Members Earn $50 for Taking Health Risk Questionnaire

Businesswoman working at desk in officeHere at Health Net, we want our members to use their benefits, so they can be their healthiest! We’re starting to reach out to a select number of small group plan members, members who we feel will gain the most value, with an invitation to take a Health Risk Questionnaire (HRQ) and visit their doctor—and sweetening the deal with a $50 gift certificate.

Throughout 2016, Health Net of California and Health Net Life Insurance Company (Health Net) will send mailers to a select number of small business group plan members.

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Select POS Maximum Allowable Amount (MAA) Mailing

California Brokers – SBG/LG Amendment to EOCs – Maximum Allowable Amount Update

Effective September 15, 2016

Approximately 7,000 members will receive the following letter/amendment.

Maximum Allowable Amount is the amount on which Health Net bases its reimbursement for Covered Services and Supplies received from an Out-of-Network Provider, which may be less than the amount billed for those services and supplies. Health Net calculates Maximum Allowable Amount as the lesser of the amount billed by the Out-of-Network Provider or the amount determined as set forth herein. Maximum Allowable Amount is not the amount that Health Net pays for a Covered Service; the actual payment will be reduced by applicable Coinsurance, Copayments, Deductibles and other applicable amounts set forth in this Evidence of Coverage.

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Q3 Washington Small Business Group Rate Guide

The Q3 Washington SBG Rate Guide is now posted to the WA SBG Broker Forms and Brochure portal for your reference. The new rates are effective July 1, 2016 through September 30, 2016.

If you have any questions, please contact your Health Net Account Executive.

 

Health Net Health Plan of Oregon, Inc. is a subsidiary of Health Net, Inc. Health Net is a registered service mark of Health Net, Inc. All other identified trademarks/service marks remain the property of their respective companies. All rights reserved.

 

SSN Required for all IFP Off-Exchange Applicants

All Western Region Brokers

Effective immediately – Social Security Number required for all Individual & Family Plan (IFP) off-exchange applicants.

 

Broker ResponsibilityAs you may know, Health Net needs a Social Security number (SSN) for everyone enrolling in IFP health coverage. This includes spouses or Registered Domestic Partners and dependent children. This is necessary so that we can provide members with verification of coverage for their tax return, as required by the Affordable Care Act.

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New! Census Enrollment Tool Speeds Small Group Sales

For Arizona Brokers

Making it easier to do business with us is what we’re all about at Health Net of Arizona, Inc. and Health Net Life Insurance Company (Health Net). That’s why we’re so jazzed to bring you the new Small Group 2.0 Census Enrollment tool!

Hot off the drawing board, the census enrollment tool increases accuracy — no more misreading handwriting — to speed underwriting and enrollment.

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Maximum Allowable Amount (MAA) Mailings

Oregon/Washington Brokers

Health Net Health Plan of Oregon, Inc. – Washington Group Contract Update

Health Net will be issuing a mailing to Washington group policyholders to inform them of updates to the Maximum Allowable Amount definition for Out-of-Network covered services. The revisions are fully described in the attached “Contract Update Endorsement” documents but are summarized here for your reference. There are two versions of the updates, one for 2015 contracts and one for 2016 contracts. The changes are effective July 15, 2016.

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