Here is the latest edition of Model Consulting's Week in Review Newsletter. We
hope you find the Newsletter informative and helpful.
Your feedback is
extremely important to us. Please contact Tracy Duffield at 215.947.7167 or tduffield@modelconsultinginc.com to share your ideas, comments
and/or suggestions. We look forward to hearing from you!
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Model
Consulting Webinar: ARRA and New COBRA
Compliance Obligations
On March 16, 2009
from 2:00 - 3:00 pm (EST) Model will be conducting an informative and
timely webinar on The American Recovery and Reinvestment Act of 2009
(ARRA). The one-hour webinar will be
presented by Amanda Layton, Associate Attorney in WolfBlock's Employee Benefits
and Employment Services Practice Groups.
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Capital BlueCross: Provider Directory Changes
In an effort to move toward a "greener environment" and to
respond to frequent customer requests for an electronic version of our provider
directory, we are creating a CD version of the commercial provider directory.
This initiative will take effect beginning with the next directory release in
April 2009. The "Go Green" initiative was first introduced in our Medicare
marketing materials in late 2008 when we gave potential members a CD rather
than a paper directory, with an option to receive a paper version if necessary.
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Highmark Blue Cross Blue Shield: Health Care Reform
As
you may be aware, Pennsylvania's
Act 62 of 2008 ("Act 62") mandates coverage for autism spectrum disorders and
colorectal cancer screening. It affects insured employers with 51 or more
employees.
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Horizon BCBSNJ - Amendment to the Dependent to
Age 30 Continuation Benefit
Effective January 1, 2009, the Dependent to Age 30 Continuation
Benefit has changed to the Dependent Under 31 (DU31) Mandate. Now, dependents
younger than age 31 but older than the limiting age for dependent children
stated in the group health benefits plan will be permitted to elect continued
coverage if the required criteria is met.
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United Healthcare: Pharmacy Drug List Changes
Effective May 1, 2009, several medications will move tiers on our Advantage and Traditional Prescription Drug Lists (PDLs). Up to six times a year, up-tiering changes are made to our Advantage PDL. On January 1 each year, we synchronize the Traditional PDL with the Advantage PDL up-tiering changes that were made throughout the prior year. Down-tiering and benefit plan changes occur throughout the year on both PDLs.
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