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Dear  , 

We want to wish you, your families, and your employees joy during this holiday season!  We truly appreciate your business throughout the year and look forward to a productive and rewarding partnership in 2010. 

This will be the last edition of Model's "Week in Review" in 2009.  We will resume the newsletter during the first week of January.  Please feel free to contact us with any feedback regarding the format or content of this weekly newsletter.  Your input is very important to us!

Please note Model Consulting's Holiday Schedule as follows:
  • Our offices will close at 12 pm on Friday December 18th for our company holiday party. 
  • Our offices will be closed on Thursday December 24th, Friday December 25th, Thursday December 31st, and Friday January 1st.

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Aetna:  Federal Law Requires Aetna to Collect Social Security Numbers

Aetna recently sent letters to Plan Sponsors with the subject line - "Federal Law Requires Us to Collect Social Security Numbers and Other Information from Plan Sponsors".  These letters (attached) were designed to outline Aetna's requirements for compliance with Section 111 (Medicare Secondary Payer) of the Medicare, Medicaid and SCHIP Extension Act which goes into effect January 1, 2010.  The letter was meant to notify Plan Sponsors that Aetna will need to collect this data in the future.  At this time Aetna has not issued guidelines as to how they will collect the information. 

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AmeriHealth NJ:  Position on Breast and Cervical Cancer Screenings

AmeriHealth does not have plans to change our Wellness Guidelines or coverage for breast and cervical cancer screenings as a result of new recommendations from the U.S. Preventive Services Task Force (USPSTF) and the American College of Obstetrics and Gynecologists (ACOG).

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Anthem:  COBRA Subsidy Clarification

The American Recovery and Reinvestment Act provision that provided eligible COBRA and state continuation participants with nine months of subsidized premiums will end December 31, 2009. Therefore, an individual who becomes eligible for COBRA or state continuation coverage after December 31, 2009, will not be eligible for the 65 percent subsidy.

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Horizon BCBS of NJ:  Medicare Part D Plan Rating Information Now Available

The Centers for Medicare & Medicaid Services (CMS) now requires health insurance plans to provide plan rating information about their Medicare Part D plans to any Medicare beneficiary upon request.

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Independence Blue Cross:  Position on Breast and Cervical Cancer Screenings

Independence Blue Cross (IBC) does not have plans to change our Wellness Guidelines or coverage for breast and cervical cancer screenings as a result of new recommendations from the U.S. Preventive Services Task Force (USPSTF) and the American College of Obstetrics and Gynecologists (ACOG).

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UnitedHealthcare:  Acquires Health Net's Northeast Licenses and Rights
to Renew Membership

We are excited to tell you that UnitedHealthcare completed its acquisition of Health Net of the Northeast's licensed subsidiaries and obtained rights to renew Health Net's membership in Connecticut, New York and New Jersey. Current Health Net customers who choose to renew with UnitedHealthcare will have broader access to quality care with one of the largest local and national networks, robust clinical programs and a full range of affordable products.

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UnitedHealthcare/Oxford:  Releases FAQ's for NY Dependent to Age 29

UnitedHealthcare/Oxford has issued a "frequently asked questions" document that provides details on how they will administer this legislation.

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Phone: 215-942-7199 · Fax: 215-942-7198
Email: info@modelconsultinginc.com