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Together We Can Move Towards Health Equity

Broker Update | September 2023 | Vol. 18 No. 9

Health care should meet the needs of everyone – no matter who you are, where you live or who you love. This is something we are taking very seriously at Univera Healthcare. Health equity is when everyone has the chance to be as healthy as possible. To improve health...

October Is Breast Cancer Awareness Month

Broker Update | September 2023 | Vol. 18 No. 9

Breast cancer is the second most common cancer in the United States among people who were born female, after skin cancers. About one in eight women will have breast cancer at some point in their lifetime. While white women are more likely to develop breast cancer, Black...

Rx Update - Univera Healthcare Launches Innovative Program To Reduce Costs

Broker Update | September 2023 | Vol. 18 No. 9

The Medication Assurance Program is a new initiative of Univera Healthcare aimed at reducing self-funded employer group overall spend. This program is designed to reduce spend on medications by holding manufacturers accountable for drugs that were approved through the...

Small Group Rates And Plans For 2024 Are Now Available!

Broker Update | September 2023 | Vol. 18 No. 9 - Special Issue

Small Group plans and rates for 2024* are now available on Univera on Demand! Updated Open Enrollment tools, including At-A-Glance Brochures and Product Guide are also available. Learn more and order open enrollment materials now. Now available: Univera Access and...

Reminder: Large Group Open Enrollment Materials

Broker Update | September 2023 | Vol. 18 No. 9 - Special Issue

If you need printed copies of the 2024 Large Group Open Enrollment materials, reach out to order through your Account Service Consultant. At-a-Glance Brochure Submit the quantity for each piece along with your shipping information and we’ll take care of the rest....

Individual Metal Plans And Rates For 2024 Now Available!

Broker Update | September 2023 | Vol. 18 No. 9 - Special Issue

Individual plans, rates and product placemats for 2024* are now available on Univera on Demand. Additional enrollment tools, including product brochures, will be available at a later date. Now available: Individual & Family Qualified Health Plans Healthy...

Coming Soon! Enrollment Inquiry & Support Updates

Broker Update | August 2023 | Vol. 18 No. 8

We’re excited to announce that updates to our Enrollment Inquiry & Support tool are coming soon. You’ll access an enhanced submission form that better supports the enrollment process from start to finish with features like: An option allowing the form to be...

Request For Missing Social Security Numbers

Broker Update | August 2023 | Vol. 18 No. 8

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...

The Importance Of Taking Medications As Directed

Broker Update | August 2023 | Vol. 18 No. 8

Did you know that not taking medications the way they were prescribed leads to 125,000 deaths in the US every year? In addition to death, not taking medications as directed costs nearly $300 billion per year in additional doctors’ visits, trips to the emergency room, and...

Annual Group Information Form (AGIF) Mailing Issue

Broker Update | August 2023 | Vol. 18 No. 8 - Special Issue

On July 31, Univera Healthcare mailed an Annual Group Information Form (AGIF) request to small groups. Unfortunately, some small groups with January 2024 renewals received the wrong letter. These groups should have received the initial notice to collect an AGIF, but...

NEW STREAMLINED FORMAT - Annual Group Information (AGIF) Broker Report

Broker Update | July 2023 | Vol. 18 No. 7

The Small Group Underwriting AGIF Broker Report will feature some new and exciting changes that will help streamline both our AGIF and Healthy NY (HNY) groups into one report. The new version of the AGIF Broker Report will now also include: standalone Dental and Vision...

Accurate Effective Dates Help Ensure Employees Are Covered

Broker Update | July 2023 | Vol. 18 No. 7

Any employer who use the online Enroll & Update tool on the Univera Healthcare website to enroll a new employee in medical or dental plans must select the correct effective date in the online tool — a date that is in alignment with the new employee’s waiting period...

Making It Easier To Reinstate & Update

Broker Update | July 2023 | Vol. 18 No. 7

With the click of a button, we’re making it easier for groups to track and view requests to reinstate health plan policies for their members. Today on UniveraHealthcare.com, employers can go to the View/Update Policy tool to view or reinstate their members’ cancelled...

