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The New Univera Healthcare Sales Hub Is Here!

Broker Update | August 2022 | Vol. 17 No. 8 | Special Issue

We’re excited to announce an all new Sales Hub experience. This will be your virtual destination for on-demand training videos and educational materials, covering topics like new product offerings, annual Open Enrollment updates, and new broker education. Download this...

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. This rate application applies to Medicare Supplement products. Employer Group Communication Initial notification letters will...

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 training and presentation needs for the 2023 season and beyond. Univera Sales Hub will go live in early August;...

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 for insured businesses and self-funded groups at no charge; however, there will be a charge for a self-funded group that...

Univera Healthcare Provides Community Health Awards To Area Nonprofits

Broker Update | June 2022 | Vol. 17 No. 6

Univera Healthcare is awarding a total of 65 community health awards to nonprofit organizations across upstate New York, including eight nonprofits in Western New York. The community health award funding will support innovative programs and solutions to advance health...

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 2022 Disability Equality Index (DEI), a national benchmarking survey by Disability:IN and the American Association of People...

Five Things To Know About The Transparency In Coverage Rules

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

Transparency in Coverage rules have been established by the Centers for Medicare & Medicaid Services (CMS) and require health plans and self-funded employer groups to post on their public website machine-readable files containing the following pricing information: ...

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 of coverage (Mini-COBRA) is available for all insured health plans with under 20 employees; however, it does not apply to...

August Wellbeing Tip: Vaccines Are Important For Adults, Too

Broker Update | July 2022 | Vol. 17 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 more at risk for different diseases (shingles, for example) than children. Vaccination is one of the safest and most...

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 help groups and their employees enjoy even better health and wellbeing in 2023. Let’s look at what’s in store.* Here’s...

2023 Small Group Package Update

Broker Update | June 2022 | Vol. 17 No. 6

The following Univera Access packages will no longer be offered directly through Univera Healthcare or on the New York State of Health (SHOP) Marketplace beginning January 1, 2023. Univera On Demand will be updated for package comparisons. The packages that will no...

Paul Valley Joins Univera Healthcare

Broker Update | June 2022 | Vol. 17 No. 6

With the recent retirement of Pam Pawenski, Univera Healthcare has hired Paul Valley as Vice President Sales. Paul is a Western New York native and a health insurance veteran with nearly 25 years’ experience in the industry, having held executive positions locally with...

New Wellness Videos Available To Share

Broker Update | February 2022 | Vol. 17 No. 2

A new suite of wellness videos is now available for brokers, employers, and members. The videos cover a variety of topics, including: Avoiding Processed Foods Be Stressed Less Benefits of Meditation Diabetes: Take Control of Your Health Fighting Virtual Work...

Make A Mid-Year Resolution To Be More Active

Broker Update | June 2022 | Vol. 17 No. 6

According to the Centers for Disease Control & Prevention (CDC), physical activity is one of the best things people can do for their health, both physical and mental. Not only does physical activity help people immediately feel better, function better, and sleep...

Updates To Our Professional Employer Organization Guidelines

Broker Update | May 2022 | Vol. 17 No. 5

Univera Healthcare has made the following updates to our Professional Employer Organization (PEO) guidelines, allowing for more flexibility in the market for PEO business. Beginning with groups effective January 1, 2023, a PEO may choose to insure co-employees in two...

Individual & Small Group – NYS Prior Approval Of Rate Changes

Broker Update | May 2022 | Vol. 17 No. 5

On May 10, 2022, an application was submitted requesting 2023 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 2023...

Calm E-Book For Brokers And Groups

Broker Update | May 2022 | Vol. 17 No. 5

We worked with Calm to create a new informational resource to help Groups and Brokers with some of our most asked questions. It’s a great tool if you’re looking for: Registration Instructions Sample HR Email template Member FAQs Links to additional Calm resources...

Updates To Our Enrollment Tools

Broker Update | May 2022 | Vol. 17 No. 5

One update you will see soon, is an updated Enrollment Inquiry & Support tool, located within the Get Help section of our website. This support tool will be updated the weekend of May 20 - 22. The form will now include “Case For” and “Product” fields. The addition of...

Sun, Safety & Hydration

Broker Update | May 2022 | Vol. 17 No. 5

As the weather gets warmer and people spend more time outside, it is important to stay hydrated and protect yourself from the sun. Drinking plenty of water every day is good for overall health any time of year. Getting enough water every day is even more important when...

