Horizon Broker Education Webinar: Q&A Roundtable – IHC & Small Group

As part of their continuing Broker Education Series, Horizon Blue Cross Blue Shield of New Jersey is offering an upcoming Broker WebEx Session: Q&A Roundtable – IHC & Small Group Date & Times:   Session 1: April 1st  9:30am – 10:30am Session 2: April 1st  1:30pm – 2:30pm  Registration is required for the sessions (information below):… Read More

COVID-19 Update: NJ Individual – Extension of SEP and ARP Financial Relief

COVID-19 Update for the New Jersey Individual Market Impact of the American Rescue Plan Act and Extension of the COVID-19 Special Enrollment Period for Get Covered New Jersey  Extension of COVID-19 Special Enrollment Period Governor Murphy announced an extension of the COVID-19 Special Enrollment Period for Get Covered New Jersey to May 1, 2021. Below… Read More

EMPLOVA ESAC

Our Partner EMPLOVA PEO Has Earned ESAC Accreditation   ESAC accreditation is the gold standard for PEO best practices and financial reliability. It ensures a PEO is meeting the highest standards for financial stability, ethical business conduct and adherence to operational standards and regulatory requirement. Less than 5% of PEO’s have been able to attain… Read More

Montefiore Employee Communications

UHC/Oxford Montefiore Health Systems Out-of-Network Communications for Employees As previously communicated Montefiore’s hospitals and physicians are now out-of-network for UHC/Oxford plans. However, consistent with state regulations, members enrolled in fully insured commercial plans will continue to have in-network access to Montefiore’s hospitals until March 1, 2021. To help members with their transition UHC/Oxford has prepared employee communications providing alternative… Read More

At Home – NY Continuing Education 2021

PGP is sponsoring a New York 15-credit CE Virtual Course/Test Sign up for this self-study course then take your test at home to fulfill your Continuing Education requirement.  Registration Instructions: 1. Go to www.mycelive.com 2. Purchase the newest course called “Customer Service Basics”. Use Coupon Code: pgp2021 for the discounted price of $50 from $130. 3. Download this Monitor Affidavit Form and complete… Read More

2021 New York Paid Family Leave (PFL) Rate and Benefit Amounts

The Department of Financial Services (DFS) set the NY PFL rate and benefit amounts for 2021 as follows: The maximum contribution rate for PFL will be 0.511% of the employee’s gross annualized wages capped at the New York State Average Weekly Wage (NYSAWW) of $1,450.17 per week.  This means the 2021 maximum annual contribution per employee for PFL is… Read More

UHC/Oxford: Montefiore Health Systems Out-of-Network

Montefiore Health Systems Out-of-Network for UHC/Oxford Effective January 1, 2020 UHC/Oxford has advised that they were unable to reach an agreement with Montefiore Health System despite months of negotiations. As a result, Montefiore’s hospitals and physicians are now out-of-network for UHC/Oxford plans, effective January 1, 2021. Consistent with state regulations, members enrolled in fully insured commercial plans will continue… Read More

Horizon Deadline Extension 1.1

Horizon January 1st Effective Date: Deadline Extension See below from Horizon.  NJDOBI has extended the deadline for January 1st effective dates due to heavy call volumes received in the past 2 weeks for both ON and OFF Exchange. Please follow the process below for January 1st exception requests (including renewals) up to the deadline of… Read More