Jim Grazko, PresidentBlue Cross Blue Shield of Alaska
After 19 years of service to Premera Blue Cross Blue Shield of Alaska and Alaska’s insurance community, Jeff Davis has announced his retirement on June 30. Under Jeff’s leadership, the Anchorage office grew from a staff of three with ancient phones and computers that didn’t talk to each other to a savvy staff of 35 who are knowledgeable about the complexities and characteristics that make Alaska such a unique place to do business. Jeff played an integral role in shaping the brand and success of Premera Blue Cross Blue Shield of Alaska over the years and will be missed.
Premera has never been more optimistic about our position in Alaska and the time is right for us to expand our business here. Under the new leadership of Senior Vice President Jim Grazko—who has worked with producers and employers in this market for more than 15 years—you will continue to be served by the same exceptional team, focusing on Premera’s main advantages in Alaska:
We thank Jeff for his years of service to the Alaska market and the strong foundation he established that Premera Blue Cross Blue Shield of Alaska will build on into the future. We wish Jeff all the best.
This month, we're kicking off the newest component of Premera's Alaska Wellness program: the Alaska Wellness Academy. The quarterly training helps employers motivate employees to practice healthy habits and love doing so.
The Academy's eight modules provide a deep understanding of wellness topics including:
Hands-on experience and networking with other employers concerned about wellness are additional opportunities you and your clients will enjoy.
All groups (regardless of size or funding structure) will enjoy the benefits they'll reap from participating in the Academy and creating their own vibrant worksite wellness program:
Join us for the first quarterly in-person training:
Date: Friday, June 13, 2014Time: 9 a.m. - Noon AKDTLocation: Dena'ina Civic and Convention Center, AnchorageTopic: The state of our healthHost: Andrew Sykes, CEO, Health at Work Wellness ActuariesRegister now!
CEOs and CFOs are highly encouraged to attend. HR, benefits, wellness, engagement or occupational health positions may also attend. Producers are welcome to join their clients for this exciting opportunity. There is no participation fee.
Next week employers will receive a reminder to register for the first Academy training.
Questions? Email Maureen Gali, Client Manager, or call 907-677-2407.
Now is the time to act if you have clients enrolled on COBRA coverage who you think could be better off on an Individual metallic plan on the Alaska Federal Exchange.
The federal government is offering a one-time special open enrollment period for people on COBRA. They have between now and July 1, 2014, to enroll on an Individual metallic plan on the exchange.
Your clients enrolled on COBRA coverage could be paying higher premiums than they would for an Individual metallic plan on the exchange. This is especially true if they qualify for a subsidy to help cover the cost of their premium.
If you have questions about this special open enrollment period, contact the Producer Support team at 877-205-9725, Option 3.
Enduring a policy cancellation is just about the last thing a group wants to go through. Please share the following information with clients who regularly make monthly premium payments after the first of the month –especially those who make a habit of paying very late – and encourage them to pay in a timely manner.
It may be a hardship for late-paying groups to get back on-track with timely payments, as they will likely have to pay the current month’s and the upcoming month’s premium payments close together. You may suggest that groups in this situation begin to wean away from late payments by paying a week earlier each month until the situation is corrected.
Our Medical Services and Quality staff develops and adopts medical policies that support safe, quality medical care and treatments for our members. These policies also help reduce waste and harm of unnecessary treatments. Take a look at our new easy-to-view quarterly Utilization Management Digital Magazine.
Feel free to share this newsletter with your group administrators and ask your account manager if you have any questions.
The summer issue will be packed with information for your groups’ employees about how to avoid health problems while out enjoying the summer, plus how to get care no matter where adventures take you.
In keeping with our first issue, the summer edition is a quick read with details where they count. It's another way to reach out and teach members about:
Starting on June 19 we will be sending employer groups the summer issue of Premera For Your Health. Expect to see a link to the digital summer newsletter in the July bulletin.
Terri Good has been in the healthcare industry for 23 years. Her responsibilities include oversight of daily sales service and operations, program implementations, and liaison for other functional areas. She is LEAN certified and works to leverage LEAN capabilities into the team’s daily activities.