COBRA Terminations For Non-Payment Of Premiums Will Resume July 1, 2022

Broker Update | May 2022 | Vol. 17 No. 5 - Special Issue

In March 2020, the Department of Labor (DOL), together with the Department of Treasury and the Internal Revenue Service (IRS) (collectively “Agencies”), issued final rules and, in February 2021 and July 2021 subsequent guidance with respect to the extension of certain...

New Business Bonus Now Paid Monthly

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

A new section is now visible on your commission statement. It includes the group detail for the New Business Bonus. This ONE-TIME BONUS PAYMENT is now being made monthly rather than quarterly. Please contact the Broker Contracts Team with any bonus or commission questions.

Legislative Update, Additional Resources Now Available

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

Hinman Straub, our external legal counsel, is providing legislative updates for our brokers. Additional sessions are planned throughout the year. The first update is available and includes: 2021 recap of legislation signed into law 2022 NYS budget COVID policy moving...

Updates To Small Group Non-Enrollment

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

We are updating our practices for groups that have had prolonged periods of no enrollment in their small group health plan. The following changes will take effect June 1, 2022: Small groups will be reviewed at the time of renewal and will be non-renewed if there has...

Welvie My Surgery Web Page

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

Welvie My Surgery℠ is now available to our Fully Insured commercial group plans, Qualified Health Plan, and Essential Plan members. This self-guided online program leads participants through the decision-making process if they’re considering an elective surgery. If...

Making The Most Of Your Health Plan

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

Many members are not aware of the programs, resources, and tools we make available to them. We want to help close that gap. That’s why we created the Making the Most of Your Health Plan video. The video provides a member-level overview of creating an online account, using...

May Is Mental Health Month

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

According to the Centers for Disease Control and Prevention, 41 percent of adults report struggling with mental health or substance use, which is up 20 percent from pre-pandemic reports. Our own data also reflects this trend with nearly 1/3 of adults now reporting...

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 potentially receive in connection with covered services of $1,000 or more, for the term of a group’s contract. Programs can...

Small Group Underwriting Guideline Update

Broker Update | March 2022 | Vol. 17 No. 3

The revised Small Group Underwriting Guidelines are based on the October 2021 updates and have been approved through New York State Department of Financial Services. The changes are effective immediately to ensure we are meeting all regulatory requirements for group...

2022 Best Places To Work In Western New York

Broker Update | March 2022 | Vol. 17 No. 3

Univera Healthcare is once again a top honoree in the Business First Best Places to Work, winning the Silver Award among employers with more than 250 employees. Companies were voted the best places to work in Western New York by those who know them best: their employees!...

Small Group Underwriting Web Update

Broker Update | March 2022 | Vol. 17 No. 3

The Medicare page/tab has been removed from the AGIF web tool as it was deemed no longer required in 2021. Groups are still not required to submit a Medicare AGIF and they will no longer be processed through SGUW. If a Medicare AGIF is submitted to SGUW, we will only save...

Behind Every Great Health Care Outcome Is An Informed Decision

Broker Update | March 2022 | Vol. 17 No. 3

Introducing Welvie My Surgery℠ – We know that one of the keys to better health is better health literacy – the ability to understand health information and services and use that knowledge to make informed decisions. It’s especially important with major decisions like...

April 16 Is National Healthcare Decisions Day

Broker Update | March 2022 | Vol. 17 No. 3

National Healthcare Decisions Day was created to emphasize the importance of advance care planning. Advance care planning is the process we use to plan for future medical care, consider what matters most to us, share our values, beliefs, and goals with our loved ones and...

Group Premium Payment Reminder

Broker Update | February 2022 | Vol. 17 No. 2 - Special Issue

The beginning of a new month is a good time to remind your groups, per contract, there is a 30-day grace period to make their premium payment. If payment is not received within the 30-day grace period, we will initiate the termination process. As a reminder, the first...

Univera Healthcare Is Always At Your Service

Broker Update | February 2022 | Vol. 17 No. 2

When you travel and ask the hotel concierge for help making plans, it comes with a certain sense of relief. You know that the person who knows the business the best is going take the pressure off of you when it comes to navigating an unfamiliar environment. That’s...

Univera Healthcare Earns 90 Percent In Human Rights Campaign Foundation’s 2022 Corporate Equality Index

Broker Update | February 2022 | Vol. 17 No. 2

Univera Healthcare received a score of 90 percent out of 100 on the Human Rights Campaign Foundation’s 2022 Corporate Equality Index, the nation’s foremost benchmarking survey and report measuring corporate policies and practices related to LGBTQ+ workplace equality....

