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Posts Tagged ‘Texas’

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

UHC AHPs on Hold Pending Appeal Decision

May 9th, 2019 in Agent Broker Broadcast

Effective May 7, 2019, UnitedHealthcare made the decision to place AHP quoting on hold pending the appeal decision by the court.  

If you have already received an existing New Rule AHP employer participant quote, UnitedHealthcare will honor the quote and will continue to install previously sold employer participant groups.

Employees and their covered dependents of previously enrolled employer participant groups may continue to enroll in coverage consistent with the terms and conditions of the policy. 

This action does NOT impact trade-based Old Rule bona fide employer AHPs that met the requirements in effect prior to the 2018 DOL Final Rule. The decision only affects geography-based New Rule AHPs.

Click here for more information from UHC

UHC 2019 Texas Producer Performance Guide

December 13th, 2018 in Agent Broker Broadcast

UnitedHealthcare’s 2019 Producer Performance Guide has been released.  The Performance Guide contains information regarding the medical and specialty commissions, bonuses, and UnitedHealthcare’s policies.  If you have any questions, please contact your sales rep at 972.991.6500.

UHC 2019 Texas Producer Performance Guide  

2018 AllSavers 15-Month Rate Guarantee

November 26th, 2018 in Agent Broker Broadcast

Give your clients the gift of a 15-month rate guarantee!  All Savers is offering a 15-month rate guarantee for new and select renewing groups with 12/1 and 1/1 effective dates, at no additional cost!  That’s right, the rates for the 15-month are the same as the 12-month option.

With this 15-month rate guarantee:

Effective Date  Renewal Date
12/1/2018 3/1/2020
1/1/2019 4/1/2020

It’s a win-win!  Your groups will enjoy the peace of mind of a 15-month rate guarantee and you’ll be moving business from your busiest time of the year!

Groups are required to sign a 12-month or 15-month attestation form for Dec. 1 and Jan. 1 effective dates.

All Savers 15-Month Rate Guarantee

Questions?  Please Contact:
Joe Sherman – 972.404.2621
Kevin Balkin – 972.404.2620
Amanda Wooldridge – 972.404.2619
Paula Johnson – 972.404.2623
Stacey Priddy – 972.404.2611

Association Health Plans (AHPs) Plans Are Here!!

October 19th, 2018 in Agent Broker Broadcast

Hopefully you were able to attend the UHC rollout of the AHP plans yesterday in Irving.  If you were not able to attend, there is some very exciting news about AHPs being rolled out by UHC.  Quoting for these plans should start very soon.  Great News! You don’t have to worry about doing any extra work to get an AHP quote for your groups.  As always, we at the Insurance Exchange are looking out for our agents’ best interests and ways to improve our service to you.  We have already looked at all quote requests for 12/1 and 1/1 effective dates and pulled the groups that could benefit from the AHPs to send up for quoting once the process begins.

All new quote requests for groups between 5 and 50 employees with an ATNE (Average Total Number of Employees) under 50 will also be sent an AHP quote.  Please be aware that the turnaround time on these quotes will be a little longer than our normal time for UHC fully insured and All Savers proposals.  Due to the slower turn around, you will receive your UHC and All Savers quotes first and then the AHP quote will follow a few days later.

AHP will not be a fit for every group due to the factors that go into rating these groups, but UHC believes it will be a good fit for about 50% of the groups in small business.  Just because AHP doesn’t work for one group doesn’t mean that it won’t work for the next.  If you have any questions, please contact your TIE Sales Rep.

New All Savers Plans!

June 21st, 2017 in Agent Broker Broadcast

New All Savers plans for 8/1 effective dates have been released!  Highlights and grids are listed below:

AllSavers

  • 54 plans have been discontinued
  • 42 new plan designs
  • 4 HSA plans with RX copays after deductible (RX10)
  • 8 HSA plans with Medical and RX copays after deductible — Up to a 20% savings!!!
  • 12 Copay plans with ER copay+ded+coinsurance (NEW BENEFIT!)
  • 12 Primary Focus Plans
  • 6 Flex Focus Plans

New Primary Focus Plans – Provides up to 18% savings!!

  • Unlimited $0 PCP copays – OBGYN is considered PCP
  • Healthiest You Virtual Care $0 copay
  • $0 Tier 1 RX coverage
  • 4 Tier RX card with $250 Deductible on tier 3 and 4 only
  • Includes Motion to help enrolled Employees & Spouses each earn up to $1095 annually!!

