Highmark | Small Group Northeastern PA

This email is intended for producers with small group business in Northeastern Pennsylvania.

Upcoming Changes for Small Group in Northeastern Pennsylvania

What do I need to know?

We’re writing to inform you of an important update to Highmark’s small group employer coverage for the 2026 plan year.

Highmark is moving its small group ACA portfolio of plan options from one company (named First Priority Life Insurance Company or FPLIC) to another company (named Highmark Care Benefits) upon client renewal in 2026. The small group grandmothered portfolio and large group plans under FPLIC are not affected by this change.

We’re mandated to send the enclosed “discontinuation notices” to clients and employees 90 days in advance of their renewal date. However, it’s important to note that coverage will not be terminated because of this change. Instead, 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 will be mailed to clients 60 days in advance of the renewal date.
Clients will see new group numbers upon 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.
Employees will receive new ID cards in the mail.

What do I need to do?

Inform your small group clients with ACA coverage about this important change that will take place upon their renewal.

Questions?

Copies of the discontinuation notices:

Please contact your dedicated Small Group Client Manager with any additional questions.

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:
Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company.
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.
PA: 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, call 866-459-4418.
Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.
West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit https://www.highmarkbcbswv.com/networkaccessplan to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card.
Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.
Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
Highmark Blue Cross Blue Shield and Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal.
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.

This email was sent by: Highmark, Inc.-
Fifth Avenue Place 120 5th Ave., HARRISBURG, PA, 17089 US

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