For OR/WA Brokers: 2017 New Case Submission Rules for Groups of 1-50

This is a friendly reminder that Health Net is looking to you to ensure that the onboarding process for new groups is as seamless as possible.

To achieve this, Health Net must receive the completed, signed, and dated submission documents by the dates set. Below are documents that are required at the time of new case submission. Continue reading

Reminder: Revised Prior Authorization Requirements for AZ Commercial Members

Health Net of Arizona, Inc. (HMO) and Health Net Life Insurance Company (PPO, POS)(together “Health Net”)

 

As a reminder of the communication that was sent out several weeks ago, we want you to be aware of Prior Authorization List (PAL) changes that may affect your clients’ health care coverage. We regularly review the Prior Authorization List (PAL) to ensure we deliver the right balance of value and stability to our members.

 

We have revised our commercial PAL requirements, effective January 1, 2017. Significant changes are listed below. Continue reading

Reminder: Revised Prior Authorization Requirements for CA Commercial Members

As a reminder of the communication that was sent out several weeks ago, we want you to be aware of PAL changes that may affect your clients’ health care coverage. Please review the following information. Changes and effective date vary based on type of plan. Continue reading

Notice of Changes to Coverage Terms effective January 1, 2017

Determined businessman working at his deskOregon/Washington Small Business Group plan Basic Benefit Schedule and Group Medical and Hospital Service Agreement booklets, with the effective date of January 1, 2017 and later, will contain the updates as shown in the “Notice of Changes” link on www.healthnet.com/broker.

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OR & WA Small Group New Business Census Enrollment Forms Now Available

We’re thrilled to offer you the OR & WA Small Group Census Enrollment tools for New Business!

The census enrollment tool offers great advantages:

  • Eliminates excess paperwork – No longer have to submit paper employee enrollment forms!
  • Manual entry errors are eliminated – No more misreading of handwriting! Huge time saver!
  • Streamlines and speeds up new group enrollment – quicker underwriting and enrollment processes
  • ID Cards are generated faster

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Revised WA SBG Underwriting Guidelines effective January 1, 2017

Roundtable discussion: the role of brokers in health care reformBelow are the January 1, 2017 Washington SBG Underwriting Guidelines which are also posted to the Broker Portal and The Hub. Click on the link below to download/view. Continue reading

Get Motivated!

woman reading letter iStock_000063560443_SmallWhether we want to lose weight, work more effectively or just get the laundry done, we’re all in need of a little motivation now and then. These days we all wear so many hats, both at home and in the workplace, that it’s easy to lose motivation for even the simplest tasks. Here are a few suggestions for keeping yourself at the top of your game. Continue reading