Archives

Posts Tagged ‘UnitedHealthcare’

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

2021 Texas Producer Performance Guide

April 28th, 2021 in Agent Broker Broadcast

UnitedHealthcare has released the Texas Producer Performance Guide for 2021.  Inside the guide, you will find updated medical base commissions for fully insured groups with up to 50 eligible employees will be effective 7/1/21.  Click the icon below and see page 7 for additional details regarding the change in commissions.

  2021 Texas Producer Performance Guide

For questions or additional details, please reach out to your TIE Sales Representative at 972.991.6500.

UnitedHealthcare 1 – 50 Fully Insured Portfolio Updates

March 8th, 2021 in Agent Broker Broadcast

2021 Adjusted Community Rated Plans

  • 4 New Product Grids Across Texas – Simple to Multi-Choice
    • Charter Package (Dallas-Fort Worth, Houston, El Paso, Lubbock)
    • Core/Core Essential Package (TX Panhandle – Amarillo)
    • Nexus Package (CTX – Austin & San Antonio)
    • Core Package (available in remaining areas across TX)
  • Essential Prescription Drug List (PDL) is across all plans and packages

Plan Overview

  • Performance Plans – Top Selling Plans that provide up to 15% savings!
  • New Assured Plans – Premium Designation used in a new way to lower costs PPO/EPO network
  • Primary Advantage Plans – New $70 Specialist copay
  • High Deductible Health Plans (HSA) – All include motion!
  • Pair up our multiple network options (ChoicePlus, Choice, Navigate, Charter, Core, and Core Essential)

Grids

To eliminate delay in processing, please make sure to send all RFP requests directly to our rating department at rfp@insxch.com. 

UHC 2-50 Fully Insured Portfolio for January 1, 2021 – Available Now!

October 6th, 2020 in Agent Broker Broadcast

UnitedHealthcare’s 2-50 Fully Insured Portfolio for January 1, 2021 is now available to quote.

4 Packages Available Across Texas

Most Popular Plans & Networks Still Offered

  • PROFormance Plans – $10 or $15 PCP copays
  • Primary Advantage – $0 PCP copay for kids & adults (unlimited)
  • Assured Plans – Lower cost option utilizing Premium Designation program for tiered benefits
  • Charter/Navigate – HMO network options that have become a popular base plan option

Included benefits for Fully Insured plans at no additional COST:

  • Unlimited Virtual Visits at $0 for copay plans (Teladoc, AmWell, Doc on Demand)
  • $0 Kids PCP copay (available on all copay plans except Assured)
  • 3 Face to Face EAP Visits
  • Motion included on all High Deductible Health Plans (HSA) – Employees and Spouses can earn up to $1095 annually
  • Real Appeal – 52-week weight loss program with personalized 1‑on‑1 coaching & a Success Kit
  • Quit for Life – Tobacco Cessation program with digital and telephonic tools & resources

2021 PDL – Essential 4-Tier

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

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.