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Broker NewsFlashCoventry Health Care
www.carelinkhealthplans.com
November 18, 2010
Dependent Age 26 - Special Enrollment Period Notice Requirement

Under PPACA, for plan years beginning on or after September 23, 2010, employers and carriers share a requirement to notify members about expanded dependent eligibility and the special enrollment right that must be provided for dependents who were previously ineligible due to age. To meet our obligation under this rule, Coventry Health Care will be sending a flyer to all subscribers active as of October 1, 2010 describing this expansion of eligibility. As required, this special enrollment notice states that members who were ineligible due to age may be added as groups renew. The member mailing will be sent no later than November 26, 2010.


Employer groups will be sent a copy of the flyer for informational purposes no later than November 19, 2010. Groups who renewed in October and November should provide the required 30-day special enrollment period immediately. Groups will then be allowed to enroll members retroactively to the start of the current plan year. Enrollment forms will be required for these members, and premiums will be charged retroactive to the start of the current plan year.

Try A New Direction

Coventry recently announced at their 2010 Broker Summit, the launch of new Point of Service ("POS") products statewide. These HMO-type benefit plans also have an out of network benefit included. Compared to our standard PPO plans, the POS plans offer very attractive pricing with slightly leaner benefits. They also are ideal when paired with a Health Reimbursement Account (HRA). There are traditional POS options as well as Consumer Driven POS options from which to choose. Multiple deductible levels are offered with each. 


The POS plans are available for Large Groups (51+ eligibles), effective December 1 and Small Groups (2-50 eligibles), effective January 1. For more information on how these exciting new products can take your prospects and clients in a new direction, please contact your assigned Account Executive or Account Manager.

Try a New Direction

Time for a New Focus on Wellness
Wellness ClockCoventry Health Care wants its members to live healthier lives. So we offer Coventry WellBeing™ with easy-to-use tools and information that focuses on their health. We now offer free health screenings for new employer groups with over 50 employees through a relationship with beBetter Health. The free health screenings apply in the first year only. The time is right to contact us to learn more about our focus on wellness.
Safe Senders

If you are not receiving emails notifying you that a new commission statement is available, please check to make sure that the following address is in your "safe senders" list.  You may also use this address to send questions about your commissions. 


coventrycommissions@cvty.com

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Coventry Health Care is a registered trade name of Carelink Health Plans. Inc. (Carelink), a West Virginia HMO. PPO products are underwritten by Coventry Health and Life Insurance Company and administered by Carelink Health Plans, Inc. in West Virginia. Benefits described herein are only a summary of the benefits available. A complete list of benefits, exclusions and the procedural requirements of the plan can be found in the Evidence of Coverage (CL.HMO.EOC.07) or Certificate of Insurance (CL.PPO.COI.07) and Schedule of Benefits (CL.SB.HMO.1-07 or CL.SB.PPO.1-07).
In This Issue
Dependent Age 26 - Notice

Try a New Direction

Time for a New Focus on Wellness

Contact Us
Charleston Office:
304.348.2970
877.388.2970

Wheeling Office:
304.234.3481
800.896.9612

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