Flashes

Individual Plans Now Available to New Enrollees

August 14, 2017

We are once again accepting applications for our individual direct and marketplace plans. Because we are outside of the Open Enrollment Period, only those with a qualifying event through a Special Enrollment Period can sign up for a plan at this time.

That means, with proper documentation, we will accept direct enrollments for those who have a life-changing event like a job change, marriage, or birth of a child, etc. Those who apply for coverage through HealthCare.gov will follow the Marketplace’s special enrollment rules.

Policies bought during the Open Enrollment Period with an effective date of January 1, 2018 won’t require SEP documentation. The Open Enrollment Period begins November 1 and ends December 15.

Current members can still add dependents with qualifying events to their current policies.

Our online quoting and enrollment tool for individuals is not yet available. We hope to have the tool available soon and will send an update when it’s ready.

There are no changes to the commission structure for individual policies. If there will be changes to the commission structure for 2018, we will let you know this fall.

If you have any questions, contact your client consultant.

New Small Group Quoting and Enrollment Tool

August 8, 2017

We’re excited to announce our online quoting and enrollment tool for new fully insured small group and small groups renewing on ACA plans. This new user-friendly platform will better serve those shopping for and renewing on our plans.

Starting with ACA renewing groups with a November 1, 2017 effective date, you will receive an email from Health Alliance. Use the link in this email to access the renewal, or visit HealthAlliance.org/Groups, choose the Small Group Plans page, and use the “New to Health Alliance? Get a Quote & Enroll Online” button at the top of the page. You can also access the tool through Your Health Alliance for brokers.

Transition renewals will not be sent from the quoting and enrollment tool. Your client consultant will email them to you.

If you take no action, the group will auto-renew on October 12, 20 days before the effective date.

You can renew ACA groups in 4 ways:

  1. As is, with no changes to eligibility, enrollment, or plans
  2. With changes to eligibility or enrollment
  3. With plan changes or enrollment changes
  4. Take no action to auto-renew

If you need help using the quoting and enrollment tool, check out the training video and guide in the Forms & Resources section of Your Health Alliance for brokers, and contact client support with any questions.

When to Expect Small Group Renewals

Small Group Renewals for October

Transition and ACA renewal portfolios for fully insured small groups with an October 1 effective date were emailed out on August 1. You should have them now.

Small Group Renewals for November

For ACA renewals, you will receive an email from Health Alliance on September 1. Use the link in this email to access the renewal.

On August 9, we will begin emailing transition renewal portfolios for fully insured small groups with a November 1 effective date. You should receive them within 3 to 4 business days.

Small Group Renewals for December

For ACA renewals, you will receive an email from Health Alliance on October 1. Use the link in this email to access the renewal.

On August 10, we will begin emailing transition renewal portfolios for fully insured small groups with a December 1 effective date. You should receive them within 3 to 4 business days.

Small Group Renewals for January 2018

Once we receive Illinois and Iowa Department of Insurance approval, we will begin emailing ACA renewal portfolios for fully insured small groups with a January 1 effective date. We’ll update you when we have more information.

On August 14, we will begin emailing transitional renewal portfolios for fully insured small groups with a January 1 effective date. You should receive them within 10 business days.

Issue with Ordering Materials On Your Health Alliance

August 4, 2017

We’re having a technical issue with ordering materials on the Forms & Resources section of Your Health Alliance for brokers. If you ordered materials online since July 1, we have not received these orders, so you will not receive those materials.

We should have this issue fixed by the end of this week, and then you’ll be able to place orders or reorder materials you requested during July. If you need to order materials before next week, you can email us at BrokerServices@healthalliance.org.

We’re very sorry for the inconvenience, and thank you for your patience.

New Participation Requirement for Small Group Direct Plans

August 2, 2017

For small group fully insured direct plans with an effective date of August 1, 2017 or later, the participation requirement has changed.

New requirement: 50% of all eligible employees must participate, except those with valid waivers. Other comprehensive coverage of any kind, including a Medicare or Medicaid plan, is considered a valid waiver. Non-comprehensive coverage includes mini-meds, short-term, and indemnity plans.

Previous requirement: 50% of eligible employees must participate.

If you have a small group with an August 1 or later effective date whose application for a direct plan was denied for not meeting the participation requirement, contact your client consultant to see if the group meets the new requirement.

Small Group Private Exchange Downtime Tonight

July 27, 2017

Our small group private exchange will be unavailable Thursday, July 27 from 7:30 to 11 p.m. CT to add additional functionality. We apologize for the inconvenience. During this time, you can submit a small group request for proposal (RFP) through email to Quotes@healthalliance.org.

To access the new exchange, visit HealthAlliance.org/Groups, choose the Small Group Plans page, and use the “New to Health Alliance? Get a Quote & Enroll Online” button at the top of the page. You can also access the exchange through Your Health Alliance for brokers.

Contact your client consultant with any questions.