Looking For Something?

Broker Update | July 2023 | Vol. 18 No. 7

Ever found yourself looking for a certain broker blast article or announcement? You know you read it and filed it away but now can’t locate it! Don’t worry, we’ve got you covered. We archive all our broker blast articles and announcements chronologically on the broker...

Preparing Children For Peak Asthma Season

Broker Update | July 2023 | Vol. 18 No. 7

If you have a child with asthma, now is the time to revisit their asthma action plan so you are prepared for the annual increase in asthma attacks that occurs each year as kids return to the classroom. A dramatic rise in the number of asthma flare-ups occurs each year...

Vaccines Are Important For Adults Too

Broker Update | July 2023 | Vol. 18 No. 7

Vaccinations are not just for children – adults need vaccinations, too. Immunity from some childhood vaccines can wear off over time and adults are at risk for different diseases (shingles, for example) than children. Vaccines are important during pregnancy too. According...

Rx News - An Innovative Way To Reduce Spend On Specialty Drugs

Broker Update | July 2023 | Vol. 18 No. 7

Learn about Specialty Drug Benefit Optimization, an innovative program aimed at reducing spend on specialty drugs. When medical and pharmacy benefits are integrated, this program allows us to target specialty drugs that can be covered at a lower cost under the pharmacy...

2024 Large Group Product Updates

Broker Update | July 2023 | Vol. 18 No. 7 - Special Issue

We’ve got exciting changes planned that will help groups and their employees enjoy even better health and wellbeing in 2024. Let’s look at what’s in store. Here’s What’s New for 2024*: Vitalize℠ ** Introducing Vitalize, a digital homebase dedicated to engaging teams...

Prescription Drug Data Collection (RxDC) Report Submitted

Broker Update | June 2023 | Vol. 18 No. 6

On June 1, 2023, we submitted the Prescription Drug Data Collection (RxDC) report as required under Section 204 of Division BB, Title II of the Consolidated Appropriations Act (CAA), 2021. The submission included information for fully insured policies issued and for...

New And Improved Agent Onboarding!

Broker Update | June 2023 | Vol. 18 No. 6

We are excited to announce a new way Univera Healthcare will be managing your agents' data. This summer we will begin using the Miramar:Agent System to onboard agents, perform background checks, and more. Miramar:Agent is a web-based software solution that will help...

Creating A Clearer Path To Better Health

Broker Update | June 2023 | Vol. 18 No. 6

Advancing health equity is central to our mission and is woven throughout the work we do day in and day out. It’s good for our members, as well as businesses and the Western New York community. With this, it’s important to recognize the diversity of employees and how...

2024 Small Group Package Update

Broker Update | June 2023 | Vol. 18 No. 6

The following Univera Access package will no longer be offered directly through Univera Healthcare or on the New York State of Health (SHOP) Marketplace beginning January 1, 2024: Univera On Demand will be updated for package comparisons. The package that will no...

Healthy NY Group Recertification Forms

Broker Update | June 2023 | Vol. 18 No. 6

Univera Healthcare was set to begin requiring the Healthy NY (HNY) Recertification form and Supplemental form from all HNY groups upon renewal starting July 1, 2023. We are postponing the requirement of the HNY Supplemental form at this time; however, all HNY groups will...

The Benefits Of Getting Outdoors

Broker Update | June 2023 | Vol. 18 No. 6

According to the Environmental Protection Agency, Americans spend 90% of their time indoors. But going outside actually has lots of benefits to our mental and physical wellbeing. Summer is a wonderful time to enjoy the benefits of getting outdoors in nature, whether...

Rx Update - Offering Members Cost-Effective, Convenient Options

Broker Update | June 2023 | Vol. 18 No. 6

Site of Care is an Univera Healthcare program that provides valuable options to members who are currently receiving infusion drugs at high-cost facilities. Our program provides cost savings by transitioning members from receiving their treatment at a hospital or infusion...

Rx Update - Pharmacy Concierge Delivers Value

Broker Update | June 2023 | Vol. 18 No. 6

We understand that employers want to offer their employees the best possible health care but need to keep costs in check. In 2020 Univera Healthcare launched a pharmacy benefits management program called Pharmacy Concierge. We first offered Pharmacy Concierge to our...

