Member Maintenance on Your Health Alliance for Brokers

March 20, 2018

As of March 15, you can do member maintenance for your groups on Your Health Alliance for brokers. When you go into a group member’s plan details, you can use the Actions section to update their information.

With this enhancement, you should no longer need access to Your Health Alliance for employer groups to use the same functionality. This lets you log in to one profile to manage all of your business. 

Since this is not the original application, you or the employer group must retain the original application. State and federal guidelines require employer groups and brokers to retain the member’s original application for the life of the plan, plus 10 years.

You will not have the ability to submit online enrollment changes if the group submits their enrollment via 834 file on either Your Health Alliance for brokers or employer groups.

For images and more detailed directions, use our YourHealthAlliance.org Guide for Brokers, also available on the Forms & Resources page. If you have any questions, email BrokerServices@healthalliance.org.

Discontinuing Rxtra in May

March 13, 2018

We will be discontinuing the Rxtra program for new and renewing large and small groups (transition, SHOP, and direct), effective May 1, 2018, and later. It will be removed from your groups’ plans upon their renewals. Please notify your employer groups of this change, and employer groups should notify their employees.

The program was originally meant to bring members and employer groups cost-savings. Unfortunately, it no longer meets those standards of savings.

Self-funded groups can request to continue the Rxtra program, but it will add to admin costs and higher paid claims for the group.

While we work to implement an alternative program, we would like to remind you that the member is charged the lesser of the cost of the prescription or the copay. Most Rxtra medications are on our low cost medication list, so members will likely pay less than their full copay. And given the low costs of these medications, members with coinsurance will be minimally impacted.

Members will also be able to receive 90-day fills of these prescriptions now. Under Rxtra, they were limited to 30-day fills.

We will let you know details of our new program as they become available. If you have any questions, contact your client consultant.

Error on Your January Commission Statement

March 1, 2018

We’ve identified an error on your January 2018 commission statement. It’s in the PDF statement’s total displayed on page 1, under Summary and Summary totals. All payments were calculated and paid correctly. The PDF commission statement is the only part that was affected. This issue is isolated to individual members and does not affect Medicare or group.

The version of the commission statement that you can download as an Excel file is correct and should be used as the statement of record at this point. We recommend that you download this to confirm the commission amount to pay, and thus your payment, was correct.

To download your commission statement in an Excel format:

  • Log in to Your Health Alliance for brokers. Choose the Commission Statements box from the quick links on the side.
  • From the list of all your statements, choose January 2018’s row, (do not check the check-box) to bring up a PDF version, which has a Statement Extract option in the menu on the left.
  • In Statement Extract, you’ll see a partial report. Choose the Save button in the top right corner.
  • A pop-up will open for you to choose a format to save in. Choose XLS for Excel, and then you can choose to open or save the file.

You can also see step-by-step directions with images in our YourHealthAlliance.org Guide for Brokers.

We will have this resolved by the next commission run, and we’ll send you an update when the corrected commission statement becomes available.

We appreciate your patience and apologize for any inconvenience. If you have any questions, email us at BrokerServices@healthalliance.org.

Important Changes to Small Group Rating Area 10 Rates

February 6, 2018

We’re excited to announce that we’ve revised our small group SHOP and direct ACA rates to be more competitive. These new rates, available April 1, 2018, are lower than our first quarter rates. The plan offerings have not changed. As you look forward to your second quarter renewals, take a look at what we can offer.

All April prospective and renewal quotes that have already been submitted have been quoted with the new rates.

Prospective quote requests should be sent to Quotes@healthalliance.org. We are working to update our online quoting and enrollment tool and will let you know when the new rates are available through the tool.

If you have any questions, contact your client consultant.