October 3, 2014 «PH_NAME» «ADDRESS_1» «ADDRESS_2» «SUITE» «CITY», «STATE» «ZIP» Policyholder ID: «PHID»
|
|
|
- Jeffrey Hodges
- 10 years ago
- Views:
Transcription
1 Health Net of California, Inc. PO Box 9103 Van Nuys, CA A. Ortiz: CA «PH_NAME» «ADDRESS_1» «ADDRESS_2» «SUITE» «CITY», «STATE» «ZIP» October 3, 2014 Policyholder ID: «PHID» Re: Health Net Small Business Group Portfolio Update Dear «ADDRESS_1», As our valued client, we recognize the importance of keeping you well informed of any changes that affect your health benefit coverage. With that in mind, we re sharing details with you about Health Net s upcoming 2015 ACA-compliant Small Business Group (SBG) portfolio. We have evaluated our portfolio to ensure you have the most valuable array of quality benefits from which to choose. As a result, we have updated our SBG product portfolio to offer you improved products, while continuing to give you affordable, sustainable solutions that best meet the needs of your business. Effective January 1, 2015, we will be discontinuing our current Health Net of California, Inc. WholeCare and Salud HMO y Más product offerings and replacing them with new WholeCare and Salud HMO y Más offerings. The 1/1/2015 WholeCare and Salud HMO y Más products have been refreshed and offer the same quality and value as the prior versions of these plans. We will also be adding SmartCare products to our portfolio starting 12/1/2014. The following nongrandfathered Small Employer plans and policies and will be available upon your next renewal date in 2015: Health Net of California, Inc. WholeCare HMO Platinum $10 WholeCare HMO Platinum $25 WholeCare HMO Platinum Standard Copay WholeCare HMO Gold $35 WholeCare HMO Gold $45 WholeCare HMO Gold Standard Copay Salud HMO y Mas Platinum $10 Salud HMO y Mas Platinum $20 Salud HMO y Mas Platinum $25 Salud HMO y Mas Gold $35 Salud HMO y Mas Gold $45 Health Net Life Insurance Company Health Net Platinum 90 PPO Health Net Gold 80 PPO Health Net Silver 70 PPO Health Net Bronze 60 PPO Health Net Gold 80 EPO Alternate Health Net Silver 70 HSA EPO Alternate LTR000703EW00 EMP (9/14) Health Net HMO plans are offered by Health Net of California, Inc. Health Net PPO insurance plans are underwritten by Health Net Life Insurance Company. Health Net of California, Inc. and Health Net Life Insurance Company are subsidiaries of Health Net, Inc. Health Net is a registered service mark of Health Net, Inc. Covered California is a registered trademark of the State of California. All rights reserved.
2 Health Net of California, Inc. SmartCare HMO Platinum 10 SmartCare HMO Platinum 20 SmartCare HMO Platinum 30 SmartCare HMO Gold 40 SmartCare HMO Gold 50 PureCare HSP Silver Standard Coinsurance PureCare HSP Bronze Standard Coinsurance Your Health Net plan options If you were enrolled in either a WholeCare or Salud HMO y Más plan, please make sure to select a replacement plan by January 1, 2015.You may contact your broker or Health Net directly to select the new versions of the WholeCare or Salud HMO y Más plans listed above, or choose a different plan(s). Other Options You and your employees will also have an opportunity to enroll for health coverage through the California Health Insurance Exchange (Covered California), without medical underwriting, for a January 1, 2015, effective date. As an employer, you can enroll in any small employer plans offered through Covered California for a January 1, 2015, effective date. Similarly, your employees will have an opportunity to enroll in any individual and family health plans offered through Covered California for a January 1, 2015, effective date. You will be able to obtain this coverage through the Covered California website at Additional information regarding health coverage choices through Covered California is included with this letter. Health Net of California has filed with the Department of Managed Health Care for regulatory approval to withdraw your current HMO plan from the market and to offer replacement benefit designs. This letter provides you with the required prior notice of discontinuance of your plan on your next renewal date, pending regulatory approval. Health Net is required to send a letter to your employees of this change in coverage. A copy of the letter that is being sent to your employees is included with this notice. We are also including a required Centers for Medicare & Medicaid Services (CMS) notice that contains additional information on obtaining SHOP coverage through Covered California. We appreciate your business and thank you for making us your trusted health care partner. For more information about Health Net s Small Business Group plans, please call your broker or Health Net at , option 2. Sincerely, Scott St. Clair Chief Sales Officer, Western Region Individual & Small Business Group
3 Health Net of California, Inc. PO Box 9103 Van Nuys, CA A. Ortiz: CA Important: Your Group Health Coverage Will Not Be Available Next Year. Dear «PHID», We have decided not to offer your group s current health coverage again next year. The current coverage will end on January 1, This means you may need to choose a new plan for your group members to have health insurance coverage. This letter explains the options available to you. Options from Health Net You can choose any other small group coverage offered by Health Net of California, Inc. Call , option 2, or visit to learn about plans available to you. What other options do I have? You may be able to choose a new health plan, or offer your employees a choice of plans, through different insurance companies, through the California Health Insurance Exchange (Covered California ). If you have fewer than 25 full-time-equivalent employees, you might