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Last updated: October 7, 2019
Special Open Enrollment Window: The Affordable Care Act’s annual Special Open Enrollment Window for groups that struggle to meet traditional participation and/or contribution requirements begins November 15 and continues through December 15 for coverage effective January 1. For more information, read Paul Roberts’s Compliance column, which is available here. here.
Aetna has increased its administrative credit when your clients use the Individual Medical Questionnaire (IMQ) for the Aetna Funding Advantage self-funded product. For groups of 10+ subscribers effective 11/1/19 to 1/1/20, clients get a $100 administrative credit for enrolled employees completing an IMQ. Plus, you earn a $100 bonus on each employee underwritten with an IMQ.
The 25% relaxed participation for Blue Shield of California Medical continues through December 31, 2019 for 5+ enrolled employees.
Riverside Physician Network (RPN) doctors are moving to PrimeCare Riverside, which means more options for your clients in this area. Effective immediately, Blue Shield members may select RPN primary care physicians (PCPs) with a Trio HMO plan if they are in the network service area.
Due to the standard guaranteed issue date of December 15th falling on a Sunday, Kaiser Permanente is extending the deadline to the following business day, Monday, December 16 until 5 pm.
Small Groups with an effective date through January 1, 2020, may qualify with only 50% of eligible employees enrolled. Those with at least six employees enrolling do not need to submit a DE 9C until the group goes through recertification.
National General’s Self-Funded Program Core Value Plan offers Reference Based Pricing for small and medium-sized groups. Download the brochure here. Vitality Wellness, described in a separate flyer available here, can be added for an additional $5 per employee per month.
Show potential clients what they could be missing out on by customizing this checklist for you and your services.
Cover the cost of COBRA for the life of the policy and get a free Premium Only Plan document, too.
Encourage clients to renew early with this customizable letter.
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Ensure clients get their preferred medical groups, doctors, and hospitals with our Integrated Provider Search tool. It saves you time upfront and on the back end – making your proposal more complete for your clients.Schedule a Demo
Get side-by-side plan comparisons showing current, renewal, and recommended alternatives. Built-in safeguards prevent errors and make it clear when a deductible applies. Plus, we offer 100% accurate quoting for Small Groups.See a snapshot
WBQuote Lite is a lighter version of WBQuote and perfect for quoting on the go or making on-the-fly changes with clients, like census updates.Sign in and Quote
API integration makes it easy for you to go from quote to online enrollment with just one click. Partners like Ease and GoCo offer your clients a better way to manage employee benefits online.See it in action
Give your clients and their employees free access to Medical ID Card info on their smartphones when their coverage begins.* Easily add Dental, Vision, and other coverage or book a “house call” using Heal.com.Learn More
We’ll help you get into – and conquer – the Large Group market. We offer the carriers clients want, a simplified RFP process, customized presentations, value-added extras, and presentation assistance to close the deal.Tap into our pros
We have the in-house expertise you need to expand your Individual & Family Plan (IFP) sales, whether you have questions about Health Insurance, Qualifying Life Events, Medicare Supplements, or anything else.Learn More
We’ll help you stay up to date on health care reform with our Compliance Resource Center, where you’ll find tools to help clients understand their options to make the right decisions.Visit Center Now
*Immediate proof of insurance is available 24-48 hours after group case installation is approved for coverage issued by Aetna, Anthem Blue Cross, Blue Shield of California, and Health Net.(Available only in California.)
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