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Posts Tagged ‘51-99’

UnitedHealthcare Level Funded and Fully Insured Updates

June 28th, 2023 in Agent Broker Broadcast

  • Level Funded – UHC is no longer accepting old versions of the level-funded application – the latest 5 health question app must be used. 
  • Level Funded – All Texas Enrollment Packages have been updated.
    • New Billing & Collection Agreement
    • 15 month rate guarantee option now available August through April
    • Contact me for other states enrollment package and underwriting checklist
  • Level Funded – TX Updated Underwriting Checklist – New Guidelines! Updated language for participation requirements and ineligible groups
  • PCORI – The amounts are now sent directly to the group
    • Reports were mailed to the groups June 15th
    • Not posted on uhceservices.com for the employer or broker
    • Your assigned Customer Service Account Manager is able to access it upon request 
  • Small Group Fully Insured – All groups with only 1 enrolled subscriber are now required to submit not only the latest wage & tax report, but also the previous calendar year’s 4 quarterly wage & tax reports.
  • Charter Torch – Improving network strength in rural areas
    • Baylor – Bosque – Coryell – Eastland – Titus
    • Wichita – Wilbarger -Young
  • New Vision Benefit Summaries
    • Benefit lens options now in body of summary

If you have any questions, please do not hesitate to reach out to us.  We’re here to help!

Joe Sherman
972.404.2621 Office
jsherman@insxch.com

Jay Cooke
972.404.2605 Office
jcooke@insxch.com

Gina Escobar
972.983.9784 Cell
gescobar@insxch.com

Additional Resources:
UHC Level-Funded 2-50 Enrollment Package
UHC Level-Funded 51-100 Enrollment Package
UHC Fully Insured 2-50 Enrollment Package
TX Charter Torch Map
TX Charter Torch FAQ
UHC LF 2-4 Group Flier
S1008 Benefit Summary
SB Activate the Savings

Updated 2-50 & 51-100 Fully Insured Forms

January 26th, 2016 in Agent Broker Broadcast

New Employer/Employee Forms, and PRIME Enrollment Spreadsheet have been released.  As of Monday, February 1, 2016, UnitedHealthcare will only accept the new forms.  Please discontinue using the previous forms immediately.  There are no exceptions for old forms on sold case submissions after January 29, 2016.

New Forms:

Last Year All Over Again…

June 24th, 2015 in Agent Broker Broadcast

Are you reminded of the huge rate increases due to Adjusted Community Rating (ACR) and the mad rush to stay on pre-ACR plans when you look at your Small Group 12/1 renewal block?  This year it will happen again, but on a larger scale…eek!  The definition of Small Group changes from 2 -50 to 2 -100 on 1/1/2016.  Are you prepared?  Take a look at some of the differences:

2-50 51-100
Regulated Rates Unregulated Rates
Minimums Lower Lows
Maximums Higher Highs
Guaranteed Renewability   DTQ pre-2014

 

Transitional Policy Relief allows you to renew “as is” outside of adjusted community rating.  Currently, transitional relief for groups in the 51 to 99 market ends 10/1/2016.  Meaning, any 51-99 group sold with an effective date later than 10/1/2015 will be forced on to a new ACR plan upon renewal.  Groups (51-99) with a 10/1/2015 or earlier effective date will be able to renew their plans in 2016 on transitional relief, prolonging the movement to ACR.  Some groups could see as much as 100% rate up when moving to ACR, talk about rate shock!

What is your strategy? If you don’t have a strategy already in place for your 51-100 block, we can help!

Contact your entire 51-100 block:   Talk to your groups about shopping off-cycle (if need be) to take advantage of transitional policy relief.  If you don’t show them all their options while there is still time, another broker will.

Show your clients UnitedHealthcare:  Transitional policy relief may not be available through all carriers; however, it is offered by UnitedHealthcare.  Move groups that are going to benefit from staying on a pre-ACR plan to a 10/1 effective date and lock in 10/1 rates.  Select a multi-choice package with plans that will accommodate the group’s needs for the next 2 years with UnitedHealthcare.  If the group likes their package, they can keep it!  Don’t forget, UnitedHealthcare is offering a renewal rate cap based on paid premium vs. claims and broker bonus programs too!