qualify for a small business health care tax credit if you buy insurance through Covered California. You can choose to buy a new health plan outside Covered California directly from an insurance company or with the help of an agent or broker. But remember: If you re eligible for a small business health care tax credit, you usually can get that credit only if you buy a plan through Covered California. What else should I look at before deciding? Call or visit the plan s website to check which doctors, other health care providers, and prescription medications are covered by the plan. This is an important step when choosing a plan that meets the needs of your group members. When do I need to make a decision? You generally can buy coverage any time. If group members enroll by the 15th of the month, coverage can begin on the 1st of the following month. (continued) LTR000703EW00 EMP (9/14) Health Net HMO plans are offered by Health Net of California, Inc. Health Net PPO insurance plans are underwritten by Health Net Life Insurance Company. Health Net of California, Inc. and Health Net Life Insurance Company are subsidiaries of Health Net, Inc. Health Net is a registered service mark of Health Net, Inc. Covered California is a registered trademark of the State of California. All rights reserved.
4 We are notifying your employees Federal law requires that we notify all group members with this coverage that it is no longer being offered. Because we might not know about other coverage decisions you have made, we ll tell your employees to check with the plan sponsor or administrator about coverage options that might be available through your organization. Questions? Call Health Net at , from 9:00 a.m. to 5:00 p.m., Monday through Friday. Select option 2. Visit CoveredCA.com or call Covered California at and Consumer Assistance Information/HealthCare.gov or call to learn more about Covered California. Getting Help in Other Languages Spanish (Español): Para obtener asistencia en Español, llame al Health Net at Chinese
5 Sample Employee Letter, page 1 LTR000703EW00 EMP (9/14) Health Net HMO plans are offered by Health Net of California, Inc. Health Net PPO insurance plans are underwritten by Health Net Life Insurance Company. Health Net of California, Inc. and Health Net Life Insurance Company are subsidiaries of Health Net, Inc. Health Net is a registered service mark of Health Net, Inc. Covered California is a registered trademark of the State of California. All rights reserved.
6 Sample Employee Letter, page 2
Massachusetts Health Connector logo. The Health Connector: Massachusetts New and Improved Health Insurance Marketplace
Massachusetts Health Connector logo The Health Connector: Massachusetts New and Improved Health Insurance Marketplace Massachusetts: The model for national health care reform 1 Massachusetts led the nation
$243.41 $34.69 16.62% 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze 26 $ 212.88
Marketplace plans that were available in Coverage years and/or 2015. 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze 0-20 $ 132.01 $153.95 $21.94 16.62% 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze
Small Business Application
Small Business Application for Group Enrollment and Change Medical and Life/AD&D plans are provided by Health Net of California, Inc. and/or Health Net Life Insurance Company (together, the Health Net
Plan Names, ID Card and Provider Directory Reference Guide
Anthem Blue Cross of California Provider Directory: https://www.anthem.com/health-insurance/providerdirectory/searchcriteria?qs=%2aj7vxisnfeux2dsg3u70q4g==&brand=abc Plan name on CoveredCA.com Plan name
Large Business Application
Large Business Application for Group Enrollment and Change Medical and Life/AD&D plans are provided by Health Net of California, Inc. and/or Health Net Life Insurance Company (together, Health Net ). Dental
Small Group Plan Options HMO
HMO Platinum Plans These plans will cover about 90% of your service and you are responsible for the other 10% Benefits Platinum Platinum Platinum 25 / 50 / 500 HMO 20 / 40 / 1000 HMO 20 / 40 HMO Deductible
Delaware Rates for Aetna Life Insurance Company Marketplace QHPs - Individual Marketplace Plan Year 2016
Delaware s for Aetna Life Insurance Company Marketplace QHPs - Individual Marketplace Plan Year 2016 that were available in Coverage years and/or. Tobacco Change ($) 29497DE0090001 Aetna Bronze $20 Copay
List of Insurance Terms and Definitions for Uniform Translation
Term actuarial value Affordable Care Act allowed charge Definition The percentage of total average costs for covered benefits that a plan will cover. For example, if a plan has an actuarial value of 70%,
Small Business Guidelines
The following policy and qualification guidelines apply to all employers offering Kaiser Permanente small business coverage. ELIGIBILITY Your company may be eligible for Kaiser Permanente s guaranteed
You don t have to change plans unless you want an option other than the following:
Why is Caltech changing my retiree medical benefits? As you know, health care costs have been increasing significantly over the years. This has made it difficult for Caltech to provide retiree medical
Covered California Basics:
Covered California Basics: Resources, Tools and Information for You and Your Patients California Chapter of American College of Physicians Services California Academy of Family Physicians California Academy
Small Business Health Options Program (SHOP) Health Insurance Plans
Small Business Health Options Program (SHOP) Health Insurance Plans Aug. 1, 2013 p About Covered California Covered California is charged with creating a new insurance marketplace in which individuals
What is a Medicare Advantage Plan?
