Flashes

Status Update: Extension of Illinois Transitional Plans

March 13, 2017

We are extending our Illinois individual and small group transitional plans through 2018 after the Illinois Department of Insurance released a bulletin on March 10 to provide guidance for the extension of transitional policies in Illinois.

This comes after recent federal guidance that permits states to extend transitional policies for individual and small group health insurance plans to policy years beginning on or before October 1, 2018, provided that all policies end of December 31, 2018.

We are also extending our Iowa small group transitional plans. Contact your client consultant with any questions.

Fraud Alert: HHS OIG Hotline Phone Number Used in Scam

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently confirmed that the HHS OIG Hotline phone number is being used as part of a telephone spoofing scam targeting individuals throughout the country.

HHS OIG will not use the HHS OIG Hotline phone number, 1-800-HHS-TIPS (1-800-447-8477), to make outgoing calls, so individuals should not answer any calls from this number.

These scammers represent themselves as HHS OIG Hotline employees and make it seem as if the call is coming from the HHS OIG Hotline. They may use various tactics to obtain or verify the victim’s personal information, which can then be used to steal money or for other fraudulent activity. HHS OIG takes this matter seriously and is actively investigating this matter.

We encourage everyone to remain vigilant, protect their personal information, and guard against providing personal information during calls that claim to be from the HHS OIG Hotline.

It is still safe to call into the HHS OIG Hotline to report fraud. Those who believe they may have been a victim of this scam are encouraged to report that information through the HHS OIG Hotline at 1-800-HHS-TIPS (1-800-447-8477) or by emailing Spoof@oig.hhs.gov. Individuals can also file a complaint with the Federal Trade Commission at 1-877-FTC-HELP (1-877-382-4357).

Learn more about how people can protect themselves or report this scam at OIG.HHS.gov.

2017 Medicare Supplement Rates

March 2, 2017

We sent current individual Medicare Supplement members a rate renewal letter and new rate sheets for 2017 on February 24. Our rates for each age range did not increase this year, so any increase they see will be from moving into a new age bracket.

Status Update: Extension of Transitional Plans

March 1, 2017

Recent federal guidance permits states to extend transitional policies for individual and small group health insurance plans to policy years beginning on or before October 1, 2018, provided that all policies end by December 31, 2018.

Iowa

We are extending our Iowa small group transitional plans through 2018 after the Iowa Insurance Division released a bulletin on February 24 to provide guidance for the extension of transitional policies in Iowa.

Illinois

We are waiting on guidance from the Illinois Department of Insurance and will send an update as soon as we have Illinois-specific information.

Contact your client consultant with any questions.

New Assistant Access on Your Health Alliance

February 24, 2017

We are excited to announce that as of February 28, your assistants can access your agency book of business and commission statements on Your Health Alliance for brokers.

They’ll also have access to many of the same tools you use to help support your clients. To grant this access to your assistants, the principal agent at your firm needs to sign the Assistant Permissions Page, available in the Forms & Resources section of Your Health Alliance, and send it to BrokerServices@healthalliance.org.

Once we’ve received and reviewed this, we’ll email your assistants with instructions on how to register and details on the access available to them.

Check Eligibility on Your Health Alliance

In 2016, we introduced the new Your Health Alliance for brokers, which includes group book of business. This gives you access to your groups and the census tied to each group. From the census, you can see a list of the subscribers, their dependents, their plan, and whether they are active or termed, including dates.

Now that it’s available, we ask that you use this online access to check eligibility. You will no longer receive a response from Membership@healthalliance.org when you submit an application for a new add, a change in eligibility, or a request to term a member.

Please allow 3 business days for the information to appear on Your Health Alliance.

Large Group Commissions Go Up

February 16, 2017

We are happy to announce that starting with new quotes effective on March 1, we will be increasing the standard commissions on large group sales. In addition to an increased employee rate for HMO and POS products, you will now be paid per dependent for all new HMO, POS, and PPO sales.

If you request the increase on existing business, we will accommodate that request at the next renewal. These new commission rates will not apply to Medicare groups, which will continue under the current commissions arrangement.

We value our relationships with our brokers and the service you provide to our large groups. We will evaluate our structure on an annual basis.

New Large Group HMO, POS, and Balance Plan Commission Rates

  • Group size 1 to 50: $33.50 per employee
  • Group size 51 to 150: $25 per employee or negotiated
  • Group size 151+: $17.65 per employee or negotiated
  • Per dependent: $5

New Large Group PPO Commission Rates

  • Group size 1 to 50: $31.50 per employee
  • Group size 51 to 150: $21 per employee or negotiated
  • Group size 151+: $13.65 per employee or negotiated
  • Per dependent: $5
Group size = Enrolled employees at the time of the sale or renewal

Note: We will still allow negotiated or non-standard commissions upon request.

Email BrokerServices@healthalliance.org with any questions.