Looking For Something?

Broker Update | June 2023 | Vol. 18 No. 6

Ever found yourself looking for a certain broker blast article or announcement? You know you read it and filed it away but now can’t locate it! Don’t worry, we’ve got you covered. We archive all our broker blast articles and announcements chronologically on the broker...

Individual & Small Group – NYS Prior Approval Of Rate Changes

Broker Update | June 2023 | Vol. 18 No. 6 - Special Issue

On May 10, 2023, an application was submitted requesting 2024 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 in this 2024...

What Happens With Claims, COBRA And Special Enrollments Once The National Emergency Ends?

Broker Update | May 2023 | Vol. 18 No. 5

As you may recall, due to the COVID-19 National Emergency, the Department of Labor provided relief via extensions for filing and appealing claims, electing and paying for COBRA, and notifying administrators of disability notices and special enrollments. The extensions...

How Safety Net Plan Renewals Impact Your Business And Groups

Broker Update | May 2023 | Vol. 18 No. 5

As we’ve been sharing for the past few months, Safety Net recertifications resumed in April, with the first of our members receiving notifications in May. We understand that not all brokers typically engage with our Safety Net population, but it’s important to understand...

Contract Renewals Underway For Lifetime Benefit Solutions Clients

Broker Update | May 2023 | Vol. 18 No. 5

We’re reminding brokers that Lifetime Benefit Solutions will begin a phased approach to update client contracts. We will communicate with your Lifetime Benefit Solutions clients based on their contract effective date. These clients will receive contract documents to...

June Is Men’s Health Month

Broker Update | May 2023 | Vol. 18 No. 5

Men's health is a critical issue. Unfortunately, many men tend to neglect their health until they experience a severe illness or injury. This leads to a higher risk of chronic diseases, disability, and premature death. Additionally, men also tend to engage in riskier...

COVID-19 National Emergency And Federal Public Health Emergency To End May 11, 2023

Broker Update | April 2023 | Vol. 18 No. 4

The federal government announced the COVID-19 National Emergency and Federal Public Health Emergency (PHE) will end on May 11, 2023. Univera Healthcare has been reviewing the guidelines surrounding COVID-19 related vaccines, testing and telehealth services and is sharing...

MDLIVE Claims Cost Increase

Broker Update | April 2023 | Vol. 18 No. 4

Effective April 1, 2023, the MDLIVE claim cost for medical consults increased. The medical claim cost increased from $40.00 to $50.00 per MDLIVE visit, which is still 39% below the non-MDLIVE member price. This cost is also significantly below a telehealth visit with a...

May Is Mental Health Awareness Month

Broker Update | April 2023 | Vol. 18 No. 4

According to the Centers for Disease Control and Prevention (CDC), mental health is an important part of overall health and wellbeing. Mental health includes our emotional, psychological and social wellbeing. It affects how we think, feel and act. It also helps determine...

Rx Update - 2022 Results For Pharmacy Concierge

Broker Update | April 2023 | Vol. 18 No. 4

Higher prescription costs affect everyone. We know that escalating drug prices are a problem for more and more Americans. And we understand that employers want to offer their employees the best possible health care but need to keep costs in check. Pharmacy Concierge is...

Safety Net Recertifications Update

Broker Update | March 2023 | Vol. 18 No. 3

During the ongoing COVID-19 public health emergency (PHE), NY State has not required most Safety Net members to renew their Medicaid Managed Care, Essential Plan or Child Health Plus eligibility. For most group members, coverage has been auto renewed during the PHE. ...

NEW! Primary Care Provider Toolkit Now Available

Broker Update | March 2023 | Vol. 18 No. 3

A new Primary Care Provider (PCP) toolkit is now live and can be found on UniveraforBusiness.com. With a ready-to-send email, PCP checklist, find a doctor tool fact sheet and e-book, employers can encourage their team to find a provider and stay ahead of illnesses. Get...