After living throughout Washington State and traveling extensively while she was on active duty in the United States Navy, Terri and her husband moved to Alaska in 2003. She says the only regret they have is that they didn’t move here much sooner.
Terri is active in veterans' organizations. She is both an Adjutant for the Department of AMVETS and a post officer, and she serves on two national committees. Additionally, she is a representative of the Veterans Administration Volunteer Services. She enjoys travel, cooking, fishing, and reading.
John Mychalishyn, Director, Individual Market Segment
Premera Blue Cross Blue Shield of Alaska
Premera Blue Cross Blue Shield of Alaska is unveiling new Individual adult dental plans with a first effective date of July 1, 2014. They're called the Preferred Adult Dental Plans, and they're available to your clients age 19 and older enrolled on one of our Individual medical plans - including metallic plans on and off the exchange, grandfathered and extended non-grandfathered plans.
Our Preferred Adult Dental Plans provide coverage for more than 200 dental procedures, including common preventive, diagnostic, basic, and major dental services.
The plans offer two deductible choices of $50 and $75 for individuals and $150 and $225 for families. More plan details including rates are available in our sales brochure.
Your clients who enroll on the plan are able to choose from a large network of dental providers in Alaska and a broad nationwide network. It's the same network available to Premera's Group customers.
The first open enrollment period is June 1 - July 31, 2014. After that time, we'll have two open enrollment periods a year.
Existing Individual members will receive either an email or a post card starting this week, if they are not already enrolled on the Dental, Vision, and Hearing Plan, which the Alaska Division of Insurance requires us to offer.
For more information, contact Nancy Valdez at 907-677-2406 or Producer Support at 877-205-9725, Option 3.
Did you know Paul Revere was a dentist?1 He'd likely be amazed that, according to the American Dental Association, 100 million Americans fail to see a dentist each year.2
You can help change that. Now is the time to talk to your Premera clients about enrolling in the Preferred Adult Dental Plan during a special open enrollment period of June 1 - July 31, 2014, for effective dates of July 1 or August 1. The Preferred Adult Dental Plan is available to Premera Individual members age 19 or older on metallic, grandfathered and extended non-grandfathered plans. Members on existing plans use this application while new applicants use a different application.
With Premera dental plans your clients get:
With the strong connection between dental health and overall wellness, this is a good opportunity to encourage your clients to consider a Premera Blue Cross Blue Shield of Alaska dental plan to round out their medical plan. Just remember, common enrollment is required.
For more information about Premera's dental plans, please contact your sales executive or Producer Support at 877-205-9725, Option 3.
1 Dental Buzz
2American Dental Association
Premera is pleased to offer Individual accident, critical illness and life coverage through our new relationship with Washington National Insurance Company. The first effective date for coverage on these plans was June 1, 2014.
We selected Washington National to help you provide your clients with the additional financial protection they need.
Supplemental protection against accidental injuries with Accident Assure®.
Critical illness coverage for cancer, heart, stroke and kidney conditions withCritical Solutions®.
Straightforward, assured life insurance with Life AssureSM.
Product webinars will be posted online as a resource for you next week. If you want information about Washington National coverage, please contact your sales executive.
Producers have asked us many questions about Individual special enrollment periods during the past two months. We created a Frequently Asked Questions (FAQ) document and posted it on our producer web pages as a resource for you last March.
Since that time, we’ve updated it twice to reflect new information we’ve learned. Some of you have asked us more questions about qualifying events. For example, is it a qualifying event for the employee and employer when the employer voluntarily cancels Group coverage?
This latest version of the FAQ provides the answer. (See Nos. 15 and 16 in the FAQ.)
Contact your sales executive or Producer Support at 877-205-9725, Option 3 if you have additional questions.
Per the Affordable Care Act, which requires health plans to meet a minimum medical loss ratio (MLR) of 80% for Individual and Family policies, Premera will issue a rebate to Individual customers in 2014. In 2013, Premera members used fewer medical services than projected. This means Premera paid less than 80% Individual plan premium revenues in medical claims during the 2013 calendar year.
