Quarter 3 2014 Oregon/Washington Drug List Changes

For Oregon Broker and Employers

Health Net’s Drug Lists are updated quarterly, and available online.

  • This update includes information for all Commercial formularies/drug lists, except as otherwise noted.
  • The Preferred Drug List (PDL) is utilized by large groups and by IFP and small groups continuing on 2013 plans.
  • The Essential Rx Drug List (EDL) is an ACA compliant formulary utilized by Oregon public exchange members, as well as all other IFP and small group members who are using a 2014 ACA compliant plan.
  • The Aon Active Health Exchange Drug List (ADL) is used by groups/members who sign up under the Aon Hewitt private exchange.

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Reform Guide: Limits on Waiting Periods

Limits on Waiting PeriodThe waiting – or probationary – period is the period of time set by an employer before coverage becomes effective for a new employee enrolling into the group’s health benefit coverage. Group health plans and health insurance carriers that offer group coverage may not apply a waiting period that exceeds 90 days. California law sets the limit at 60 calendar days (AB1083).

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The Business Case for Curbing Job Stress

Job stress affects employee health and well-being.Job stress not only affects employee health and well-being, but can also impact an organization’s bottom line.

For instance, a 2013 survey by the APA’s Center for Organizational Excellence revealed over one-third of U.S. employees felt chronic work stress. Yet only 36 percent of employees said their employers provided adequate resources to help them cope.

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A Respectful Workplace = A Profitable Workplace

Sharing ideasAsk the average business owner to list the top 10 components that contribute to a company’s profitability, and chances are good that the words “mutual respect” wouldn’t make the cut.  Yet, a business that places priority on mutual respect is likely to see bottom-line benefits in the form of increased employee loyalty, productivity, and a fundamental desire to help the organization succeed.

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The Health Benefits of Vacations

Road Trip! Health Net Points Out the Health Benefits of Vacations


Time for a road trip!With summer now in full swing, Health Net, Inc., is working to increase awareness that taking a vacation not only can be fun, but it also can bring a variety of health benefits.

While it might be assumed that Americans happily take time off, the reality – according to Glassdoor’s 2014 Employment Confidence Survey – is that the average U.S. employee only takes half of his or her eligible vacation time.

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Coping With Grief

Coping with griefNo matter the circumstance, it’s hard to move forward after losing someone important to you. Whether you have lost a friend, family member or colleague, allowing yourself to grieve can help you deal with the loss in a healthy way.

Grief is a natural response to loss, and it can unfold in many ways. And keep in mind that grief is a journey you do not need to take alone.

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Good News Update – Your Clients Can Now Keep Their Existing SBG Plans

California Brokers

We are pleased to announce that small business groups with upcoming renewals will be able to keep their existing plans! Due to transitional relief guidance, we will be offering small business groups on the current 2013 plans the option of extending their existing coverage for another year. Small groups renewing September through December 2014 can take advantage of this great opportunity. Your clients renewing September 2014 will need to make the selection to keep their existing plan before their effective date. Groups renewing October through December 2014 who want to stay with their existing plans don’t have to do anything – we will keep them enrolled in their current plans unless they notify us.

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ACA Has Smooth Rollout in California

The Affordable Care Act’s size and scope led to some incredible flops in states such as Maryland, Nevada, Hawaii and Oregon, where Web sites intended to help people gain
health insurance coverage failed miserably.

But other states fared better.  Love or hate the ACA, California implemented the complex new law better than every other state.  The software worked, red tape was cut, and sign-ups, for the most part, went smoothly!

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Tips for a Safe Day at the Beach

Beach SafetyFew things say “summer” more than soaking up some rays with the scent of salt water in the air and sand between your toes. According to the Environmental Protection Agency, Americans take about two billion trips to the beach each year.

To help keep the beach bunnies and surfer dudes in your circle safe, follow these wise tips.

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Coming Soon: The 2015 Employer Mandate

For Western Region Brokers

Employer mandate: January 1, 2015We’re already halfway through 2014, and not only is Health Net providing steadiness in the midst of change, we’re charting a course to best support our brokers’ future success. This includes the big transformation on the horizon for 2015 that may dramatically affect your large group business clients – and your sales strategy going forward.

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