Medicare AOR Processes by Carrier
As the Medicare AEP approaches, please find a quick reference guide on the different Agent of Record (AOR) processes by carrier.
Inova is Joining Optima's Network
Effective September 1, 2022, Optima Health includes all Inova® Health System hospitals, facilities, physician practices, and providers as in-network for group and individual members.
As a result, Optima Health is expanding its group and individual plan offerings into Northern Virginia.
New From Delta Dental
Delta Dental is offering a new Broker Bonus Program for enrolled groups between October 1, 2022 and January 1, 2023! To qualify, sell a group with 25-499 subscribers and earn up to $4,000! Payouts will begin in February 2023. Click here to learn more!
Other exciting Delta Dental news:
- DeltaVision rates have been lowered 13-18%, effective October 1, 2022 for all new and existing accounts
Right Start 4 Kids is now in place for all Small Groups. Right Start covers dependents to the age of 13 at 100% with no deductibles. Click here to learn more.
UHC Participation and Floor Certification Form Update
As you may already know, UHC’s Participation and Floor Certification Form may be used in place of the wage and tax documentation for fully insured Small Business groups with 10 or more eligible employees. The form has been updated with a June 2022 revision date. Effective immediately, this version is required for all groups after August 1, 2022.
The form is used to certify, as a condition of eligibility, that a group is in compliance with the minimum participation requirements as expressed in the group policy.
Anthem Individual SEP Bonus
Starting with 7/1/2022 through 12/1/2022 effective dates, brokers can earn more for each Anthem Individual enrolled during a special enrollment period (SEP). Anthem will pay you $125 per member enrolled once you've enrolled at least 10 members.
Inflation Reduction Act Contains Some Healthcare Reforms
While this bill is primarily aimed at fighting inflation and reducing carbon emissions, it also contains a number of reforms that will impact health coverage.
Final Rule Implements Ban on Surprise Medical Billing
The final rule is generally intended to make certain medical claim payment processes more transparent and clarify the process for providers and health insurers to resolve their disputes.
The information herein should not be construed as legal or tax advice in any way. This content is provided for informational purposes only. You should seek the advice of your attorney or tax consultant for additional or specific information.