SummaCare Updates

On November 8, 2023

New Information Needed for Large Group Quoting Beginning November 1, 2024 a member level census will be required for all 51+ large group quoting. By including a member level census, SummaCare can review data compiled by our Artificial Intelligence (AI) tool for opportunities to offer your clients more competitive rates. Our quoting department can accept […]

MMO Update

On November 1, 2023

Stop Loss Coverage – Gene Therapy Rider Discontinued For all new and renewing business with an effective date on or after 02/01/24, the gene therapy rider will be removed and the cost for gene therapy will be included in specific stop loss rates. The separate gene therapy rider was originally developed several years ago around […]

Anthem Update

On November 1, 2023

Kettering Health is moving to a new network tier Kettering Health hospitals and doctors are moving from Tier 1 to Tier 2 in your clients’ 3 Tier health plan network on January 1, 2024. As a result, your clients’ employees may pay more for care they receive from Kettering Health doctors and facilities starting on […]

MMO: No Surprises Act – Pharmacy Reporting for small Groups

On September 14, 2023

Section 204 of the Consolidated Appropriations Act, 2021 (CAA) requires health insurers to share certain data related to prescription drugs and healthcare spending annually with the federal government. This data submission is referred to as RxDC reporting.RxDC reporting requires Medical Mutual to share premium split information for our Small Groups. Premium split represents the percentage […]

Anthem: SOCA MEWA Expands Chamber Members

On September 11, 2023

The Southern Ohio Chamber Alliance (SOCA) Benefit Plan is a self-funded solution for small Ohio employers and sole proprietors. The SOCA Benefit Plan lets eligible businesses join together to share in the overall health insurance claims risk. By being part of a large, self-funded pool, they receive financial protection backed by Anthem’s stop loss coverage. […]

Ohio Farm Bureau: Updated list of included SIC codes

On September 11, 2023

The Ohio Farm Bureau Health Benefits Plan is available to sole proprietors and employers with fewer than 50 employees who are headquartered in Ohio. Eligible businesses and sole proprietors must be in the agricultural economic sector. A helpful list of included SIC codes is provided here.

Anthem: Life and Disability clients will be administered separately

On September 11, 2023

In preparation for the move to The Standard, we are consolidating our Life and Disability business onto a single Anthem enrollment and billing system. We expect the deal with The Standard to close in Q1/24. For NEW business beginning 9/1/23 and later, a separate group number will be set up on Compass (the life/disability billing […]

SummaCare: MEWA Renewals, Broker Central and Broker Bonus Programs

On August 24, 2023

Reminder! Chamber Health Benefits (MEWA) Renewals The deadline for submission of changes or additions to any renewing MEWA plans is fast approaching! Please contact your Account Manager to coordinate changes to plan designs, networks or ancillary products. SummaCare Broker Central Broker Central is the new online portal which provides 24/7 access to SummaCare Commercial Group […]

Medical Mutual: Partnership Provides Weight Watchers Discount and free scale

On August 22, 2023

Through a partnership with WeightWatchers®, Medical Mutual members a can take advantage of savings ofalmost 50% on a monthly membership. WeightWatchers is dedicated to helping people build healthy habits for life with a livable program driven by research, advanced nutrition and expert coaching. New members who register for a program by October 31, 2023 will […]

The Hartford: RTQi – A real Solution with Fast Results

On August 9, 2023

From the initial quote request to the final quote delivery, RTQi from The Hartford streamlines implementation and improves broker and employer experiences. When you have a quote, you can be assured The Hartford has all the information needed for seamless implementation also. Challenges exist with quoting experiences. The Hartford is dedicated to improving upon our […]

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