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Health Plan Options

Highmark | Risk Corridor Medical Loss Rebate to Small Group Clients and Individual Market Members

The Affordable Care Act (ACA) includes a Medical Loss Ratio (MLR) requirement for health insurers. The MLR provision mandates that insurers rebate all or a portion of the premiums paid if a certain percentage of premiums collected are not spent on claims or quality improvement programs. In the individual and small group markets, the MLR threshold is 80% of premiums collected. Read more

Geisinger | Commercial Bulletin: March 16

In this edition see topics including; Did you know? Your groups can get behavioral health care, virtually; Geisinger telemedicine; Can’t wait? Try Teladoc and more. Read more.

Pennie American Rescue Talking Points

The American Rescue Plan, also known as the COVID-19 relief package, includes provisions
specific to the Affordable Care Act (ACA) resulting in significant impacts, including huge,
life-altering savings, for Pennsylvanians seeking individual market coverage and those already
enrolled in coverage through Pennie. Read more

Pennie: What Effective Date Will My Client Receive?  

Check out this Special Election Period Quick Reference Chart. Read more.

Pennie News & Updates

Find out what's new with Pennie on our resources page, including downloads, links, and events. See more.

3/18 Changes & Opportunities for Families & Employers Within President Biden's COVID-19 Relief Package

Join Pennie and URL for a webinar on March 18th at 2pm EST to take a closer look at the changes and opportunities for individuals and employer groups associated with President Biden’s COVID-19 Relief Package.

We'll discuss:

  • New Pennie COVID-19 open enrollment from February 15th to May 15th
  • Increase in APTC (subsidies) based on the change in percentage of income considered
  • New APTC benefits for those consumers on unemployment compensation in 2021
  • COBRA subsidies vs. Pennie subsidies

Register Now

3/19 Central Penn Business Group on Health | Virtual Networking Event 

How will the COVID Vaccine be distributed locally? Have this question answered and more at the CPBGH Networking Event on Friday, March 19th. Register Now

3/29 Life Lessons: Useful and Practical Sales Concepts with Industry Experts

For tomorrows HCR: Join us for a webinar on Monday, March 29th, at 10am EST to discuss life insurance options for business owners. Register now.

Highmark SEP Bonus

Check out this incentive program for new to Highmark ACA individual market enrollment with March – June effective dates. Payment will apply to total members, not contracts and will pay in July, 2021. There is no minimum requirement to be eligible and no cap to the incentive. Payout will apply to any SEP submitted with March – June effective dates. Read more

Kansas City Life | Group Benefits Helping You Grow

There's a wonderful stroke of good luck in store for you again this year when you combine your hard work and loyalty with Kansas City Life Insurance Company's Group Benefits Bonus Incentive Program. Read more

UPMC Health Plan | We Introduce “The Better Option” Producer Incentive for Individual Sales

UPMC Health Plan has two ways to help you earn incentives during Pennie’s COVID-19 special enrollment period (SEP). Enroll qualifying individuals between February 15 - May 15, 2021, with March - June 2021 effective dates, to qualify for the incentives below. Read more.