Bring Your Book of Business Online To help our broker partners transition to Online Enrollment we have partnered with Ease to bring you an Exclusive Introductory Offer. Through this Exclusive Introductory Offer you will enjoy a substantially reduced rate and gain access to the #1 rated Benefits Administration and HR Software for groups with 2-250… Read More
All Covered Entities and licensed persons who are not fully exempt from the Regulation are required to submit a Certification of Compliance no later than April 15, 2020 (extended from February 15, 2020), attesting to their compliance for the 2019 calendar year. Note: Last year you were required to file two parts, a Notice of… Read More
Oxford NY to Mail Medicare Estimation Letter to Some Members For years Oxford has not specifically required members who were Medicare eligible to have both Medicare Part A & B coverage, as of July 1, 2020 they are changing how they enforce their policy. Oxford has advised that letters outlining this change are being mailed… Read More
Cigna has announced that they have entered into a definitive agreement whereby New York Life will acquire their Group Life and Disability Insurance business. This acquisition is expected to close in the third quarter of 2020. Click Here for the official Press Release.
The legislation fully repeals the Cadillac Tax and repeals the Health Insurance Tax effective January 1, 2021. This means the Health Insurance Tax will still be in place for 2020 and will be gone in 2021. Below are summaries of these two taxes that are now fully repealed. Cadillac Tax: This tax was to take… Read More
Click here to view the full release from the CMS. If you would like to submit any last minute FFM (ON EXCHANGE) cases through PGP you must submit a clean case by 12 noon tomorrow 12/17 to give us time to process before the deadline.
In 2020, members who require a brand prescription when a generic is available will pay the generic copay plus the difference in cost between the generic and brand drug. For example: If the brand drug cost is $125, the generic drug cost is $25 and the generic copay is $5 then the final member cost… Read More
Horizon Blue Cross Blue Shield of New Jersey announced on Thursday that a premium rebate check will be mailed out this month to 148,000 members who purchased a policy from the company in 2018. The average medical loss ratio, or MLR, check per member will be approximately $95, but they will vary, a spokesperson for the… Read More
Professional Group Plans is Now Contracted with EMPLOVA PEO We are excited to announce that we have expanded our Professional Employer Organization (PEO) representation to include EMPLOVA. Built around a Broker Friendly Model, EMPLOVA keeps the broker actively involved throughout the entire PEO process. Their target market is high-end white collar (financial services,… Read More
Below are links to our Quick Reference In-Network Hospital Charts outlining the hospital systems that are included in each carrier network. New York In-Network Hospital Quick Reference Chart New Jersey In-Network Hospital Quick Reference Chart Connecticut In-Network Hospital Quick Chart