2022 Pharmacy Reporting Under The Consolidated Appropriations Act (RxDC)

Broker Update | March 2023 | Vol. 18 No. 3

To comply with the Consolidated Appropriations Act (CAA), we will complete all required pharmacy benefit and prescription drug cost reporting on behalf of fully insured groups (small and large) and self-funded groups with medical and pharmacy coverage with Univera...

Small Group Underwriting Healthy NY Form And Annual Group Information Form WebTool Updates

Broker Update | March 2023 | Vol. 18 No. 3

Small Group Underwriting form updates are rolling out as outlined below. Impacted lines of business include Small Group Medical, Dental, Vision and Healthy NY. Healthy NY (HNY) Group Size Information Going forward, Underwriting will begin collecting group size...

Healthy Vision Is Important To Overall Health

Broker Update | March 2023 | Vol. 18 No. 3

Have you ever heard of “tear film”? Every time you blink, a thin layer of tears called “tear film” spreads across your eyes. Tear film has three layers: an oily outer layer, a watery middle layer, and an inner mucous layer. All three of these layers work together to help...

Rx Update - Fully Insured Pharmacy Benefits

Broker Update | March 2023 | Vol. 18 No. 3

Did you know that we offer the nine innovative trend management programs to fully insured groups at no extra charge? All our fully insured employer groups receive fully integrated medical and pharmacy benefits built right into their plan with no hidden costs or additional...

UniveraForBusiness.Com: Free Resources To Help Care For Your Team

Broker Update | February 2023 | Vol. 18 No. 2

When was the last time you checked out UniveraForBusiness.com? Univera For Business is your destination for toolkits and content that help businesses and employees enjoy better physical, emotional, and financial health and get the most from their health plan. Resources...

2023 Healthy New York Resources And Forms Are Here

Broker Update | February 2023 | Vol. 18 No. 2

The Healthy New York maximum wage has been increased to $47,750 and the Healthy New York (HNY) New Business form and HNY Recertification form have been updated. Please use the new forms (linked below) moving forward to reflect the new wages. The cutoff for reviewing the...

Safety Net Recertifications Update

Broker Update | February 2023 | Vol. 18 No. 2

During the ongoing COVID-19 public health emergency (PHE), most Safety Net members have not been required by NY State to renew their Medicaid Managed Care, Essential Plan or Child Health Plus eligibility. For most members, coverage has renewed automatically during the...

Focus On Fiber For Colon Cancer Awareness Month

Broker Update | February 2023 | Vol. 18 No. 2

March is Colorectal Cancer Awareness Month. Colon cancer is the third most diagnosed cancer and the second leading cause of cancer deaths. An estimated 153,020 people will be diagnosed with colorectal cancer in 2023. Colon cancer, however, is largely preventable through...

Rx Update - Our Patient Assurance Program Enhancement

Broker Update | February 2023 | Vol. 18 No. 2

The Patient Assurance Program was expanded on January 1, 2023, to include certain cardiovascular drugs in a continued commitment to provide affordable medications to members. The program is intended to counteract escalating costs of diabetic and cardiovascular therapy....

Rx Update - Mona Chitre, PharmD Appointed New Senior Leadership Role

Broker Update | February 2023 | Vol. 18 No. 2

Mona Chitre, PharmD has been named President of Pharmacy Solutions, in addition to her role as Chief Pharmacy Officer. In her expanded role, Dr. Chitre will focus on delivering clinically sound pharmacy solutions to enable growth and diversification and bolster...

Watch: New Experience Rated Formula Video

Broker Update | January 2023 | Vol. 18 No. 1

As we shared earlier this month, Univera Healthcare has filed with NYS DFS and received approval for changes to our insured rating formula, effective July 1, 2023. The changes filed include modifying the credibility and pooling methodology to provide more stable...

2023 Broker Guide Is Here

Broker Update | January 2023 | Vol. 18 No. 1

The 2023 Broker Guide for Univera Healthcare is now available to help you better serve our clients and grow your brokerage business. The guide is also available in the broker portal on the Univera Healthcare website. 2023 Broker Guide (PDF) Login Required  

Showing 51– 100 of 207 Results
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