Highmark | Small Group Portfolio of Plan Options

This email is intended for producers with Small Group business in Southeastern Pennsylvania.

Highmark Small Group Portfolio of Plan Options in Southeastern Pennsylvania Moving to Highmark Senior Health Company

Why am I receiving this?
We’re writing to inform you of an important update to Highmark’s small group employer coverage in Southeastern Pennsylvania for the 2025 plan year.

What do I need to know?
Highmark is moving its small group portfolio of plan options from one company (named Highmark Health Insurance Company or HHIC) to another company (named Highmark Senior Health Company) upon client renewal in 2025.

What does this mean for employers?
We’re mandated to send a “discontinuation notice” to clients 90 days in advance of their renewal date (see a copy of it here ). However, it’s important to note that coverage will not be terminated because of this change. Instead, clients’ current plan option(s) will be systematically mapped from the former company to the new company. A renewal will be made available to you, and a renewal letter (see a sample renewal letter here) will be mailed to client 60 days in advance of the renewal date. Benefit summaries and summaries of benefits and coverage (SBCs) will be available prior to the renewal date, and a contract will be available after the renewal date.

What does this mean for employees?
Employees will receive a mandated “discontinuation notice” approximately 90 days before the renewal date (see a copy of it here). It’s important to repeat – coverage will not be terminated because of this change. Once client renewal decisions are confirmed with your Highmark Client Manager, employees will receive new ID cards in the mail.

Thank you for trusting Highmark with your clients’ health care coverage in 2024. We look forward to continuing and growing our relationship throughout 2025.

Questions?
Please reach out to your Small Group Client Manager.

Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association:

Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call866-459-4418.

Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.

All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.

Highmark Blue Shield is a Medicare Advantage HMO, PPO, and/or Part D plan with a Medicare contract. Enrollment in these plans depends on contract renewal.

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