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

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