Empire BCBS Small Group Transition to New Pharmacy Benefits Manager

Starting January 1, 2020, Empire pharmacy benefits will be managed by Ingenio Rx. To ensure a smooth transition, Empire will be providing notifications to Small Group policyholders with several mailings to introduce Ingenio Rx and provide information on any changes that will occur.  What to expect after the transition: Improvement in care coordination Closed coverage… Read More

Horizon BCBSNJ Broker Education Webinar Series: IHC Medical Products 2019-2020

Horizon will be offering an upcoming broker webinar to discuss IHC Medical Products for 2019-2020.  If you would like to attend this webinar please register below by clicking on the link for the date and time you prefer then click “Register“. On the registration form, enter your information and then hit “Submit“. Thursday, October 24,… Read More

Horizon BCBSNJ Creditable Coverage Notices, Applies to All Markets

Horizon BCBSNJ Creditable Coverage Notices, Applies to All Markets Date: 9/25/19   Groups that offer prescription drug coverage to Medicare-eligible employees and their dependents are required to notify those employees and dependents whether their coverage is creditable or non-creditable. Notifications must be sent before the 2020 Medicare Annual Election Period, which begins on October 15,… Read More

PGP & Vitality Wellness Refresher Webinar

PGP & Vitality Wellness Refresher Webinar Date/Time: September 25, 2019 at 10:00 AM Click Here to Register.  Special Vitality Offer: Vitality is waiving implementation fees and the first month’s PEPM for groups signing up now through 1/1/20. Now is a perfect time to get in front of your groups to plan their upcoming year’s Wellness… Read More

Empire Has Reached an Agreement with Westchester Medical and Bon Secours 

As a result, effective immediately, all Westchester Medical and Bon Secours hospitals and affiliated physicians will rejoin Empire’s network of participating providers under a new multi-year agreement that is retroactive to June 1, 2019. (As previously communicated, these hospital systems had left the Empire network on June 1, 2019) That means that all Empire members… Read More

August 2019 Quarterly Newsletter 

Here is our August 2019 Newsletter. I hope you find this information helpful. To view this issue of the PGP Quarterly Newsletter click here   Inside this issue: ACA – Here come letters 972CG HSA – Should I invest? HRA News – Summary of Final Rule Financial Wellness Program Medicare Part D Creditable Coverage Notice… Read More

Exciting News! We Are Now Serving The Connecticut Market

At Professional Group Plans we diligently evaluate and pursue new opportunities that will help our Brokers Partners grow their Benefits Business. As such, we are excited to announce that we have expanded our business model and now serve the Connecticut market. Through successful relationships and continued growth we are now contracted with all of the… Read More

DFS Announces 2020 Premium Rate Increases

The New York State Department of Financial Services has announced 2020 Small Group rate increases. Below is a summary of approved rate increases by carrier. Carrier Requested Increase Approved DFS Increase Aetna 9.3% 1.1% Emblem 5.9% 4.9% Empire 8.5% 8.5% Healthfirst -4.7% -4.7% Oscar 17.5% 17.5% Oxford 15.9% 9.6%   We will share additional details… Read More

Exclusive Ease GA Promo – Save $1,080 on the first-year subscription cost!

As a PGP Broker, you can take advantage of this special GA Ease Introductory offer. Now is a great time to bring your book of business online and set yourself up for a great 4th quarter. Pro Subscription Up to 1,000 employees and 2 agency users additional seat: $119/seat $259/month billed monthly regular cost $359/month… Read More