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New at PrimePay: ERISA Wrap Services! Your clients can now improve legal compliance & simplify administration with PrimePay's new ERISA Services! If your clients provide employer-sponsored benefits, they may be at risk for enforcement action by the DOL and plan participants. In light of this issue, PrimePay is proud to provide you with a solution to one of the most important compliance requirements that your clients will face – ERISA. Click here to read more. Capital BlueCross 2015 Group Product Bulletin Effective January 1, 2015, the Federally Facilitated Marketplace (FFM) will be administering all SHOP offerings online at www.healthcare.gov. Small Group SHOP portfolio remains the same as 2014 and includes eight medical products each with a packaged Rx product. There are two PPOs, three standard broad HMO network products and three Value HMO network products. Click here to read more. Highmark Individual Products Talking Points Talking points are now available to assist you in discussions with your individual clients regarding their 2015 benefit options. Click here to read more. Capital BlueCross Updates Small Group Renewal and Individual Plan Updates, PA Sam Sex Marriage Law, BlueCross Dental Product Portfolio for 2015, BlueCross Vision Product Portfolio for 2015. Click here to read more. Connect with Capital BlueCross, October 2014 In this issue: New options for ASO groups, Upcoming 2015 product trainings, Our suite of online member tools. Click here to read more. Highmark Health's Open Letter to the Community Highmark Health placed an open letter signed by the employees of Highmark Health in the local Pittsburgh newspapers yesterday to reassure members that we take our commitment to them seriously, especially as we begin transitioning tens of thousands of members. Click here to read more. UPMC October Updates: Health Plan Website Launch, and NEW Dental Advantage Incentive Program UPMC Health Plan is pleased to announce the launch of our new website at www.upmchealthplan.com. We hope that you will find the new design to be more engaging, friendly, and helpful to your business needs. Take part in our rewarding new incentive program! Just sell new UPMC Dental Advantage policies - stand-alone or bundled with medical coverage - and receive the following incentives based on the size of your sold contracts. Click here to read more. Important Aetna updates for cases effective 1/1/15 Over the years, there have been a number of changes to the Health Insurance Portability and Accountability Act. One of these changes will take effect on January 1, 2015: Medical plans will no longer be required to provide Certificates of Creditable Coverage. As a result, Aetna will stop producing certificates at that time. Click here to read more. Banet's Bullets: Quoting November 1, 2014 Groups Just a reminder that you still have time to quote IBC for your 11/1/2014 small business clients. Click here to read more. Get reacquainted with Capital BlueCross Individual Plans for 2015! Capital BlueCross is coming to market in 2015 with a competitive edge! They’ve streamlined their product lines and are excited about their offerings for the upcoming 2015 selling season. Click here to register now.
Register Now for 2015 Individual Product Training from Capital BlueCross Register now. Select the date that is most convenient for you below. Once registered, you will receive an email confirming your registration. Click here to read more. BCNEPA's Group Market Webinar You're invited to a webinar about BCNEPA's group market. The webinar will cover January 2015 renewals for small employers, the administration of the out-of-pocket maximum for large employers, 2015 commissions and much more. Click here to read more. Join Highmark Blue Shield Distribution Administration for the Fall Agency Strategy Session Please join us for the Fall Agency Strategy Session on Tuesday, Oct. 14. Located at the Pittsburgh Marriott North. Please RSVP by Tuesday, Oct. 7.Click here to register now. UPMC Producer Update 9/25/2014 - Training for 2015 Portfolio for 2-50 Employees UPMC Health Plan is rolling out a new portfolio for employer groups with 2 to 50 employees for 2015. Click here to read more. PrimePay Broker Webinar Series - October 2014 Last October, the IRS made an announcement that would cause an enormous, positive impact for Flexible Spending Plans - the addition of the $500 Rollover Provision. Numerous employers have taken the necessary steps to add this provision into their plans, but many employers will need to make this decision before their Plan Year comes to an end. Click here to read more. Register Now for 2015 Group Product Webinar from Capital BlueCross Join us for a 90 minute course designed to get you familiar with our newest products. From the comfort of your home or office, learn about the changes to the Capital BlueCross family of companies 2015 group benefit offerings for medical, Rx, dental and vision products. Additionally, we will cover group communication and renewal mapping. Click here to read more. Weekly PPACA Update Conference Call In a continuing effort to assist our agent-partners in getting the information needed to flourish within the under 65 group and individual markets in Pennsylvania, we are holding weekly live webinars. They will serve as a place to get your questions answered and discuss topics and strategies that will lead to your continued success in the health insurance market. Click here to register. Weekly PPACA Conference Call Archives Click here to view the archived recordings of the PPACA Conference Calls.
