Insurance Exchange keywords

As part of our effort to keep you informed, we’ve included the updates and reminders that UnitedHealthcare has released for the month of July.

HB2015 reports – make sure to order HB2015 reports for your fully insured renewals after the 15^th of the month, to get the prior month’s data

• For groups 10+, this allows you to receive underwritten group rates for UHC level-funded

UHC Broker Rollout Meetings are next week!  If you cannot attend, please reach out to your Insurance Exchange Sales rep for updates or watch your inbox for a Broker Broadcast.

15-month rate guarantees are back:

• Offered for effective dates from 8/1/2023 to 4/1/2024
• This means level-funded group installs from 8/1/2023 to 4/1/2024 will need either the 12 OR 15-month rate guarantee form included

Current UHC groups are eligible to move from FI to LF – renewal teams are hosting Conversion Training Calls. Links to register are below. Reach out to your TIE renewal rep for more information on this:

• Tuesday, July 18, 2:00 pm – 2:30 pm CT
• Tuesday, August 8, 1:00 pm – 1:30 pm CT
• Wednesday, August 30, 11:00 am – 11:30 am CT
• Wednesday, September 20, 1:30 pm – 2:00 pm CT
• Wednesday, October 18, 2:00 pm -2:30 pm CT
• Tuesday, November 14, 11:00 am -11:30 am CT
• Thursday, December 6, 2:00 pm -2:30 pm CT

UHC Broker Bonus:

• For any new business case sold or existing case transitioned from UHC fully insured to level-funded with an effective date between 4/1/2023 and 9/1/2023, you will receive an additional one-time bonus of $60 per enrolling employee.
• As a quick example, selling 50 new members during the bonus period would result in an additional $3000 in compensation.
• Broker bonus details are attached here – 2023 UHC Broker Bonus Details

Level-funded training courses:

For questions or additional details, please contact your TIE Sales Representative at 972.991.6500.

Beginning January 15, 2022, UnitedHealthcare Fully Insured and Level Funded individual and group health plan members can get up to eight FDA-authorized or approved OTC COVID-19 at home tests at no cost to them, after reimbursement, and without a doctor’s prescription.

There are two ways that eligible members can receive reimbursement for these COVID-19 at home test kits:

• Preferred Retailers – The list of Preferred Retailers and their websites may be found in the Preferred Retailer list on uhc.com.
• Other retailers or online – For purchases of FDA-authorized or approved OTC COVID-19 at home tests at any in-store or online retailer other than at the in-store pharmacy counter, members must submit a receipt for reimbursement via the UnitedHealthcare member portal for a maximum reimbursement of $12 per test. Many COVID-19 tests are sold as a two-pack so that means the test pack would be reimbursed at $24 ($12 for each test).

For more information/details, please see these UHC resources:

• COVID-19 At Home Test FAQs
• COVID-19 Resource Center
• OTC at home testing page
• Preferred Retailers

UnitedHealthcare has created new enrollment forms for UnitedHealthcare Level Funded plans.  The new enrollment forms will be required for all submitted business beginning with 11/1 effective dates. 

As a courtesy, we have compiled the forms and created separate enrollment packages for Small and Large group.

UnitedHealthcare AllSavers product name is officially changing to UnitedHealthcare Level Funded.

This name change will take effect beginning with 11/1 effective dates.

The All Savers portfolio update, effective 9/1/21 is now live. The following are the big talking points:

Prescription Drug Lists

• Advantage & Essential Prescription Drug List on Standard Select Network
• Specialty Medication Cost Share (SMCS)

Plan Designs

• Personal Protect Plan Category 
  • Networks: Choice+/Choice
  • 100% Coinsurance
  • Deductible Levels: $3000, $4000, $5000, $6000, $7000 and $8500
  • Prescription Benefit Option applies: Advantage or Essential
  • 1 – 3% higher premium compared to Traditional PPO/EPO 100% plans
  • No Emergency Room Copay
• HSA plan with Core Plus Preventive Prescription Drug List

Please see below for the new plan grid as well as the popular “Why All Savers” brochure.  Please remember we can enroll All Savers groups with a minimum of 5 EEs enrolling.

2021 All Savers Plan Grid

“Why All Savers” Brochure

Based on recent guidance for the Affordable Care Act, most printed 1095-B forms will have been suppressed and not mailed in January. These were previously sent to fully insured group subscribers. However, since the forms are no longer required for federal tax purposes, they are not required to be mailed in January like they have in the past. [Read more..]