Not all groups will benefit from transitional policy relief.  Moving to a 1/1/16 effective date on an ACR plan might be a better option for some, but you must act now to weigh your options.

Don’t forget, we can also help with your 51 -100 groups that do not currently have coverage in place, but want to take advantage of pre-ACR plans before the play or pay fines go into effect next year.

Contact us today at 972-991-6500 while there is still an option for your group!

New Small Business Basic Life Requirement

May 28th, 2015 in Agent Broker Broadcast

Small Business customers with 2 to 99 eligible lives  will be required to purchase an employer-paid  basic life plan with a benefit of $25,000 or greater to qualify for the basic life Packaged Savings administrative credit beginning with 8-1 new business and medical renewal dates.

All new business quotes for basic life plans will include a reminder that the life plans less than a $25,000 benefit will not qualify for a basic life Packaged Savings administrative credit.

Beginning 8-1 renewals, all active customers that currently have a basic life plan with less than a $25,000 benefit will be offered a proposal at renewal to increase their basic life plan to a $25,000 benefit.  In order to remain eligible for the basic life Packaged Savings administrative credit, groups must increase their basic life benefit to $25,000.

Please contact your TIE Sales Rep or Renewal Rep for more information at 972-991-6500.

New Rate Caps Announced

May 28th, 2015 in Agent Broker Broadcast

Good news, UnitedHealthcare will offer Benefit Care Ratio rate cap limits for 51-99 fully insured new business sales for select customers in Texas, starting with July 1 effective dates through Oct. 1, 2015!  This means that depending on current claims, new business customers could be protected from a large, second-year rate increase.

2015 51-99 Texas Rate Cap Flyer

UHC New Business Bonus 51-99

May 15th, 2015 in Agent Broker Broadcast

If you qualified for the Retention Bonus, then you may also qualify for the New Business Bonus too!  Any 51-99 eligible groups sold between 7/1 through 12/31/15 will qualify if at least 100 eligible members are sold and the broker qualified for the retention bonus.  Depending on the total enrolled employees sold, you could get a bonus up to $50,000!  Add employer-sponsored or contributory dental coverage to your eligible new business medical case and you could earn an additional $500!

  • 100 – 149 enrolled employees = $2,000
  • 150 – 199 enrolled employees = $5,000
  • 200 – 249 enrolled employees = $10,000
  • 250 – 299 enrolled employees = $20,000
  • 300 – 349 enrolled employees = $30,000
  • 350 – 399 enrolled employees = $40,000
  • 400 or more enrolled employees = $50,000

See below for bonus qualification and eligibility details:

51 to 99 UHC NEW SALES Broker Bonus Flyer

UHC Retention Bonus 51-99

May 15th, 2015 in Agent Broker Broadcast

If you have at least 100 enrolled employees in the 51-99 market, you may be eligible for the UHC Retention Bonus!  Retain at least 80% of your employee base and you could earn anywhere from $10 to $30 per employee come 2016!

The retention bonus applies to groups with 51-99 eligible employees that renew from July 1 through Jan 31 2016.  Brokers with an inforce block of at least 100 enrolled employees in eligible groups as of June 30, 2015 must have an employee retention percentage of at least 80% as of January 31, 2016 to qualify for the bonus:

  • 80.0% to 89.9% = $10 per Enrolled Employee
  • 90.0% to 94.9% = $20 per Enrolled Employee
  • 95.0% or higher = $30 per Enrolled Employee

See below for bonus qualification and eligibility details:

UHC 51 to 99 RETENTION Broker Bonus Flyer

Medical and Specialty Benefits Bonus

October 31st, 2014 in Agent Broker Broadcast

Agents who qualify for the medical bonus and sell either employer or employee paid Specialty Benefits coverages (dental, vision, base life, supplemental life, short-term disability, long-term disability, critical illness or accident) with their fully insured medical groups can also qualify to receive a specialty bonus.

Get the details here – New Sales Bonus for TX and OK Flyer