.  And we want you to have that same sense of confidence as you help them navigate health insurance products. The programs and tools outlined in the 2019 Broker Guide demonstrate our...

Reminder: 2019 Small Group At-A-Glance Brochure

Broker Update | Vol. 14 No. 2 | February 2019

Second Quarter rates are available now, and you can also get our At-A-Glance Brochure on Univera on Demand. The At-A-Glance Brochure provides you with our product portfolio and includes all the essential details you need to quickly compare benefits from plan to...

Reminder: Start The Plan Year With An Online Account

Broker Update | February 2018 | Vol. 13 No. 2

If your group’s members haven't done so already, now is the perfect time to register for an online account on our website.  Many questions members have can be answered by accessing their personalized information online. Members can review their current plan,...

Tips to Expedite the AGIF Process - Q2 Renewals

Broker Update | Vol. 14 No. 2 | February 2019

The Annual Group Information Form (AGIF) request is being sent the week of March 4, to those groups renewing from April 1 – June 30, 2019.  The form is being sent by email, as well as by US mail. You can assist your groups by logging into our website and completing...

Reminder: Do Your Groups Have Employees Turning 65?

Broker Update | Vol. 14 No. 2 | February 2019

Do You Have Clients Born Between February 1 and December 1, 1954? In addition to a birthday celebration, these clients are going to need some assistance navigating their Initial Election Period or IEP. This is when they first become Medicare eligible. There is a...

Reminder: More Answers, Access, And Control With An Online Account

Broker Update | Vol. 14 No. 1 | January 2019

If your groups and their employees haven't done so already, now is the perfect time to register for an online account on our website.  Many questions members have can be answered by accessing their personalized information online. Members can review their...

Behavioral Health Telemedicine Now Available Through MDLIVE

Broker Update | Vol. 14 No. 1 | January 2019

Univera Healthcare has partnered with MDLIVE® to provide a faster way to access healthcare for non-emergency medical conditions.   As of January 1, 2019, most members can access MDLIVE for behavioral health conditions.* We recognize that often those needing...

New HealthyU Biometric Screening Program Vendor

Broker Update | Vol. 14 No. 1 | January 2019

As of January 1, 2019, HealthyU biometric screening programs are being provided by a new vendor partner, Integrated Health 21 (IH21).  IH21 is a national biometric screening vendor. They provide customer centered, high quality and cost effective services, employ...

Medicare Advantage Open Enrollment Period Available for a Limited Time for Changes

Broker Update | Vol. 14 No. 1 | January 2019

Although the Annual Enrollment Period has ended for Medicare Advantage, there are still opportunities to assist those clients. From January 1 – March 31, 2019, beneficiaries, who are already enrolled in a Medicare Advantage Plan, are allowed a one-time opportunity...

Reminders and New Information for ActiveRewards

Broker Update | Vol. 14 No. 1 | January 2019

For your groups with Active Rewards, please remind them that rewards do not roll over to the new benefit year.  Please review and share these details with them. There are also new missions available for 2019. For members renewing their ActiveRewards plan...

Claiming Wellness Rewards Is Easy

Broker Update | Vol. 14 No. 1 | January 2019

It pays to stay healthy—literally!   With  Wellness Rewards  for  Small Groups , employees can receive up to $300 annually to be used on programs and services to help keep their families’ healthy. With  Wellness Your Way...

New Dental Rewards Made Easy

Broker Update | Vol. 14 No. 1 | January 2019

Dental Rewards is a unique program to the market.  We offer families an annual reward for getting dental exams and cleanings.  Claiming rewards is easy.  Members simply provide us with proof that they received the services and their rewards amount...

Now Accepting Applications for Summer 2019 Internships

Broker Update | Vol. 14 No. 1 | January 2019

Univera Healthcare and its corporate parent are seeking a total of about 90 college student interns for Summer 2019 positions at locations in Buffalo, Rochester, Syracuse and Utica.  The 10-week paid internships are offered through the health insurer's Diversity...

Working Hard to Keep Current on Regulatory Changes

Broker Update | December 2018 | Vol. 13 No. 12

Every year, as part of your relationship with us, we work to communicate with our brokers and groups about changes in regulations and requirements that we all must adhere to.  We ensure our coverage plans are compliant with the most current changes. And we are in...

Medicare Creditable Drug List for 2019

Broker Update | December 2018 | Vol. 13 No. 12

One of the requirements of the Medicare Modernization Act (MMA) requires us to notify Medicare eligible policyholders whether their prescription drug coverage is creditable coverage. In order for a drug plan to be creditable, the benefits should be worth at least as...

Dental Membership Termination Dates

Broker Update | December 2018 | Vol. 13 No. 12

There are specific days of the month that should be used when terminating dental contracts. For cancelling members with ID numbers that begin with a “2” and do not contain an alpha character,  use the last day of the month as the cancel date (this applies to...

Showing 1– 50 of 142 Results

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