RESOURCE CENTER

Broker Briefs
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11.14.2012
Cancer Treatment Access Act: Coverage for Anti-Cancer Medications (DE)
On 5/1/12, the DE Cancer Treatment Access Act was signed into law. This Act requires cost-sharing parity for anticancer medications; applies to fully-insured groups on or after 1/1/13. Highmark will add 100% coverage to renewals at anniversary.
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10.25.2012
BluePrints for Brokers - Fall 2012
This is a quarterly newsletter from Highmark DE. In this issue: BCBSDE new name; Premium subsidy initiative; Preventative services and SBC updates; mini-COBRA update; and more...
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09.25.2012
Summary of Benefit Distribution
Highmark DE releases sample letters which will accompany all group renewal starting on or after 9/23/12. Highmark will provide the SBC for actively sold plans, included in the renewal. It is the employer responsibility to distribute to employees.
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09.24.2012
HSA Compatible High-Deductible Health Plan Update
As you know, the IRS announced the new 2013 max contribution and minimum deductible, earlier this year. As a result, clients in a HDHP will automaticall have their plans changed at anniversary beginning with 1/1/13, in order to comply.
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08.17.2012
Summary of Benefits & Coverage - Distribution
Highmark DE advises that they will distribute to renewal accounts for group and individual markets. Groups will be responsible for duplicationa nd distribution to employees and dependents.
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07.26.2012
Medical Loss Ratios
Per PPACA, carriers who did not meet the government set levels for MLR, had to pay rebates back to individuals or employers who were insured during 2011. Highmark DE (as well as PA and WV) did meet requirements and as such are NOT paying rebates.
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07.10.2012
BCBSDE renamed Highmark Blue Cross Blue Shield
BCBS of DE is now Highmark BCBS Delaware (or Highmark Delaware for short). This change reflects Highmark Delaware's affiliation with PA based Highmark, which was approved by the state in December 2011.
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07.05.2012
Individual Underwriting Guidelines Updated
BCBSDE has updated their UW guidelines for their individual market in an effort to reduce wait time for approvals. By reducing requests for additional medical info, rather conducting a 6 month retro review of claims activity on post-sale basis.
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07.02.2012
Preventative Schedule effective August 2012 (released June 2012)
Effective 8/1/12, BCBSDE stadnard preventative services schedule will include services for women, due to PPACA, and some other obesity and autism services for adults and children. All preventative services will be 100%, no cost to members.
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06.20.2012
Delaware Law Changes: Mini-COBRA Coverage
Delaware signs Mini-COBRA into law, affecting new business or group at renewal on or after June 21, 2012. New law requirers employers under 20 employees to offer a 9 month continuation to employees until 12/31/13 when the law expires.
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06.11.2012
Premium Subsidy Initiative
BCBSDE announces that beginning July 2012 for Individuals (pre/post 65) policies, subscribers will see discounts on their monthly bills. DSGIT will begin in the Fall. This is result of BCBS affiliation with Highmark and a cost control initiative.
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05.16.2012
2013 IRS limits for QHDHP and HSA accounts
BCBS of DE announces the newly released 2013 inflation-adjusted amounts for QHDHP's and corresponding HSA bank accounts, as determined by the IRS under section 223g.
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