Flashes

2019 Fully Insured Small Group ACA Update

October 23, 2018

In the next week, you should begin receiving your 2019 January ACA renewal portfolios via email. Please note that it may take up to 10 business days to get all the renewals out.

Once the Illinois small group ACA renewals are sent, we will start sending small group ACA alternates for your transitional renewals. You do not need to request an ACA alternate for a transitional plan.

We ask for your patience while the client consultants work to get these out to you quickly. 

You can only open secure attachments for 30 days before they expire, so save your rate portfolio when you receive it to avoid issues later. 

We are also emailing Illinois and Iowa small group ACA prospects this week.

2019 Commission Rates

October 9, 2018

We are happy to announce that effective January 1, 2019, we will be increasing the commission rates on large group and Balance new sales and small group new and renewal sales.

We value the relationship with our agents and brokers and appreciate the service you provide to our members and groups. As the market continues to evolve, we will evaluate our commission structure and make adjustments as needed.

The new Schedule A (Commission Schedule) was emailed to the principal agent at each agency last week. 

If you have any questions, call Broker Support at 1-877-917-8489 or email BrokerServices@healthalliance.org.

Updates to Riverside Sales Kits

October 9, 2018

We’re correcting errors found in the Riverside Medicare Advantage fold guide, the provider section of the guidebook, and the provider spotlight flier. In the fold guide, the Simplete Riverside 3 out-of-network X-ray cost-sharing amount is listed incorrectly. The correct out-of-network cost-sharing amount is a $50 copay.

In the guidebook and provider spotlight flier, Prairie Rock Foot & Ankle and Orthopedic Associates of Kankakee should have been removed from our list of Tier 1 providers.

In all sales kits, we’re inserting an errata page with the corrected information directly behind the sales kit cover letter. We will send the letters and updated provider spotlight fliers directly to the brokers whose sales kits have already been shipped.

If you have any questions, call Broker Support at 1-877-917-8489 or email BrokerServices@healthalliance.org.

2019 Broker Certification Courses

October 5, 2018

All brokers appointed to sell our products in Illinois for individual, small and large group (including group Medicare), and self-funded plans must complete the 2019 Health Alliance Broker Certification courses by January 31, 2019. The courses are now available in your online training account.

We’ve posted an online training guide on the Forms & Resources section of Your Health Alliance for brokers to help you get started.

You only need to complete courses for the lines of business you actively sell with us. If you begin selling another product mid-year, you’ll need to return to the training website and complete the certification for that product. All Illinois resident brokers will receive continuing education credits for each course completed.

Appointments will be terminated for any brokers who do not complete the 2019 Health Alliance Broker Certification by January 31, 2019.

Note: This Illinois-specific training applies only to Health Alliance and not to the Federally Facilitated Marketplace (FFM) training through CMS. You must also complete your FFM training through CMS in order to receive compensation on individual FFM policies.

This training is different than your Medicare training you might have completed with Health Alliance. If you have any questions, contact Broker Support at 877-917-8489 or BrokerServices@healthalliance.org.

When to Expect Small Group Renewals

September 25, 2018

Small Group Renewals for November 2018

For ACA renewals, you should have received an email from us on September 1 with a link to access the renewal. We sent November transitional renewal portfolios for fully insured small groups with a November 1 effective date a few weeks ago, so you should have them now.

Small Group Renewals for December 2018

For ACA renewals, you will receive an email from us on October 1 with a link to access the renewal. We began emailing transitional renewal portfolios for fully insured small groups with a December 1 effective date on September 10, so you should have them by now.

Small Group Renewals for January 2019

For ACA renewals, we’ll send an email with a link to access the renewal on November 1 (pending Department of Insurance approval). You will renew your January ACA groups in our private exchange. 

We began emailing the transitional renewal portfolios last week. You should receive them by the end of next week. Once we receive Illinois and Iowa Department of Insurance approval on the ACA plans (expected in early November) we will begin emailing you the ACA alternative quotes for groups on transitional plans. You do not need to request these quotes. 

If you have questions, please call the Client Support team at 217-902-8151.