Large Business Plans (51+ Employees)

  • Your commitment and hard work deserves to be recognized and rewarded.

    The Premera Preferred Producer Program is happening now. As your group book business grows, so does your bonus! Check out the flyer to find out how you can start reaping your rewards.

    The LifeWise Assurance Stop Loss Bonus Program rewards insurance producers who recognize that our Stop Loss product provides great value to their clients and therefore become top sellers for our company.

    For all sales and account management questions, please contact us.

    Our plans

  • Sales materials for our 2018 group brochures and benefit highlights are available on the secure producer dashboard. Just look for 2018 sales brochures under the Tools and Resources  section.

    Log in now and see what's available.

    Don't have an account? If you don't have access to the secure producer website, it's easy to create an account now.

    Take advantage of our personal funding account options to combine quality healthcare coverage with access to health savings accounts (HSAs), health reimbursement arrangements (HRAs), and flexible spending accounts (FSAs). These accounts are ideal for employers who are looking to control healthcare costs or increased employee responsibility for healthcare expenses and decisions.

    Personal funding account benefits

    • Employees have more choices and control over their healthcare spending
    • Employees can offset out-of-pocket expenses with potential tax advantages
    • Potential tax savings for employers

    HSA On Demand

    Offered through ConnectYourCare, HSA on Demand gives employees up-front funds when they don’t have enough money in their HSA account to cover qualified medical expenses. (This option is available for self-funded groups.)

    Learn more about personal funding accounts and HSA On Demand

    True group options

    Employers of 10 or more enrolled employees can choose from the following:

    Group life insurance

    Group life insurance

    • Group term life: Provides benefits to a beneficiary in the event of an employee's death
    • Accidental death and dismemberment: Provides benefits in the event of accidental death or dismemberment
    • Dependent life: Provides benefits to the employee in the event of dependent's death(s)
    • Disability coverage: Providers benefits for income replacement in the event an employee is unable to work due to an illness or injury
    • Supplemental life and AD&D: Provides additional coverage options for your employee

    Disability coverage

    Stop loss

    Our affiliate, LifeWise Assurance Company*, assists groups to create just the right Medical Stop Loss for their needs. This product provides employers that elect to self-fund their medical plan a reinsurance contract to protect them from catastrophic losses.

  • Resources

  • Proposals

    Request for rates form (51-99)

    Census template (51-99)

    Groups with 100 or more employees enrolled, please contact your Premera sales representative.

    Pre-renewal

    Group size certification

    Group enrollments

    Completed implementation materials must be received at Premera well in advance of the first of the month to ensure eligibility and receipt of ID cards by the groups start date.

    Follow these steps to complete your enrollment:

    1. Required documents:

      Group master application

      Circle, sign and date the Rate Exhibit to acknowledge your plan choice(s)

      Enrollment spreadsheet (membership adds/drops or plan changes)

      Other coverage questionnaire

    2. Return completed enrollment documents to AlaskaRFPs@premera.com or your Premera sales representative.

    Note: Forms and documents will be provided for any groups requesting self-funded or defined funded options. Binder check will be required for stop loss.

    Group renewals

    Completed renewal documents must be received at Premera well in advance of the first of the month for renewing groups beginning coverage on the first of the following month to ensure eligibility and receipt of ID cards, by the groups start date.

    Follow these steps to complete your renewal:

    Circle, sign and date the Rate Exhibit to acknowledge your plan choice(s)

    Required documents:

    1. Group verification report (provided by Premera)
    2. Enrollment spreadsheet (membership adds/drops or plan changes)
    3. Other coverage questionnaire
    4. Return completed documents to your Premera account manager

    Note: Forms and documentation will be provided for any groups requesting self-funded or defined funded options.

    Pharmacy

    Express Scripts home delivery mail-order form - Order prescription drugs through the mail from Express Scripts. On behalf of Premera, Express Scripts is an independent company providing pharmacy benefit services.

    Health, allergy & medication questionnaire - Complete this questionnaire for all new mail prescriptions to help protect yourself against potentially harmful drug interactions and side effects.

    Prescription drug reimbursement form - Apply for reimbursement of your prescription costs.

    Preferred Choice creditable coverage status report

    2017-2018 Preferred Choice creditable coverage status report

    Medicare Part D testing options

    Premera Blue Cross offers employers two options to support their Medicare Part D testing obligations. The testing tells if the pharmacy plan you offer meets the creditable coverage standard as compared with Medicare Part D.

    The Centers for Medicare and Medicaid Services (CMS) says drug coverage is creditable if the actuarial value of the coverage equals or exceeds the actuarial value of standard Medicare prescription drug coverage.

    You have two choices for testing:

    • Premera can give you data to do your own testing.
    • Our underwriting team can test for you, for a fee, using General Guidance methods.

    The CMS website offers general Information about Medicare Part D.

    To learn more about Medicare Part D testing and to discuss your options, contact your producer or Premera account representative.

    Important reminder

    Premera no longer sends creditable coverage status notices to members on behalf of groups with pharmacy plans

    Employers will need to provide the notifications as required by the Medicare Modernization Act (MMA) to their Medicare-eligible employees and dependents. This act requires employers to inform their Medicare-eligible employees and dependents whether the prescription drug coverage pays on average as much as the standard Medicare prescription drug coverage.

    Additional information is found at the following pages of the Centers for Medicare & Medicaid Services:

    Submitting the CMS Medicare Part D Disclosure Form

    Federal law requires employer groups to notify the Centers for Medicare and Medicaid Services (CMS) if their prescription drug coverage for Medicare beneficiaries is creditable. CMS requires employer groups to submit a Creditable Coverage Disclosure Form each year or upon any change that could affect whether the drug coverage offered is creditable.

    Our outpatient rehabilitation management program reviews treatment plans to help our customers recovering from an injury get the right care at the right time.

    Outpatient rehabilitation management program flyer

    Access the secure producer dashboard for our most current producer training webinars. Just look under the section titled Learning Center.

    Don't have an account? If you don't have access to the secure producer website, it's easy to create an account now.

    Healthy rewards for healthy employees

    We offer a variety of programs and services that are designed to keep employees healthy, lower costs and reward people for doing the right thing.

    More information about our Health and Wellness programs is available on the wellness page.