A New Individual Health SEP
Pennsylvania has approved a special election period for those that are currently losing subsidized COBRA through the American Rescue Plan. Contact us today for more details if you don’t want to miss this opportunity to assist your current client base that could be affected OR if you are not Pennie certified but still want the opportunity to build your client base and earn additional revenue through our Orion program!
- COBRA subsidies end September 30th
- SEP lasts for 60 days from the qualifying event
Call Lindsey Landis at 717-216-8073 or schedule a time to meet to find out how we can help you enroll your <65 clients on health insurance!
Geisinger | Broker Bulletin
On Aug. 25, 18 months into the COVID-19 pandemic, we announced that all Geisinger employees are required to be vaccinated against COVID-19 by Oct. 15. Currently about 70% of Geisinger employees have been vaccinated. Read more.
Highmark | Notice of Medical Loss Rebate
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. In the Large Group Market, the threshold is 85%. This year, rebates will be distributed in the Individual, Small Group, Large Group Markets. All rebates are based on calendar year 2020. Read more.
UPMC Health Plan | To Change Small Group (1–50) ACA Offerings in Central & Eastern PA.
On Dec. 1, 2021, UPMC Health Plan will retire its small group ACA coverage. The affected groups that renew their coverage before December 2021 will maintain their coverage through their 2022 renewal date. Read more.
State Regulators to Target Marketers of ACA Coverage Alternatives
Some state insurance regulators want to crack down on companies that market health insurance products that could serve as an alternative to major medical insurance. The National Association of Insurance Commissioners is setting up a working group that will look at marketing of products that may pay for some health care but that do not meet the Affordable Care Act requirements for major medical insurance. Read more.
Pennie | Important Information on Pennie Notices
Pennie launched its Periodic Data Matching (PDM) process and those customers who had a resulting data matching issue (DMI) received a notice indicating they had a discrepancy they needed to resolve. Read more.
Pennie | Broker Certification
The new and free Pennie-Certified Broker training is now available! Read more.
Pennie | What Effective Date Will My Client Receive?
Check out this Special Election Period Quick Reference Chart. Read more.
2022 Pennie and Marketplace Training is Now Available
The free 2022 Pennie Broker Training is now available through the Train PA system and can be accessed for both new and returning brokers on the Pennie Broker site under "Get Certified." Read more.
9/15 Pennsylvania Lawmaker Outreach 101 | PAHU
Please join the Pennsylvania Association of Health Underwriters (PAHU) and the Bravo Group in this session designed to prepare you for meetings with PA State legislators. Margaret Durkin, Government Relations Specialist at Bravo Group, will provide PAHU members with tools to be successful in advocating for the health insurance marketplace on behalf of our association. Register now!
9/16 Growing Resilience: The Power of Human Connection and Lessons
Join Central Penn Business Group on Heath and Dr. Diller, Director of WellSpan Employee Assistance Program on Thursday, September 16th at 11am for a Online Event: Mental Health Series - Growing Resilience: The Power of Human Connection and Lessons. In this session, Dr. Diller provides a guide on the key areas in supporting our fellow colleagues and coworkers. Register now!
Geisinger | You’re Invited to Our September Webinar!
During Geisinger's upcoming webinar, David Brady, strategic consultant, will give a high-level overview of the No Surprises Act. He’ll talk about this new law included within the Consolidated Appropriations Act, what it means for employers and what GHP is doing about it. We’ll also hear from Michael Shepherd, MD, medical director for behavioral health, who will present on the Mental Health Parity provision. Join Geisinger on Tuesday, Sept. 21, at 1 p.m. to hear from our team and get your questions answered. Register now!
9/22 HealthCare2U - A Direct Primary Care Model
Please join us to learn about a new-to-market Direct Primary Care model that can be offered to employer groups as a stand-alone benefit, combined with a MEC/MVP program or even with a comprehensive group health plan. Register now!
10/20 Capital BlueCross: 2022 Individual/Family Product Roll-Out
Join URL and Capital for a preview of their 2022 products and changes for individual and family plans. Register now!
