New Allowances for FSA/DCA Signed Into Law – COVID Update

Optional FSA and DCA Allowances in new COVID Stimulus Package  A new stimulus package has been passed by Congress and signed into law by the President that provides a number of Health FSA (FSA) and Dependent Care Account (DCA) related provisions including new rollover rules. These new rules are optional to the Employer, but Employers must… Read More

Smylen announces integration with Ease and Employee Navigator

Smylen announces integration with Ease and Employee Navigator We are excited to share the news that our partner Smylen, a fast-growing dental benefit provider, now has integrations with Ease and Employee Navigator to help simplify and remove friction from the benefits enrollment experience. Here’s how these new integrations will benefit employers and brokers:  Easily add Smylen from their marketplaces  Smylen’s… Read More

Small Group Carrier Requirements and Hospital Charts NY/NJ 2021

Below are links to our 2021 Small Group Insurance Carrier Requirements Quick Reference Charts for New York and New Jersey. 2021 New York Small Group Insurance Carrier Requirements 2021 New Jersey Small Group Insurance Carrier Requirements Below are links to our Quick Reference In-Network Hospital Charts outlining the hospital systems that are included in each… Read More

Members HealthPlan 2021 Updates and Materials

See Below 2021 Updates and Information from Members Health Plan Please note the following 2 key changes effective 1/1/20: Husband/Wife groups are no longer eligible Pharmacy changing to Aetna   January 2021 Plan Changes and Updates Pharmacy Program transitioning to Aetna effective 1/1/21 New ID Cards being Mailed to All current Members beginning the week… Read More

New at PGP: Consolidated Billing Solution!

Consolidated Billing Is Now Available At Professional Group Plans In an effort to help our broker partners maximize efficiency, streamline billing workflows and win more business (especially in the 51+ market), we are excited to announce we have a new, powerful administrative and consolidated billing solution. The PGP Consolidated Billing Solution is heavily discounted providing… Read More

Rippling Launches Rippling PEO

We are excited to announce a partner product launch: Rippling PEO Join Rippling for a Broker Learning Webinar on November 12 at 2 PM. Register Here. Rippling has announced the launch of their new PEO offering – Rippling PEO. As a reminder Rippling is an all-in-one HR platform designed for brokers and their clients. Rippling… Read More

Update: New ONMIA Products Participation and Contribution Requirements

Waiver of minimum participation and minimum employer contribution requirements on the new 7/1/20 Horizon OMNIA Health Plans has been extended to 12/31/20. Below is the original Brief Notes announcing these new plans with updated waiver highlighted in yellow. HORIZON BRIEF NOTES Applies to: Small Employer & Mid-size markets New OMNIA Health Plans for Small Employers… Read More

We are excited to welcome our new partner Clever RX

Clever RX is a free RX Savings Program that helps clients save money, promotes your agency and rewards you with a highly competitive commission program. We have scheduled a Clever RX Broker Learning Webinar on Tuesday November 3, 2020 from 1 PM to 2 PM. Click here to register for the Clever RX Broker Learning… Read More

You’re Invited to the 2020 Horizon Broker Sales Webinar

Horizon Blue Cross Blue Shield of New Jersey and Professional Group Plans cordially invite you to attend: The 2020 Broker Sales Conference via Webinar Thursday, October 29 at 1:30 PM   Click Here to register. About the Broker Sales Conference Horizon Blue Cross Blue Shield of New Jersey welcomes you to join us for an informative… Read More

Oxford New York Small Group Medicare Estimation Policy Reminder

Medicare Estimation is a process for determining the secondary payment when Medicare Part B is the primary payer. Medicare Estimation reduces the payment by the amount the primary Medicare Part B would have paid, by assuming the eligible member was enrolled in Medicare Part B. As previously communicated, July 1, 2020 Oxford began strictly enforcing… Read More