CENTERS FOR MEDICARE & MEDICAID SERVICES What is a Medicare Advantage Plan? A Medicare Advantage Plan (like an HMO or PPO) is a way to get your Medicare benefits. Unlike Original Medicare, in which the
Key Facts About the Small Business Health Options Program (SHOP) Marketplace
Key Facts About the Small Business Health Options Program (SHOP) Marketplace The Small Business Health Options Program (SHOP) Marketplace is now open and ready to help you get health coverage for your
So many ways into the complex health care system One guide to make shopping for your employees health insurance simpler. For small businesses
So many ways into the complex health care system One guide to make shopping for your employees health insurance simpler. For small businesses Michigan SHOP Marketplace (Small Business Health Options Program)
Annual Notice of Changes for 2014
First Health Part D Premier Plus (PDP) offered by Cambridge Life Insurance Company Annual Notice of Changes for 2014 Dear Member, You are currently enrolled as a member of First Health Part D Premier Plus
Annual Notice of Changes for 2015
Freedom Basic (PPO) Plan offered by Senior Care Plus Annual Notice of Changes for 2015 You are currently enrolled as a member of the Freedom Basic. Next year, there will be some changes to the plan s costs
Decision Guide. For 2014 Individual & Family Health Insurance Coverage
Your Plan Decision Guide For 2014 Individual & Family Health Insurance Coverage Health care reform is here. And some things are changing. Starting in 2014, nearly everyone will be required to have health
Individual and Family Plans
Effective: January 1, 2015 Individual and Family Plans find a plan that fits you live by your own plan a plan for your life Everyone s needs are unique, and it s important to find a plan that best fits
Health Insurance Shopper s Guide 3 steps to choosing the right health plan for you and your family.
Health Insurance Shopper s Guide 3 steps to choosing the right health plan for you and your family. Ready to get started? We re here for you online, on the phone or in person. Visit for a quick and free
What s new for small businesses
What s new for small businesses What you need to know about your small business health coverage for 2016 Introducing new plans! Blue Shield of California is pleased to offer employers more variety and
Annual Notice of Changes for 2016
GlobalHealth Medicare Option 1 (HMO) offered by GlobalHealth, Inc. Annual Notice of Changes for 2016 You are currently enrolled as a member of GlobalHealth Medicare Option 1 (HMO). Next year, there will
illinois health insurance marketplace
illinois health insurance marketplace healthcare reform is coming. find answers here. healthcarereform.illinois.gov The Affordable Care Act. What it means for you. In March of 2010, the Affordable Care
CENTERS FOR MEDICARE & MEDICAID SERVICES. Cost
CENTERS FOR MEDICARE & MEDICAID SERVICES Things to Think about when You Compare Medicare Drug Coverage You have two options to get Medicare coverage for your prescription drugs. If you have Original Medicare,
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthnet.com or by calling 1-800-522-0088. Important
Find the plan that s right for you
Take a glance at what our plans have to offer Plans at a glance for s and families Effective January 1, 2014 Find the plan that s right for you Our easy-to-understand plans offer comprehensive benefits
Understanding Private Health Insurance Plan Choices and Provider Networks
Understanding Private Health Insurance Plan Choices and Provider Networks Definitions Deductible Out-of-Pocket-Maximum Embedded Deductible Aggregate Deductible Networks PPO EPO HMO POS - HDHP HSA Catastrophic
Health Insurance. Where should you SHOP for your health insurance coverage? Decision-Making Guide presented by Bob Hopper Insurance Services
Health Insurance Where should you SHOP for your health insurance coverage? Decision-Making Guide presented by Bob Hopper Insurance Services We ll help you locate the health plan that offers the best value
SMALL BUSINESS GROUP ENROLLMENT AND CHANGE FORM
SMALL BUSINESS GROUP ENROLLMENT AND CHANGE FORM Medical and Life/AD&D plans are provided by Health Net of California, Inc. and/or Health Net Life Insurance Company (together, the Health Net Entities ).