New Flex Focus Plans – Provides up to 18% savings!!

  • 3 Office Visits – $0 OV copay (PCP or Specialist)
  • 2 Urgent Care Visits – $0 UC copay
  • Healthiest You Virtual Care $0 copay
  • Standard drug card
  • Includes Motion to help enrolled Employees & Spouses each earn up to $1095 annually!!

 All Savers Plan Grid

We are currently working to re-quote all prior 8/1 and 9/1 quote requests.

1/1 Rates Available Now

September 23rd, 2016 in Agent Broker Broadcast

January 1, 2017 rates are now available to quote!  The plan grids are much easier to read this year with all options on 4 pages for all 3 packages.  Reminder: Groups can offer as many plans as they wish; however, all plans must be in the same package.

One change for 2017 that you will notice is that lab and x-rays on some of the value plans are now covered under the office visit copay.  This is an enriched benefit from last year, making UnitedHealthcare plans one of the most enriched benefit plans in the 1 to 50 market.  Don’t forget the virtual office visits are included with every plan as well.

Below you will also find some additional highlights for 2017 from UnitedHealthcare:

January 1, 2017 Plan Portfolio now available to quote your 1-50 ATNE groups  [Plan Grid]
Effective today, we can now quote our new 2017 plan portfolio for your 1-50  ATNE (average total number of employees) groups with UnitedHealthcare. Attached is the new portfolio which has been updated to reflect all 3 available packages on one document. You will see that some plans are still in our portfolio, but others have been removed to remain in compliance with the metallic levels set for 2017. The plan portfolio continues to include Premier, Premier Value, FlexFree, Navigate, HSA & HRA plans. Remember that you can pair any number of plans together as long as they are all in the same package!!

Select Designated Pharmacy Program Sunsetting Jan. 1, 2017
As part of our continued commitment to providing value to our clients, we have decided that as of 1/1/17, we will no longer offer the Select Designated Pharmacy program (SDP). Developed in 2009, the SDP program was designed to encourage members who are on select high cost (non-specialty) medications to save money by switching to home delivery, lower cost options or do both. Each option had a different savings potential, but the member needed to choose one of the options to continue receiving network benefits. Through our recent in-depth review, prompted in part by new health care reform regulations for 2017, we have decided that in order to align with changes in the marketplace, we will concentrate on programs such as the Step Therapy program to encourage the use of lower cost drugs and the Mail Service Member Select program to support use of the most efficient delivery channel.

Existing members will not receive any communication after 11/1/2016 about the SDP program because no action is required on their part. They will continue to receive their medications as they have in the past.

Important Jan. 1, 2017, PDL and Pharmacy Benefit Updates  [2017 UHC PDL] [2017 4-tier PDL]
UnitedHealthcare updates its Prescription Drug List (PDL) on Jan. 1 and July 1. By making updates twice a year, we are able to keep pace with current market trends, price changes and new clinical information. We are pleased to share our PDL and pharmacy benefit updates for January 1, 2017 with you. Please see attached PDLs for both our 3 tier and 4 tier drug plans. Members will receive a letter 30-60 days prior to the effective date. You can also encourage them to visit myuhc.com to find lower-cost medications with greater health care value.


Fillable PDF Member Enrollment Forms Available for Open Enrollment
[EE Enrollment Form] [ Spanish]

We live in a digital age, and Open Enrollment should be no different. UnitedHealthcare’s new fillable PDF member enrollment forms allow Small Business customers to have technology at their fingertips. Using these forms not only saves time, it also helps avoid potential errors in enrollment by taking out the guesswork, thus creating a more efficient process overall. Please see attached English and Spanish PDF applications attached. Remember for installation, we still accept our enrollment census in lieu of individual applications.

Sales Automation Management (SAM)

March 10th, 2016 in Agent Broker Broadcast

UnitedHealthcare has recently launched Sales Automation Management (SAM), a tool that speeds up the case submission process.  SAM is available to brokers through UeS, but The Insurance Exchange will handle this step for you.  No need to worry about hiring and training a new employee for this task…you’ve got us and we’ve got your back!

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:

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 hereNew Sales Bonus for TX and OK Flyer