Your Individual clients whose plans were effective during 2013 will receive a rebate in the form of a premium credit or rebate check. MLR calculations must be complete by May 31, 2014, and rebates
issued no later than August 1, 2014. We are currently on schedule to finalize our calculations and issue rebates within this timeframe.
Since producer commissions are considered administrative expenses by HHS, producers representing active and cancelled plans will have commissions proportionately reversed based on the MLR calculation. Commission checks will reflect the adjustment following your Individual client’s rebates.
We’ll provide an update in the next monthly producer bulletin with more information.
There’s a team of dynamos working behind the scenes to help you get the information you need and fast. It’s the Individual Producer Support team, and they are here to get many of your questions addressed, so you can keep your business running smoothly.
In the summer, call volumes are much higher earlier in the day, with few calls after 4:30 p.m. So through August, we’re going to shorten the lunch hour and close at 4:30 p.m. We’ll resume regular hours in September.
Monday through Friday
Open at 7 a.m. – 11:30 p.m. AKDT
Close for lunch - 11:30 – Noon AKDT
Reopen at Noon – 3:30 p.m. AKDT
The Producer Support team covers a wide range of issues for you:
You can reach the team at email@example.com or at 877-205-9725, Option 3.
Lynn Rust Henderson, Vice PresidentAlaska Group Sales and Service
Last November, based on an announcement by President Obama, Premera Blue Cross Blue Shield of Alaska allowed non-grandfathered small groups of 2 – 50 employees to extend their health plans through December 31, 2014. This gave groups an additional year to move to a new metallic plan as required by the Affordable Care Act. Now, these extended groups can choose to retain their current plans for another year, thanks to a second presidential announcement.
In order to avoid the huge volume of groups with January renewal dates Premera is offering extended NGF plans the choice to renew either on December 1, 2014 or January 1, 2015 and their plans will run through December 31, 2015. New rates will be a part of this renewal process.
Premera account managers will be available to meet with producers well in advance of the renewal dates to discuss plan strategies for your clients. We will be able to provide you with some information which may be used to help determine which extended groups may wish to continue with their current plan and which may prefer switching to a metallic plan.
Please contact your account manager with any questions.
RapidRate, Premera’s online rate quoting tool, is available to generate quotes for groups of 1 – 50 employees only. It cannot be used to quote groups of 51-99 employees; RapidRate quotes will not be honored for 51 – 99 groups. This means that any group with 51 or more on payroll must send a rate request into the Premera office.
Please also note that the tool is known to run more slowly and time out if a large number of benefit designs are proposed at once.
Remember, RapidRate is the place to go for:
Ready to get a quote? Login to RapidRate now.
For information on how to use RapidRate, check out our RapidRate Tips Sheet.
For questions, please contact Sydney Saitta, Sales Coordinator.
Changes to our 2015 metallic small group portfolio will trigger a discontinuation of certain plans, primarily HRA and HSA plans with employer contributions. We’ll be streamlining our offerings, going from 86 plans to 58 plans. Our new portfolio will showcased after the filings are approved.
At the end of June, we will begin notifying affected groups whose plans are slated to be discontinued in 2015. The Department of Insurance requires that groups be contacted six months prior to their renewal date regarding a discontinuation. Groups will be directed to their account manager or producer for help choosing a similar plan. Members will be informed of the discontinuation after the groups are notified.
For more information, please contact your Premera sales executive or account manager.
Annually we share the Express Scripts Drug Trend Report with our employer groups. We like to promote the newly released results, discuss some of the trends and explain what Premera is doing to stay ahead of them. The 2013 annual report was recently released and it includes a few areas where Premera is either ahead of the trend, or where we have active work underway to address these areas of opportunity.
Here are some quick links to the Express Scripts information:
2013 Drug Trend Report – for the complete 90 pages of charts and analysis
2013 Drug Trend Report Highlights – for a summary of the key findings
Check out the message that our Account Managers will be sharing with employer groups in early June.