How To Buy Health Insurance. An Introduction To Healthcare Coverage
How To Buy Health Insurance An Introduction To Healthcare Coverage Table of Contents What Is Health Insurance? How Do I Get Health Insurance? When Can I Get Health Insurance? What Terms Should I Know?
The New Health Law & Small Businesses
The New Health Law & Small Businesses October 2013 1 Goals of the New Health Law Affordable Care Act (ACA) Protect consumers against unfair insurance industry practices Give consumers more insurance options
Thank you for considering BlueShield of Northeastern New York for your Medicare Advantage needs. (H3384), and BlueSaver MSA (H9788) plans.
Dear Neighbor: Thank you for considering BlueShield of Northeastern New York for your Medicare Advantage needs. Why you re receiving this letter Enclosed are the Centers for Medicare and Medicaid Services
New York Small Group Application OHI I. GENERAL INFORMATION
New York Small Group Application OHI Oxford Health Insurance Inc. www.oxfordhealth.com Mailing Address: Group Enrollment Department, 14 Central Park Drive, Hooksett, NH 03106 I. GENERAL INFORMATION Freedom
Health Net Life Ins. Co.: PPO HSA C6B HD 1300/2600
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthnet.com or by calling 1-800-522-0088. Important
You have from October 15 until December 7, to make changes to your Medicare coverage for next year.
UPMC for Life HMO (HMO) offered by UPMC Health Plan Annual Notice of Changes for 2016 You are currently enrolled as a member of UPMC for Life HMO. Next year, there will be some changes to the plan s costs
What s a Medicare Advantage Plan?
Revised April 2015 What s a Medicare Advantage Plan? You can get your Medicare benefits through Original Medicare, or a Medicare Advantage Plan (like an HMO or PPO). If you have Original Medicare, the
Summary of benefits. 2009 idaho, utah. Health Net orange prescription drug plan
Health Net orange prescription drug plan Summary of benefits 2009 idaho, utah Benefits effective January 1, 2009 (S5678-064) PDP Option 1 (S5678-063) PDP Value Option 2 Section I INTRODUCTION TO SUMMARY
Corporate Health Exchange Frequently Asked Questions
Corporate Health Exchange Frequently Asked Questions FAQs Quick Start Menu If you have a specific question, see if it s here in the list below and click on the link to be taken directly to the answer you
Virginia. A guide for individuals and families. The health insurance benefits you want, at a cost you can afford
Virginia A guide for individuals and families CoventryOne is an individual product (for individuals and families) offered by Coventry Health Care, an Aetna company. The health insurance benefits you want,
MEDICAL UNDERWRITING GUIDELINES SMALL GROUP
SMALL GROUP AETNA (2015 EFFECTIVE DATES) Pick a Plan: available to all groups. Employer may offer all plans and all networks. If employer does not elect Pick a Plan then a maximum of 3 plans may be offered.
Health Care Reform Update
Small Businesses No Financial Requirements for Small Businesses: The ACA imposes no financial requirements for small businesses to contribute to their employees health insurance. However, beginning in
Annual Notice of Changes for 2016
Care N Care Health Plan I MA-Only (PPO) offered by Care N Care Insurance Company, Inc. Annual Notice of Changes for 2016 You are currently enrolled as a member of Care N Care Health Plan I MA-Only. Next
H I V. and Insurance YOUR LEGAL RIGHTS HIV AND INSURANCE 1
HIV AND INSURANCE 1 H I V and Insurance YOUR LEGAL RIGHTS UPDATED MARCH 2014 published by: AIDS Legal Council of Chicago 180 North Michigan Avenue, Suite 2110 Chicago, Illinois 60601 (312) 427.8990 2 AIDS
Covered California FACT SHEET. Affordable insurance is a national priority. Getting California covered
Covered California FACT SHEET Affordable insurance is a national priority In 2010, the federal government enacted the Patient Protection and Affordable Care Act, which aims to increase the number of Americans
Title Here Title Here Title
What You Need to Know about Health Insurance What You Need to Know about Health Insurance Choosing a Health Plan Keeping and Using Health Insurance Title How Here to Keep Title Your Here Marketplace Title
As of January 1, 2014, most individuals must have some form of health coverage, or pay a penalty to the federal government.
