RESOURCE CENTER

Health Care Reform (UHC)
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Broker Connection: ACA Nondiscrimination Ruling Update
The proposal primarily prohibits the exclusion from participation or the denial of benefits based on race, color, national origin, sex, age or disability for programs that receive federal assistance.
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Broker Connection: PACE Act Impacts the Definition of Small Groups
On Oct 1, the Protecting Affordable Coverage for Employees (PACE) Act was passed by both the House & the Senate and sent to the president to sign. This bill would amend the ACA to include employers with 51 to 100 employees as large employers.
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Broker Connection: ACA Rule Limits Waiting Period for New Hires
ACA establishes new rules around waiting period that may apply to new hires before they obtain eligibility for health coverage. Beginning with first plan year on or after 1/2014, all group plans must have a waiting period no greater than 90 days.
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Broker Connection: Obama Administration Extends Transitional Relief through 2016
On March 6, the Centers for Medicare and Medicaid Services announced the extension of the transitional policy for two years for policy years beginning on, after or before Oct. 1, 2016, with the possibility of another one-year extension.
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05.08.2013
Broker Connection: 2013 MLR Update, Important Deadlines
In this issue, one of the main topics addressed focuses on 2nd year of reporting MLRs is underway as required by the ACA. Read a review of 2013 critical deadlines and updates on how the MLR process may affect your clients.
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04.10.2013
Broker Connection: Health Reform Checklist Prepares Clients for Changes
In this issue, one of the main topics addressed focuses on preparing clients for reform, included are checklists for both 2-99 and 100+ size groups. Also included are PDL changes effective 7/1/13.
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04.24.2013
Road to Reform: Preparing for 2013 and 2014
This customer brochure is available in paper format, or online interactive. This guide is to help clients understand what is to come in 2013, adn what provisions will be effective in 2014.
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04.24.2013
Broker Connection: Customer Reform Guide updated for 2013 & 2014
In this issue, one of the main topics addressed focuses on The Road to Reform customer brochure having been updated to share with your clients what is coming in 2013 and what provisions will become effective in 2014.
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03.27.2013
Broker Connection: HHS Issues Final Health Reform Ruling
In this issue, one of the main topics addressed focuses on HHS ruling on adjusted community rating, guaranteed issue, guaranteed renewability, single risk pool, rate review provisions and more...
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01.03.2013
Broker Connection: CMS Proposes Insurance Market and Rate Review rules
In this issue, one of the main topics addressed focuses on HCR. CMS proposes rules that will affect how carriers will be allowed to rate come 2014. Age bands are to be consolidated which will negatively affect younger americans.
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10.01.2012
Broker Connection: SBC’s Available for 2-99 Fully Insured Groups
In this issue, one of the main topics addressed is SBC distribution for Oxford and UHC. For new business: using online request form (UHC); imbedded in quote (OHP). For renewal: sent to client and members (30 - UHC) (60 - OHP) days prior.
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09.19.2012
Broker Connection: Customers Surveyed for 2013 MLR Calculation
In this issue, one of the main topics addressed is UHC's survey to collect information needed for 2013 MLR calculation, New Accident Protection Plan, and more....
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09.05.2012
Grandfather Certification form deadline is Friday, 9/7
As a reminder, Grandfather Certification Forms are required for any 1-99 group policies that are in a grandfather position, and must be postmarked no later than Friday, Sept. 7, 2012.
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06.28.2012
US Supreme Court Health Care Reform Decision Update
UHC/Oxford releases their update regarding the landmark 5-4 ruling on PPACA, stating the individual mandate is within the power of Congress to impose as its a tax (at its core). Without this mandate, the other aspects of PPACA could not be funded.
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05.23.2012
Broker Connection: What PCORI fee means for Employers?
In this issue, one of the main topics addressed is Patient-Centered Outcome Research fee will be imposed on plan sponsors; ID cards now reference Optum Rx; MLR rebates forecasted; and more....
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