RESOURCE CENTER

Broker Briefs
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ID protection services at no cost through Feb 5th
Small group clients have until Friday, February 5th to opt-in into ID protection services at no cost.
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CareFirst Cyberattack
CareFirst Blue Cross and Blue Shield (CareFirst), serving members in MD, DC and northern VA, experienced a cyberattack affecting 1.1 million CareFirst members.
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Domestic Partner Endorsement
Specific to Individual market, Highmark DE is now permitting same sex/opposite sex domestic partners to enroll in a single health care policy. This became effective 3/1/14, per the DE mandated coverage of civil union partners and same sex marriage.
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ACA Transition Campaign
Many small group clients in Delaware will be ending their current pre-ACA coverage in December 2014. December renewals will be released and on the portal in early August – a full two months ahead of schedule.
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Update on Individual Commission Payment Resolution
Highmark Delaware Distribution Administration has been working to resolve issues regarding commission payments on individual policies. Please note: Commission can only be paid after the premium has been received.
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Improved Resources Section & New Payment Option for FFM
Highmark DE has made improvements to their producer and member portals. Producers can now streamline searches and order supplies. Individual members purchasing FFM can ACH their 1st month's premium.
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Producer Hotlines now available!
Effective immediately, producer hotlines are available for Highmark DE under and over 65 business inquiries; including small and large group markets.
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On_Exchange Business Commmissions - Producer Verification Process
Highmark DE has been receiving enrollment files from CMS for on-exchange producer-sold business. A high volume of these sold policies have missing or invalid producer information. Please adhere to verification process to assure you receive proper pay
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Small Employer Contributions to HRAs and HSAs
Since the employer contribution is entered into the AV calculator, plans with HRA or HSA contribution amounts must be pre-determined and are therefore pre-set for each designated HRA or HSA compatible option.
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On-Exchange Sales Platform for Individual Sales
Highmark Delaware will soon launch its new on-exchange sales platform on the producer portal. The new platform will provide producers with the ability to view products, rates, enroll and pay for a consumer's purchase
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Tobacco Status due February 13, 2014
To accurately calculate monthly premium amounts at renewal, Highmark Delaware requires that your clients submit information about the tobacco use status of every covered employee and their dependents age 18 years and older.
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Individuals can access virtual ID Cards
To help ensure individuals who have enrolled for plans with a January 1, 2014 effective date have access to the services they need, Highmark is making virtual ID cards available online, in the member section of the Highmark website.
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Training for Individual Off-Exchange Sales
Highmark DE previously provided an Individual Market - Off-Exchange Guide, they have recently developed online training that you can view at your convenience. You can play, stop, rewind or replay this training.
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Individual Sales - Now Available Online
Highmark DE is pleased to announce producers and individuals can not only review plans and rates, but actually complete enrollment and payment, all on their website.
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Clarification of the 2014 Changes to the Delaware Pharmacy Program
When groups purchase or renew their health plan in 2014, there will be a change to their Rx benefit. The MAC A benefit will be replaced by MAC B. This will change the process, which providers and members follow, to fill a brand scripts.
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