Carrier News

Talkspace is now available to all Cigna members across all Cigna products for the same cost as an in-network outpatient behavioral health visit at a providers office.   Talkspace is an online therapy platform that makes it easy and convenient for members to connect with a licensed behavioral therapist from anywhere, at any time. The Talkspace clinical… Read More

Introducing Cigna + Oscar in Connecticut Broker Learning Webinar 3/31 at 11 AM Register Here    Oscar has announced that they will be bringing Cigna + Oscars small group health plans to the Connecticut Market beginning with 7/1/21 effective dates (all 8 counties including Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, and Windham). We are… Read More

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

UHC/Oxford New York has advised that moving forward, they will be conducting qualifying event audits on a sample of small group members each month. The audits will be to validate the eligibility of the enrollment activity. The first set of notifications were mailed out February 5th, with a response date of April 1st. Notification Letters were… Read More

Starting with 4/1 Effective Dates, Aetna AFA New Jersey has announced that they are  allowing groups down to 2 enrolled. The same portfolio of plans will be available with the same enrollment process. Below are the underwriting requirements for 2-4 enrolled groups with Aetna AFA New Jersey (starting with 4/1 Effective Dates):  Must meet ACA definition… Read More

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

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

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 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

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