Highmark Notice

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. Read more. 

Increased Incentive for Q4 2022 & Jan. 2023 new to highmark sales

Highmark is excited to announce we will be DOUBLING the New to Highmark incentive for Q4 2022 & Jan. 2023! Read more. 

Producer Newsletter | September 2022, Volume 2

In this newsletter you will discover our 2023 product training recap, introducing two new pharmacy networks: Community First Network and The Market Network,time for a dental premium holiday, and member-submitted medical claim form enhancements. Read more. 

2023 Pennsylvania ACA Individual & Family Rates

Details and summaries of the number of plans by metal level in each county based on the selected Market/Exchange drop-downs. Read more. 

Helping You Grow 

Kansas City Life Insurance Company, in conjunction with the nonprofit Life Happens is working hard this month to promote Life Insurance Awareness Month (LIAM).  Read more. 

9/29 Trustmark - Have you taken a look lately?

Join us on September 29th at 10am EST for a webinar to learn about Trustmark’s 2023 product roll-out!

We’ll discuss their innovative provider arrangements, and competitive products featuring:

• New simplified underwriting for groups with 35 plus subscribers
• Infinite plan designs combinations for customizing each groups ideal benefit-cost profile 
• RBP pricing platform  for significant savings. Including the new RBP Hybrid model which offers a traditional network for doctor visits while utilizing the RBP pricing for facilities
• New switch back option feature which can allow members to  jump back from RBP back to Network model if necessary
• Continued 100% Balance Bill Protection for each member

Register now! 

10/6 Teledentistry, better oral health outcomes

Join us on October 6th at 2:00pm EST. Dominion National President Mike Davis, DigiBite CEO Alex Poston and Capital Blue Cross Director of Specialty Product Strategy and Administration Julie Dannaway-Baer, will highlight the growing popularity of teledentistry as a critical delivery model for carriers, dentists and patients. They will present solutions to increase access to dental care, reduce the fear factor in seeking dental treatment, improve customer satisfaction and retention, and reduce costs for all participants. Register now. 

10/13 Highmark - 2023 ACA Roll-Out

Join us for a webinar on October 13th at 10am EST as we discuss competitive products, innovative provider arrangements, what is new with the roll out, network discussion, and rate strategy. Register now! 

Pennie | Complete the 2023 Broker Training Before 10/31

Don’t forget to complete your 2023 Pennie Broker Recertification Training! To continue to serve as a Pennie-Certified Broker for 2023, you will need to complete the 2023 Broker Recertification Training before the deadline. Read more. 

Pennie | September Pennie Community Workgroup Meeting 

Discover the Community Partner Updates, Logo Training & Pennie Toolkit Review, 2023 Assister & Broker Training Updates, Pennie Operations Updates and details to transitioning from Pennie to Medicare. Meeting link. 

Pennie | August and October PCW Community Workgroup Meeting 

If you missed the September Pennie Community Workgroup (PCW) Meeting, no worries! Learn about new collateral material, the Benefytt Technologies Settlement status, exciting system updates, information on the Family Glitch initiative and much more! Also mark your calendars for the PCW October meeting on October 7, 11am EST. Read more. 

Pennie | New Law Extends Enhanced Health Coverage Savings through 2025

The Inflation Reduction Act (IRA) was signed into law today by President Biden! This law will save hundreds of thousands of Pennsylvanians from experiencing increases in what they pay for their health coverage through Pennie.The IRA extends the enhancements to Affordable Care Act premium subsidies originally created by the American Rescue Plan which were set to expire at the end of the year.Thanks to this new law, Pennsylvanians will be able to receive these enhanced subsidies through 2025. Read more. 

Pennie | Annual Report

Pennie is here for everyone, and we are excited to provide peace of mind to the roughly 375,000 Pennsylvanians who count on Pennie for their 2022 coverage. The future is bright as we expand to offer health coverage to even more uninsured Pennsylvanians, starting with new and exciting initiatives we have in place for those qualified individuals seeking coverage throughout 2022. Read more. 

Pennie | Become a PHE Unwinding Helper Today!

Activate your network and become a Helper for Medical Assistance recipients during the unwinding of the Public Health Emergency. Read more. 

Pennie | Pennie System Enhancements

Pennie has successfully updated its platform with various enhancements that will benefit the Customer experience. Read more. 

Pennie | Broker Workgroup

• Broker Workgroup Deck (PDF)
• Broker Workgroup (Video)

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 | 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. 

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.