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More Updates to GRx Quoting Guidelines for Large Group

January 4, 2018

We’re expanding GRx quoting guidelines for fully insured large group again to let more groups qualify for the GRx rating. The renewal increase is no longer limited to 40% or less. We will use GRx regardless of the renewal increase amount. We have also expanded the participation rule to 50%.

If you have questions, contact your account executive.

GRx Quoting Information Requirements

Census

1. Population to Be Included:

  • All eligible employees regardless of coverage status
  • All eligible dependents regardless of coverage status

2. Format Required:

  • Excel file

3. Order Required:

  • Last name
  • First name
  • ZIP code
  • Birth date, mm/dd/yyyy
  • Gender M or F
  • Covered Y/N

Group Information

1. Current

  • Current carrier
  • Current benefits
  • Current and renewal rates
  • Large claimants
  • Nature of business

2. Size

  • Large group prospects of 100 total employees or less
  • Must meet 50% employee participation
  • Out-of-state employees must be 30% or less of the total enrollment

Underwriting Requirements*

1. Current renewal (increase percentage is no longer a factor)

2. Must be the original increase, not a negotiated amount

3. For Illinois groups located in the following counties:

Cass, Champaign, Christian, Clark, Clay, Coles, Crawford, Cumberland, DeWitt, Douglas, Edgar, Edwards, Effingham, Fayette, Ford, Fulton, Greene, Hamilton, Henry, Iroquois, Jackson, Jasper, Jefferson, Kankakee, Knox, LaSalle, Lawrence, Livingston, Logan, Macon, Macoupin, Marion, Marshall, Mason, McDonough, McLean, Menard, Mercer, Montgomery, Morgan, Moultrie, Peoria, Piatt, Putnam, Richland, Rock Island, Sangamon, Scott, Shelby, Stark, Tazewell, Vermilion, Wabash, Wayne, White, Woodford

*Health Alliance will rerun groups post-sale with enrollment census to verify changes in risk. Groups may be subject to re-rating.

Your Health Alliance App for Android Devices Now Available

December 14, 2017

We’re excited to announce that the Your Health Alliance app for members is now available on the Google Play store. This means members can now use the app on both Android and iOS devices. They can register or log in with the same account details they use on the Your Health Alliance for members website to get started.

We’ll also be sending emails to active users of Your Health Alliance for members to let them know the app is now available.

If a member needs tech support help, they can call us at 877-647-2326 or contact us through the app. We also encourage members who try the app to fill out this feedback form to let us know of any issues or to tell us what features they’d like to see next.

To download the app, review its features, or to learn more about what we’re working on for future versions of the app, visit HealthAlliance.org/App.

Only 3 Days Left to Enroll in a 2018 Individual Plan

December 12, 2017

The last day to enroll for 2018 individual coverage is December 15.

Need help enrolling new clients for 2018 individual coverage?

Need help renewing coverage for current members on Marketplace or direct plans?

How do I know if my client is enrolled?

  • Look on your Book of Business. Allow 7 to 10 days for a member’s status to show as active once an application has been submitted.

Connect to helpful resources:

Visual Updates to Your Health Alliance for Employer Groups

We’re updating the visual design of Your Health Alliance for employer groups this weekend to be more intuitive and user-friendly. The functionality is not changing in any way, but we hope this will improve your clients’ experience using the site.

If you have any questions or concerns, contact client support at 1-800-851-3379, ext. 8024 or ClientSupport@healthalliance.org.

Updates on Using Our Online Quoting and Enrollment Tool

December 8, 2017

Small Group New Sales

Starting today, brokers and employers can quote January 1, February 1 or March 1, 2018, fully insured small group new sales through our online quoting and enrollment tool.

Small Group Renewals

Until further notice, our 2018 fully insured small group renewals will not be sent through the quoting and enrollment tool.

Individual

You can submit 2018 applications with special enrollment periods (SEPs) for individual members using the SEP enrollment form on Your Health Alliance for brokers. The SEP enrollment form is also available for individual members at HealthAlliance.org/Enroll. The online quoting and enrollment tool will not be available for individual SEPs on December 16, 2017. We will let you know when that is available.

If you have questions, contact our client support team at 1-800-851-3379, ext. 8024 or ClientSupport@healthalliance.org.

 

Iowa Small Group Service Area

December 5, 2017

We’ve made some changes to our Iowa fully insured small group service area for 2018. Please review the new map to see where we’re offering plans. If you have questions, contact your client consultant.

New 2018 Individual Medicare Supplement Program Available

We are excited to introduce a new individual Medicare Supplement program starting January 1, 2018. The new program features competitive premium rates, increased commission, and medical underwriting. The 2018 Medicare Supplement marketing materials for these plans are now available in the Forms & Resources section of Your Health Alliance for brokers.

The new program will:

  • Offer individual Medicare Supplement plans A, C, F, G, and N in Illinois
  • Offer competitive commission for new plans sold at 18% for the first 6 years if a person is new to our Medicare Supplement plans or 18% for the first 5 years if moving from another Health Alliance Medicare Supplement plan to one of the new plans
  • Offer competitive monthly premiums
    • Plan F – 65-year-old – $147 (non-Chicago, non-tobacco user) 
    • Plan G – 65-year-old – $129 ( non-Chicago, non-tobacco user)
  • Offer a 7% household discount for spouses and civil-union partners on the same policy and plan
  • Be medically underwritten. Applicants who apply outside the Guaranteed Issue Period must fill out Section 4: Health Information and Section 5: Medication Information of the enrollment form

We’ll send the principal agent an update to the commission schedule soon.

If a prospective member does have a Guaranteed-Issue (GI) right, write a brief description of the type and date of the GI right event on the top of their enrollment form.

If you have any questions about GI rights, call us at 1-800-851-3379, ext. 7876.