IMC Weekly NewsletterApril 23, 2015

IMC University
CareFirst logo3  

Understanding LOEPs to Increase CareFirst Individual Sales
 
Location: Online

Learn how to increase your sales by knowing the Limited Open Enrollment Period (LOEP) triggering events. 

Get the answers you need to help your clients enroll in off-exchange individual plans before 2016 Open Enrollment.

register now: http://bit.ly/1zRoxqM
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In This Issue

Carrier & Industry Updates
aetna logo  

Middle Market (100+): iTriage� App Enhances Cost Transparency and Teladoc Features

iTriage has added a new Cost Transparency tool that leverages Aetna's award winning Member Payment Estimator. The feature allows members to view cost estimates for physician office visits, surgical procedures, maternity, and diagnostic tests and procedures. 

The iTriage app will also connect members to a physician via phone or videoconference for a convenient and cost-effective, non-emergency care option.

Please contact Jennifer Leibowitz for large group benefit support:

[email protected] or (240) 207-2714
Anthem Logo 
Free Look Period Gives Individuals Time to Examine Their Policies

As required by law, individual policy holders have a certain amount of time, or a free look period, to examine their policy, make certain changes without penalty, or return the policy for a refund.

For Off-Exchange Plans 
Members that are newly enrolled in an ACA plan will have a 30 days from the time they receive their booklet to request a plan change or a premium refund (less any claims paid). 

For On-Exchange Plans
Members will continue to have 10 days from the date the policy is issued to make changes. Members should contact the Exchange to make any changes or cancel their policy.

Important: Members may not switch from an off-Exchange plan to an on-Exchange plan (or vice versa) during their free look period.

Please read the Anthem Producer Online News for more information.
Required Employer Size Certification Forms for New Groups Quoted in 51-100 Segment

Anthem will require the following two forms to be completed by any new group being quoted in the 51 to 100 rated segment: 



The forms will be used to get a more accurate record of how many total employees the group has, rather than just how many are enrolled in the health care plan.

Please contact Jennifer Leibowitz at IMC for support: 
[email protected]
 or (240) 207-2714
CareFirst logo3



RSVP by May 1st - Broker Forum Invitation

CareFirst invites you to attend one of the upcoming Broker Forums scheduled for May 12, 2015 (Turf Valley) and May 13, 2015 (Martin's Crosswinds). 

Please RSVP to CareFirst by May 1, 2015 and include your full name and the name of your company.

Please read the Sales Flash for registration details and directions. See you there!
Commission Information - Selling Health Plans on the DC Health Link

Since the small groups that migrated for 2015 are to be considered part of the DC Exchange, all brokers doing business in DC need to be certified with the DC Health Link to receive commission for their 2-50 groups.

CareFirst is currently holding commissions for several renewing groups until brokers submit the necessary Exchange certification.

Impacted brokers will receive retroactive commissions once the necessary certification is received and updated in the system.

Please send a copy of your DC Exchange certification to Linda Perkins at IMC by email or fax: [email protected] or 301-685-6428

Please read the Sales Flash for more information.
New Customer Service Model Available for BlueFund Accounts

Going forward, there will be one phone number that employers and members may call for BenefitWallet support: 866-229-6069.

The support line is available Monday through Friday from 8 am to 8 pm EST.

Required Security Form
Employers are required to complete and submit the BenefitWallet Security Form to enable their broker to speak to BenefitWallet on their behalf.

Please read the Sales Flash and the BenefitWallet Authentication Process for more information.

Tax Penalty Reduction Special Enrollment Period Available

You can help your clients apply for coverage during the tax penalty reduction special enrollment period (SEP) through April 30, if they qualify. 

This special enrollment period is only available when coverage is purchased through the marketplace. While no documentation is required, applicants may have to attest that they didn't know about the tax penalty until they filed their 2014 taxes.

Please read the Broker Blast for more information. 
United Healthcare Logo

New EEOC Ruling Affects Workplace Wellness Programs

On April 16th, the Equal Employment Opportunity Commission (EEOC) released proposed rules to clarify the use of financial incentives within workplace wellness programs.

The proposed rules amend the ADA regulations to provide guidance on the extent to which employers may use incentives to encourage employees to participate in wellness programs that include disability-related inquiries and/or medical examinations.

Please read the UHC Broker Connection Newsletter article for more information.
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