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MMO 11/21/23 Broker Update

  • On November 21, 2023
Medical Mutual Would Like to Introduce You to MedMutual Next Applies to: All MedMutual Next identifies the initiatives imperative to evolving our company to better meet the needs of our valued partners, like you. It started with reimagining our mission. Uniting with our partners to help people live healthier through all stages of life. Then, […]
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MMO 11/15/23 Broker Update

  • On November 15, 2023
Changes to New Business Enrollment Requirements Applies to: COSE Benefit Plan, Balanced Solutions Note: This does not impact ACA. Midsize (51-99) group business does not require wage and tax documentation at the time of implementation. In the spirit of streamlining our enrollment process and listening to broker feedback, we are making an important change in […]
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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 […]
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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 […]
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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 […]
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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 […]
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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. […]
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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.
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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 […]
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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 […]
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