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Posts Tagged ‘UHC’

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

UHC COVID-19 Update

March 25th, 2020 in Agent Broker Broadcast

The Insurance Exchange is committed to providing you with the most up to date information from UHC on COVID-19 as it becomes available.

UHC COVID-19 Special Enrollment Period Updated information:

The Special Enrollment period UHC is offering its clients has been extended from March 23rd to April 6, 2020, for a April 1, 2020 effective date.

All Savers is also offering this special enrollment period.

There are specific guidelines that will apply to the Special COVID-19 Enrollment Opportunity. Please refer to the link:  https://www.uhc.com/content/dam/uhcdotcom/en/B2B-Newsletters/b2b-pdf/covid-19/faqs-special_enrollment.pdf

UHC has provided the following broker resources to help keep up to date with information as it becomes available:

Please direct members to the following link as the above resources are not designed to be shared with members: (https://www.uhc.com/health-and-wellness/health-topics/covid-19)

2019 Broker Survival Guide

August 9th, 2019 in Agent Broker Broadcast

The 2019 4th Quarter Survival Guide for UnitedHealthcare and All Savers is here!  Product portfolios, value added benefit information, and much more are included in the pdf attached below.  If you have any questions, please contact your TIE Sales rep at 972.991.6500.

2019 Broker Survival Guide

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  

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.

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!

Transitional Relief Extended

January 26th, 2016 in Agent Broker Broadcast

Groups in the 2 – 50 market will be able to retain their Transitional Relief plan and rates for one more year if they renew on or before Oct. 1, 2016. Please note that transitional relief is only available in certain states. Groups choosing to renew after Oct. 1, 2016 must renew to an ACA compliant plan that includes adjusted community rating.

For November and December 2-50 clients interested in maintaining their Transitional Relief plan for another year, please have them complete the Attestation form to move their renewal date back to Oct. 1, 2016.  We must receive the completed attestation form no later than April 1, 2016 to ensure their renewal is automatically released with the October renewal block.

If you have any questions, please contact your Renewal Account Manager at 972.991.6500.

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!

Training for All Savers coming soon!

June 3rd, 2015 in Agent Broker Broadcast

allsavers-training

UnitedHealthcare’s newest level funded program, All Savers, is taking the market by storm…here is your chance to learn more!

Reserve your seat today for the June 25th morning or afternoon training session by calling us at 972-991-6500.  If you’re not marketing All Savers® to your groups, someone else will.  Don’t miss this exciting opportunity to help your clients save money!

Ready to get contracted?  Contact Joe Sherman at 972-404-2621 today!

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.

UHC / AllSavers 2015 July PDL Changes

May 28th, 2015 in Agent Broker Broadcast

The updates attached below will take effect for the UnitedHealthcare Prescription Drug Lists (PDLs) on July 1, 2015.  Reminder: All Savers changes occur on the actual PDL change date vs. at renewal like on fully insured. Also, for Alternate Funding members, medications are covered under the member’s plan that are not covered under a fully-insured member’s plan.  The medications covered for Alternate Funding members include: Sedatives/Hypnotics, Non-Sedating Antihistamines, and Erectile Dysfunction medications.

If you are unsure of the plan or PDL that applies to your customer, please contact your TIE Account Manager or Renewal Rep at 972-991-6500.

2015 July PDL Changes Flyer

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

Already appointed with GoldenRule? We can help!

January 15th, 2015 in Agent Broker Broadcast

Are you a broker already appointed with GoldenRule?  If so, we can help you with your individual block!
UHOne eStore training is still available!  Learn what you need to know to enroll your clients and how E-Store makes the enrollment process easy, click here.

Not appointed?  Call your TIE Sales Rep today to get contracted!

Joe Sherman………………….972-404-2621
Brad Scheidegger………….972-404-2625
Amanda Wilkinson…………972-404-2619
Paula Johnson……………….972-404-2623
Stacey Priddy…………………972-404-2611

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