Kilpatrick

Carrier News

Group Health Plans – Determination of Medicare Part D Creditable Coverage Status

Employers are required to provide notices to Medicare-eligible individuals covered by their prescription drug plan about whether the plan is … FULL STORY

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BCBS Updates Retail (Individual Under 65) Compensation to PMPM in 2021

BCBS is changing its compensation schedule for individual under 65 major medical qualified health plans (QHPs). They are moving away … FULL STORY

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BCBS Transitions to New SBC Tool for 2021

BCBS is transitioning to a new platform to generate SBCs for group and individual market plans. The old tool will … FULL STORY

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BCBS Providing Premium Credits on November 2020 Billing Statements

BCBS will issue premium credits to fully insured group customers on their November 2020 billing statements. The credits apply as … FULL STORY

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BCBS Launches Financial Relief Program for 51+ Insured Customers

BCBS of TX announced a COVID-19 Economic Response Program designed to help new and existing fully insured employer group customers … FULL STORY

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UHC and Houston Methodist Finalize Network Agreement Effective June 1, 2020

UHC and Houston Methodist finalized a multi-year network agreement to bring Methodist’s facilities back into UHC’s provider networks. The agreement … FULL STORY

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All Savers Offering 15 Month Rate Guarantees

All Savers will offer a 15 month rate guarantee to groups effective or renewing Nov 2019 – Jan 2020 and … FULL STORY

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BCBS Mandatory Broker Training for SEP Process (individual)

BCBS of TX requires all brokers who sell individual policies to complete a mandatory Special Enrollment Period (SEP) process training … FULL STORY

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Memorial Hermann Small Group Plan Changes in 2020

For 2020 effective dates, Memorial Hermann modified a few benefits on their existing 2019 small group and Hybrid plans. The … FULL STORY

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BCBS Offering First Year Renewal Rate Cap on New Mid-Market Business Dec 2019 – Mar 2020

BCBS will give a first year renewal rate cap of 9.5% to all new mid-market (51-150 segment) medical cases written … FULL STORY

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