Dickerson Update, May 30 – Q3 Clarifications and Updates

Clarification from Aetna

Aetna recently clarified its 3rd quarter Underwriting Guidelines update. The flyer should have had the following deadline: 15th of the month effective date – must be received by the requested effective date.

The updated Underwriting Guidelines will show the complete case submission guideline as: 

  • 1st of the month effective date – must be received by the requested effective date.
  • 15th of the month effective date – must be received by the requested effective date.
  • If the cut-off falls on a weekend or holiday, next available business day will be the cut-off date.
  • Incomplete cases will be moved to the next available effective date.

Updated Underwriting Guidelines will be available soon. For more information, please contact your Dickerson Account Executive. 

Anthem to Issue Apology Letter Regarding Error in Recent IngenioRx Mailing

Anthem recently discovered an error in its latest IngenioRx mailing. A subset of customers who are scheduled to transition 01/01/2020 received notices that they will be transitioned 07/01/2019. This error impacts CA Small Group with approximately 7,388 CA Groups receiving the incorrect letter. 

IngenioRx plans to send an apology letter and a revised transition notification letter reflecting their proper 1/1/2020 transition date. Anthem would like to reassure brokers that these letters were sent in error and that their Small Group clients will not transition to IngenioRx until 1/1/2020.

Additional information on Anthem’s communication plans around this error will follow shortly. For more information, please contact your Dickerson Account Executive. 

Blue Shield Announces Groups Submitted through GAs Are Eligible for a Broker Bonus

Blue Shield has announced that business written through a GA is now eligible for a broker bonus!

This new broker bonus program includes a bonus of $50 per enrolled new member for small business Off-Exchange medical plans, and an additional $50 when a member enrolls in a Trio HMO or Tandem PPO plan as part of the initial sale or during renewal. This promotion is effective from June 1, 2019 through January 31, 2020.

For more information, please click here.

Kaiser Announces New Value Demonstrated Bonus Program

Kaiser has announced a new Value Demonstrated bonus program with two track options, and the opportunity for brokers to double their earnings.

In order to be eligible, clients must be new groups that haven’t had a contract with Kaiser within the last 6 months. Clients must have 50 or more full-time employees who work 30+ hours a week. Additionally, client meetings or facility tours and/or sales for eligible clients must happen between July 1, 2018 and January 1, 2020. Brokers must partner with a Kaiser Permanente Sales Executive to qualify for this bonus. Please contact your Dickerson representative to coordinate.

STEP 1: Choose your track (only one track per eligible client)

Track 1: Client Meeting
Have your Kaiser Permanente and Dickerson representatives join you for a meeting with your eligible new client. You do not need to close the sale to receive the step 1 bonus.
Earn $500 for a client with 50 to 100 full-time employees
Earn $750 for a client with more than 100 full-time employees

Track 2: Facility tour
Take your Kaiser Permanente and Dickerson representatives and eligible new client on a tour of one of our facilities. You do not need to close the sale to receive the step 1 bonus.
Earn $1,000 for a client with 50 to 100 full-time employees
Earn $1,000 for a client with more than 100 full-time employees

STEP 2: Double your earnings if you close the deal (optional)

If you close the deal after your first meeting you can double your earnings from step 1.
If you close the deal after your Kaiser Permanente facility tour, you can double your earnings from step 1.

The Value Demonstrated bonus program ends January 1, 2020. For more information, click here or contact your Dickerson Account Executive.

Business submitted through GAs is eligible for the bonus!

Cyber Security Wild West: Securing IoT Devices

As hospital technology becomes more complex, so does developing security tools and protocols to protect it. Historically, security has had difficulty keeping up with the pace of modern technological advancements, and this is especially true for Internet of Things (IoT) devices. There has been an upsurge in hospitals’ use of IoT devices, and while the industry recognizes the risks associated with failing to implement proper security practices, many hospitals still fall behind when it comes to addressing IoT vulnerability issues.

Securing IoT device networks is particularly complex because thousands of devices with unique operating patterns can inhabit a single network. Security also needs to act more cautiously when patching vulnerabilities in hospital IoT devices because if a patch interferes with a device’s performance, this can have life-threatening consequences for patients.  With data breaches becoming an increasingly common occurrence, it’s clear that hospitals need to think of security strategies that protect sensitive patient data without compromising performance. In order to do this, hospitals need to conduct rigorous security assessments that give them a clear picture of what their IoT network looks like, how much traffic runs through it, who has access to data, and where its deployed.

To learn more about what hospitals can do to protect their IoT footprints from malicious actors, click here.

Lawmakers Push to Stop Surprise ER Billing

California has some of the nation’s strongest protections against surprise medical bills. But many Californians still get slammed with huge out-of-network charges.

State lawmakers are trying to push forward a bill that would limit how much hospitals outside of a patient’s insurance network can charge for emergency care.

“We thought the practice of balance billing had been addressed,” said state Assemblyman David Chiu (D-San Francisco), author of the bill. “Turns out there are major holes in the law potentially impacting millions of Californians with different types of insurance.”

Click here to read the article.