Helpful Resources For Employees Using Our Website Or Mobile App

Broker Update | February 2022 | Vol. 17 No. 2

It’s early in the new year and a great time for employees to review the benefits and extras that are a part of their health plan. Employees can visit UniveraHealthcare.com 24/7 to: Register and/or log in to their online member account Download our mobile app Easy...

Do You Really Need The Emergency Department?

Broker Update | February 2022 | Vol. 17 No. 2

There are millions of visits to hospital emergency departments (ED) in New York state each year that don’t result in a hospital stay, according to New York State Department of Health data. And while some health conditions require emergency care, many are better suited for...

March Is National Colorectal Awareness Month

Broker Update | February 2022 | Vol. 17 No. 2

In the United States, colorectal cancer is the second most common cause of cancer deaths. Men are much more likely than women to get colon cancer, and African Americans are more likely to get it than any other race or ethnicity. The U.S. Preventive Services Task Force...

Wishing You The Best In 2022

Broker Update | January 2022 | Vol. 17 No. 1

As we begin another new year, I want to thank you for your continued partnership as together we guide our shared clients and members during these unprecedented times. Our local leadership—based right here, in Western New York—remains ready to support you and your...

2022 Broker Guide Now Available

Broker Update | January 2022 | Vol. 17 No. 1

Good health and preventive care are more important than ever and guiding your clients through their health care benefits is one way you provide confidence and security in uncertain times. The programs and tools outlined in the 2022 Broker Guide demonstrate our commitment...

Coming In February

Broker Update | January 2022 | Vol. 17 No. 1

Beginning next month, Hinman Straub, our external legal counsel, will be providing a legislative update for our brokers. Our first update will include: 2021 recap of legislation signed into law 2022 NYS budget COVID policy moving forward Additional sessions are...

Enrollment Inquiry & Support Updates

Broker Update | January 2022 | Vol. 17 No. 1

Updates to our Enrollment Inquiry & Support tool are scheduled to go live on February 7. Users who login and contact us by using the Enrollment Inquiry & Support tool will have access to new features that will enhance the support process from start to finish. ...

Leadership Updates

Broker Update | January 2022 | Vol. 17 No. 1

We are excited to share the following changes to our leadership team: Univera Healthcare Cindy Langston Named First Female Chief Information Officer Cindy Langston has been named senior vice president and the company’s first female chief information officer. In her new...

2021 Diversity Equity And Inclusion Report Available

Broker Update | January 2022 | Vol. 17 No. 1

We are proud to share our inaugural, “Diversity Equity and Inclusion Report, Bringing I.D.E.A. to Life,” which details our approach to mitigating the impact of bias, and our commitment to equitable treatment for all, within and beyond our walls. Our Corporate Commitment...

Tax Form 1095-B

Broker Update | January 2022 | Vol. 17 No. 1

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...

February Is American Heart Month

Broker Update | January 2022 | Vol. 17 No. 1

February is American Heart Month, a time to spotlight heart disease which is the #1 killer of Americans. Yet heart disease is largely preventable by living a healthy lifestyle: eat a healthy diet, get regular physical activity, manage stress, don’t smoke, and get enough...

Healthy NY Updates

Broker Update | January 2022 | Vol. 17 No. 1

Based on NYS changes, the Healthy NY New Business Application and Healthy NY Recertification have been updated to reflect the new maximum annual wage of $45,450.00 on all systems including Univera On Demand Login. The cutoff for using prior versions of the form will be...

Sending Our Thanks This Holiday Season

Broker Update | December 2021 | Vol. 16 No. 12

As we come to the end of another year, we once again want to thank you for your partnership as we continue to help our shared clients navigate through these unprecedented times. We wish you and your families a safe and healthy holiday season. We hope the communities we...

COVID Treatment Benefits Ending On 12/31/21

Broker Update | December 2021 | Vol. 16 No. 12

Please remind your groups that COVID treatment benefits will be ending on December 31, 2021. Beginning January 1, 2022, COVID treatment benefits will process according to the member’s benefits.  

Online Billing For Brokers Update

Broker Update | December 2021 | Vol. 16 No. 12

We will be launching Online Billing to all Brokers in early January. We will post an alert on our website when the tool is available. If you currently have access to enrollment for a group, you will be given access to billing for that group under the same account. ...

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