Dickerson Update May 7 – Carrier Guidelines, Promotions, Updates and More

2020 has been the year of COVID-19, with everyone having to navigate new terrain in all arenas of their lives. In the face of these unexpected changes, the Dickerson team quickly adapted to continue to provide the high-quality service and support that our broker community has come to expect from us. We’re still open for business, and we’re here to provide assistance and resources for you to navigate the rapid changes that we’re seeing on almost a daily basis.

Our carrier partners understand that the challenges brought on by COVID-19 for small businesses require certain accommodations, which is why many of them are now offering premium payment plan programs so that small businesses can continue to provide coverage for their employees.

We also want to remind you of the guidelines and promotions below that might serve as solutions for groups that are looking for coverage in these trying times. If you have additional questions or want assistance on how to best strategize on options for closing opportunities while saving your clients money, please don’t hesitate to reach out to our team of experts.

No DE9C Guideline:

  • No DE9C required for groups of 6+ enrolled with prior coverage

No DE9C Promotion through 6/15/20:

  • No DE9C required with 6+ enrolling, but must provide a prior carrier bill
  • DE9C is also not required for Specialty
  • Virgin groups excluded from promotion

Relaxed Participation Promotion through 6/15/20:

  • 1-4 enrolling: 65% participation
  • 5+ enrolling: 25% participation
  • Same participation rules for Dental and Vision with a minimum of 2 enrollees

Click here for the details

Allows owner-only groups when: 

  • The group is an S-Corp, C-Corp, or LLC
  • There are at least two owners who aren’t spouses
  • One owner completes an Eligibility Statement or can provide W2s

No DE9C Promotion (No End Date):

  • 5+ enrolling with Master Group Agreement, eligibility/participation attestation form, employee enrollment and refusal of coverage forms, and prior carrier bill in lieu of DE9C.
  • Underwriting will request payroll for any enrollment or waiver that’s not on the prior carrier bill
  • Start-up groups, virgin groups, groups with both union and nonunion employees, and groups leaving a PEO are not eligible
  • Underwriting reserves the right to ask for additional to validate the group for eligibility

Off-exchange plan relaxed participation promo through 12/31/20:

  • 1-4 enrolling: 65% participation
  • 5+ enrolling: 25% participation
  • Includes Medical, Dental, Vision, and Life.
  • Promotion also waives participation requirements for Trio-only groups (minimum 1 enrolling)

Click here for the details.

No DE9C Guideline:

  • No DE9C required for groups with 10+ enrolling
  • No DE9C required for groups with a variance of less than 10% between the number of employees enrolling and the number of employees on the most recent prior carrier bill
  • No DE9C required for groups with a lapse of coverage of less than 3 months
  • Must provide the most recent prior carrier bill for all the above

No DE9C Guideline:

  • DE9C not required for Sole Proprietors.

Allows owner-only groups when:

  • The group is headquartered in CA offering general financial services
  • More than 50% of the owners are members of CalCPA and in good standing
  • More than 50% of the group resides in CA
  • All employees must work at least 20 hours per week, unless the group chooses 30 hours as the eligibility requirement

No DE9C Promotion through 6/30/20:

  • HMO only with 6+ enrolling with no participation attestation, prior carrier bill, nor waivers required
  • No minimum participation requirement
  • HMO package is separate from Enhanced Choice A and Enhanced Choice B plans

Relaxed Participation Promotion through 6/30/20:

  • Enhanced Choice A
    • 1-5 enrolling: 66% participation
    • 6+ enrolling: 50% participation
  • Enhanced Choice B:
    • 1-5 enrolling: 66% participation
    • 6+ enrolling: 35% participation
  • May also offer Salud HMO y Más Network with 2 active subscribers
  • Small business groups can mix and match any plans that come with the Salud HMO y Más Network

Click here for the details.

No DE9C Promotion (no end date):

  • Groups of 6+ enrolling
  • Business Documentation required (example: business license/SOI)
  • Start Up groups and groups leaving a PEO do not qualify for this promotion.

Click here for the details.

No DE9C Promotion through 6/15/20:

  • Groups with 5+ enrolling. Must provide a prior carrier’s bill, and 80% of employees on the prior bill must be listed in present enrollment
  • Groups with more than 5 eligible employees with less than 5 enrollees due to valid waivers are still eligible for this promotion

Relaxed Participation Promotion through 6/15/20:

  • If 60% of the eligible employees enroll in a plan offered by the employer, Oscar will only require three eligible employees to enroll with Oscar
  • If the employer pays less than 100% of contribution, 60% participation is required after subtracting valid waivers
  • Oscar can be written alongside any other carrier, and any plan type – HMO, PPO, or EPO
Click here for the details.

No DE9C Guideline:

  • 10+ enrolling: Can submit a completed and signed Participation Certification form in lieu of a DE9C. If in business less than a year, submit at least one applicable tax document.

Allows owner-only groups when:

  • The group is a C-Corp, S-Corp, or LLC
  • There are at least two owners who aren’t spouses
  • One of the owners works 30 hours/week

Anonymous donor gives a $1 million dollar donation to the staff of a Santa Cruz Hospital

The coronavirus pandemic has sparked a lot of feelings around the world, but outweighing them all is the overwhelming appreciation for healthcare workers on the front lines. A hospital crew in Santa Cruz was the recipient of this outstanding display of gratitude when they  received an anonymous donation of 1 million dollars!

The donation was accompanied by a note which simply said: “Thank you for standing up (and staying up!) to care for our community. This human kindness is what makes you heroic.” The gift has been dedicated entirely to the employees which means everyone including the cleaning staff, medical record keepers, security guards, and mailroom staff will be receiving a bonus check. The full-time staff will get $800 and part-timers $600. A very deserving donation to a small team that is fighting to keep their community safe.

Click here for more details.

 

The European Commission held a fundraiser in the fight against COVID-19 but the United States and Russia decided not to participate

The European Union led a fundraiser for COVID-19 vaccines, treatments, and diagnostics on Monday, but could not reach the targeted goal of €7.5 billion. Notably absent from these fundraising efforts were the United States and Russia. This absence has led to some concerns about the possibility that wealthier countries might seek to control COVID-19 treatments and vaccines for their own benefit. Even though the EU Commission did not reach its set goal amount, Commission President Ursula von der Leyen called the event a victory. Regardless of who participated, nearly all of the global leaders involved in the fundraiser are acknowledging that more money would be needed when it comes time to manufacture and distribute a vaccine for COVID-19.

Nonetheless, various leaders of nations around the country coming together to fight against the disease was truly a landmark event and an admirable display of solidarity in these trying times. Leaders from France, Germany, Italy Japan, and Canada were all involved in the EU’s fundraiser. Even though President Donald Trump did not participate, the EU still received private donations from various donors including the Bill and Melinda Gates Foundation.

Click here for more details.