Assurant Health FFM Certs should be forwarded to dennis.besler.jr@assurant.com. FFM Certificate needed to sell Aetna in 2015 For the upcoming Open Enrollment Aetna will require a copy of the brokers FFM certificate in order to sell and be paid commissions on marketplace plans. Below I have included some information on how you and the agents can submit their certificates. Click here to read more. Highmark Blue Cross Blue Shield Submit your certifications for completing the 2015 FFM and FF-SHOP trainings to Highmark through the Sales Sentinel site. Click here to read more. Correct link to submit CMS training certifications. Highmark Blue Shield Submit your certifications for completing the 2015 FFM and FF-SHOP trainings to Highmark through the Sales Sentinel site. Click here to read more. Correct link to submit CMS training certifications. UPMC Health Plan 2015 FFM Certificates of Completion can be emailed to producerrelations@upmc.edu. Geisinger Health Plan 2015 FFM Certificates of Completion can be emailed to GHPBrokerLicensing@thehealthplan.com. Capital Blue Cross Producers who have completed the training and registration process to sell on the Marketplace should email copies of their certificates and their FFM User ID to cbcproducerlicensing@capbluecross.com or fax them to 717-540-2282. Producers who need to complete the training and registration can reference the Producers in the Federally Funded Marketplace attachment. Blue Cross Northeastern PA Producers who have completed the FFM certification will receive a “Certificate of Completion.” E-mail a copy of that certificate and the National Producer Number (NPN) that was used to register with CMS to Broker.Submission@bcnepa.com and Kerri.McKeown@bcnepa.com. Banet's Bullet: 2015 IBC Commercial Sales Sentinel program for David M. Banet & Associates
PPACA reshapes individual market The result was that the website failings hurt not only consumers but some of the very plans specifically designed for the exchanges. In Minnesota, PreferredOne’s decision to leave is just the latest example of how website problems have translated into carrier headaches. Click here to read more. Obamacare Round 2: States gear up for start of next enrollment period in November As states gear up for Round 2 of Affordable Care Act enrollment next month, they have their sights set on people like Miles Alva. Alva, 28, works part time at a video store and is about to graduate from California State University at Northridge. Getting insured is about the last thing on his mind. Click here to read more. The Supremes Are Back - What Does That Mean For Health Reform? The U.S. Supreme Court begins its new term on Monday and the court will have their fair share of health reform challenges to choose from. Perhaps the issue most likely to be taken up by the Supremes this term is whether health insurance subsidies can go to any American, despite what type of exchange coverage is available in their state. Click here to read more. GAO: HHS needs congressional OK to make 2015 risk corridors payments The U.S. Department of Health and Human Services (HHS) may need to get approval from Congress to operate one of the three major new federal health insurance risk-management programs in fiscal year 2015. Click here to read more. Blues fear high PPACA subsidy program costs One health insurer says administering a major Patient Protection and Affordable Care Act (PPACA) subsidy program will be much more expensive than Obama administration officials think. The program -- the cost-sharing reduction (CSR) program -- cuts out-of-pocket medical expenses for low-income exchange users. The Centers for Medicare & Medicaid Services (CMS) is already sending CSR cash to insurers, based on limited information about the enrollees. In 2015, the insurers and CMS are supposed to reconcile any gaps between what CMS paid in 2014 and what CMS should have paid. Click here to read more. Walmart plans one-stop health coverage shopping Walmart is taking one-stop shopping to another area: health insurance. The world's largest retailer plans to work with DirectHealth.com, an online health insurance comparison site and agency, to allow shoppers to compare coverage options and enroll in Medicare plans or the public exchange plans created under the Affordable Care Act. Click here to read more. PPACA rules send consumers to short-term health market Many U.S. consumers who buy short-term health insurance online say the new market rules are pushing them away from major medical coverage. Analysts at eHealth (Nasdaq:EHTH), a Web broker, surveyed 394 of its short-term medical buyers in mid-August. The company found that 70 percent of the short-term medical buyers considered buying major medical coverage, and that 41 percent actually tried to apply for major medical coverage. Click here to read more.
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