6/13 Aetna | You’re invited to Aetna’s June Webinar
Aetna Network solutions are designed to meet the needs of you and your clients, enabling unrivaled access to quality, convenient and affordable care. Join us on Monday, June 13th at 3pm ET to learn how we have reimaged the network framework to provide innovative, cost effective solutions for Plan Sponsors and their employees. Register now.
6/28 Geisinger Funding Alternative
Join URL's Elyse Frey and Geisinger's Patricia Gruber on June 28th at 11am EST for a webinar as we provide an overview of Geisinger Funding Alternative (GFA).
We'll discuss:
- What is GFA
- How does it work
- Surplus or credit
- GFA plan designs
- GFA new business checklist
- GFA start to finish
Register now.
7/26 Buckets of Benefits
Join us for a webinar on July 26th at 11am EST as we introduce and review TASC options that are beneficial to groups and business owners. Register now.
CMS Releases FAQs on Individual-Market Broker Compensation
CMS released a new FAQ document this evening which clarifies that a health insurance issuer cannot treat commissions on enrollments during a Special Enrollment Period (SEP) differently than commissions on enrollments during the Open Enrollment Period (OEP).
Build Back Better Reconciliation Package Talks Continue as Midterm Elections Loom on the Horizon
After months of stalled conversation, the behind-the-scenes negotiations surrounding the Build Back Better Act reconciliation package have been revitalized. Read more.
Toolkit Items:
Highmark | Introducing the 2022 New Highmark Incentive (qualify through 1/1/2023)
Highmark is excited to announce the 2022 New to Highmark Incentive. Read more.
Geisinger | Earn a reward for new business & ACA to GFA (qualify through 12/31/2022)
We are pleased to announce the extension of the New Business Broker Bonus program and the ACA to GFA Broker Bonus program! Read more.
6/7 Broker Bulletin | GHP Commercial Group and Individual
Coverage will be added for autism spectrum disorders for Small Group KYP (keep your plan) effective June 1, 2022, upon renewal. Read more.
Transparency Mandates June 2022 Update
There are several new transparency mandates that take effect in 2022 and beyond that require action on Highmark, clients and brokers to be compliant with the Consolidated Appropriations Act and/or the Transparency in Coverage Rule. In an effort to help you understand these requirements and what Highmark is doing to help, we have created this document.
UPMC Health Plan in compliance with Transparency in Coverage Final Rule
The Transparency in Coverage (TIC) Final Rule, issued in 2020, sets forth requirements for group health plans and health insurance issuers to produce machine-readable files (MRFs) disclosing in-network negotiated rates and historical out-of-network allowed amounts by July 1, 2022. We have created a detailed FAQ document that addresses a number of questions and issues related to the TIC Final Rule
Pennie | Feedback on SEP Policy Proposals Related to PHE Unwinding
The Pennie team has asked URL Insurance Group to provide feedback from our agent partners on two SEP policy proposals that would be used to help provide a more seamless transition for individuals losing Medicaid coverage due to the end of the public health emergency (PHE). If eligible for coverage through Pennie, these individuals would be enrolling with a Loss of MEC SEP therefore our policy proposals are targeted to individuals enrolling due to loss of MEC SEP, regardless of whether that MEC was Medicaid or other coverage. Read more.
Pennie | Periodic Data Matching Occurring This Week
Pennie will be running the mid-year periodic data matching (PDM) process to ensure customers receiving Advanced Premium Tax Credits (APTC) and/or Cost Sharing Reductions (CSR) have not lost their eligibility. Read more.
Pennie | Broker Workgroup
Pennie | Path to Pennie
Those who have indicated they are uninsured on tax form REV-1882 will soon receive an official notice from Pennie with instructions on how to enroll in coverage. These notices will begin to be distributed in early April and will include unique access codes for recipients to claim their new Pennie account. Learn more at: Path to Pennie | Pennie. Read more.
Pennie | What Effective Date Will My Client Receive?
Check out this Special Election Period Quick Reference Chart. Read more.
Pennie | 2022 Producer Commissions
Pennie is proud to work with insurers to make sure Pennsylvania producers have access to commissions information in advance of the start of the annual Open Enrollment Period and for any changes to commissions throughout the plan year. Beginning with plan year 2022, insurers that offer health plans through Pennie are required to notify their appointed producers of the commissions fee schedule. Read more.
Pennie | Website Walkthrough
Looking for help with the Pennie portal? Take a look at these "How To" videos created to walk you through.
Pennie | Update on Medical Assistance Account Transfer Automatic Eligibility Initiative
As you may know, Pennie has been working diligently to implement an auto-eligibility system that would give customers transferring from Medical Assistance to Pennie a more streamlined process for enrolling in health coverage. Unfortunately, Pennie has decided to delay the implementation of the auto-eligibility feature until we are fully confident the data transfer will ensure a seamless transition for qualified customers. Read more.