Consumer Alert Health Insurance for 2014: What You Need to Know Before You Enroll (Individuals) As of January 1, 2014, most individuals must have some form of health coverage, or pay a penalty to the federal
It s Time for Medicare
It s Time for Medicare med-waageinbook-1214 Medicare What you need to know. You re turning 65. Or you re already 65 and getting ready to retire and lose your healthcare coverage. You re almost ready for
Health Care Reform & The Health Insurance Marketplace. Presented by Mikal A Jeffries, CEBS Account Manager
Health Care Reform & The Health Insurance Marketplace Presented by Mikal A Jeffries, CEBS Account Manager 1 Health Care Reform Review Goals of Health Care Reform Increase number of Americans with health
The Health Insurance Marketplace
The Health Insurance Marketplace A CONSUMER S INTRODUCTION BY DAVID STEWART HYNDMAN/BEDFORD HEALTH CENTERS PRESENTED BY MICHELLE BAKER FULTON COUNTY MEDICAL CENTER What is it? What did it do? THE AFFORDABLE
Renewal Guide. Commercial. We ve got you covered! Small Business Group
Commercial Small Business Group Renewal Guide We ve got you covered! Geoffrey Gomez, Health Net We put the pieces together for sustainable affordability. Hello! It s time to renew your small business group
Annual Notice of Changes for 2015
Aetna Medicare SM Plan (PPO) Offered by Aetna Life Insurance Company Annual Notice of Changes for 2015 You are currently enrolled as a member of Aetna Medicare Plan (PPO). Next year, there will be some
2015 AEP WELLPOINT BRANDS MEDICARE PRODUCT CATALOG 9.8.2014. 888-411-3111 or send an email to. [email protected]
WELLPOINT BRANDS MEDICARE PRODUCT CATALOG 2015 AEP 9.8.2014 For order assistance and web support, call 888-411-3111 or send an email to [email protected] EDUCATIONAL EVENTS 8.5 x 11 FLYER - AVAILABLE
2015 New Jersey Small Group (1-50) Health Plan Portfolio (Oxford Product Offerings) Robust Benefits, Broad Network, Innovative Online Tools
2015 New Jersey Small Group (1-50) Health Plan Portfolio (Oxford Product Offerings) Robust Benefits, Broad Network, Innovative Online Tools Offering a variety of plan designs, ranging from open access
Health Insurance for PLTS Students. KAREN MARRINER, MBA Licensed Insurance Agent KM Consulting
Health Insurance for PLTS Students KAREN MARRINER, MBA Licensed Insurance Agent KM Consulting True or False? Individuals can be charged more for their health insurance for having medical conditions. All
Rights and Responsibilities upon disenrollment with UPMC for Life
Rights and Responsibilities upon disenrollment with UPMC for Life SECTION 1: Introduction Ending your membership with UPMC for Life may be voluntary (your own choice) or involuntary (not your own choice):
Ohio Health Insurance Exchanges. Information contained within the this presentation is subject to change.
Ohio Health Insurance Exchanges Information contained within the this presentation is subject to change. Affordable Care Act (ACA) Comprehensive health care reform law enacted in March 2010 in two parts:
CENTERS FOR MEDICARE & MEDICAID SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES Things to think about when you compare Medicare drug coverage There are 2 ways to get Medicare prescription drug coverage. You can join a Medicare Prescription
Things you need to know about Medicare.
Things you need to know about Medicare. 1 2 3 1OPTION Original Medicare We re here to help. Approaching 65 is an important milestone in life, and becoming eligible for Medicare is part of that. Whether
guaranteed acceptance guide
guaranteed acceptance guide Blue Shield of California Medicare Supplement plans If you have recently become eligible for Medicare, or lost or ended your health coverage with another plan, you may qualify
How To Compare Health Insurance Plans
The three most important questions you need to ask Health care can be very expensive. Having a baby costs about $30,000, and so does the average three-day hospital stay. Health insurance is a way to reduce
Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future.
Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future. If you have any questions, please contact: Health Reform: A Guide
HEALTH NET LIFE INSURANCE COMPANY MEDICARE SUPPLEMENT GUARANTEE ISSUE GUIDE
HEALTH NET LIFE INSURANCE COMPANY MEDICARE SUPPLEMENT GUARANTEE ISSUE GUIDE Dear Potential Member: If you have recently become eligible for Medicare, or lost or ended your healthcare coverage with another
