The Centers for Medicare and Medicaid Services (CMS) has recently provided information regarding registration for producers who plan to participate in the Federally Facilitated Marketplace (FFM) in 2017. Please see the attached CMS notice.
The 2017 Federally Facilitated Marketplace will open Nov. 1. CommunityCare will continue to offer a comprehensive and competitively priced portfolio of products for small businesses, whether they choose to purchase on or off the SHOP Marketplace.
CommunityCare has updated its large employer group application and small employer group application for 2016. Please begin using these employer group applications for groups effective January 1, 2016 and after.
If you have any questions, please contact your CommunityCare sales representative.
The Affordable Care Act created new reporting requirements under Internal Revenue Code Sections 6055 and 6056. Under these new reporting rules, certain employers must provide information to the IRS about the health plan coverage they offer (or do not offer) to their employees
The attached IRS document outlines questions and answers about the Employer Shared Responsibility provisions...
We are pleased to confirm that CommunityCare will continue to provide Certificates of Creditable Coverage (COCC) upon request.
The Centers for Medicare and Medicaid Services (CMS) has recently published the attached SHOP brochures that may prove helpful to you and your teams.
Two small group provider networks will have different names effective January 1, 2015. Please see below for the network name changes:
All CommunityCare members may receive a regular flu shot from any participating network pharmacy that provides flu shots. Membes will need to show their CommunityCare Id Cards.
The Centers for Medicare and Medicaid Services (CMS) has provided the following information regarding registration for producers wishing to participate in the Federal Facilitated Marketplace (FFM) in 2015.
On March 5, the White House announced a regulatory change under the Affordable Care Act (ACA) to allow health insurance issuers to renew their existing small business benefit plans through October 2016.
The announcement included model notifications that are required to be mailed separately to renewing groups. Here is a sample copy of the cover letter and required model notice that CommunityCare is mailing to small business groups with April, May and June renewals, as well as a sample copy of the cover letter and model notice that will be sent to small business groups with July-December renewals.
Based on the March 5th White House announcement regarding policy extensions, CommunityCare will allow enrolled small businesses to renew their current benefit plans through October 2016.
The Tulsa Regional Chamber and CommunityCare have launched ChamberCare Plus, a new program that will offer a wide range of health insurance plans and employee benefits exclusively to chamber member companies.
The attached letter will be sent to enrolled CommunityCare groups with a current waiting period greater than 90 days. These groups are being advised that they will be moved to a waiting period of first of the month after 60 days on their renewal date in 2014.
The attached letter regarding U.S. Department of Labor Marketplace Exchange notices will be sent to enrolled CommunityCare groups within the next week. The letter will include a hard copy of the model notice for groups that offer health plans.
This will confirm that CommunityCare met the requirements for 2012 medical loss ratio (MLR) standards mandated by the Affordable Care Act and did not charge excessive premiums to our members; therefore, no rebates are due to our customers.
This is a reminder about CommunityCare's procedures regarding qualifying events(life event changes).
As you know, January 1, 2014 is a significant date for implementation of many provisions of the Patient Protection and Affordable Care Act ("PPACA").An overview of PPACA's 2014 changes can be reviewed at http://reform.ccok.com.
On May 8th, the U.S. Department of Labor published guidance concerning notices that employers are required to distribute to current and new employees by no later than October 1, 2013, regardless of whether they provide a group health insurance plan.
We have set up a new e-mail address for you to use when submitting CareWeb Employer Connection security request forms. The request form has been updated with the new address. The forms can now be e-mailed to firstname.lastname@example.org.
CommunityCare will accept valid Agent of Record transfer letters from enrolled groups wishing to appoint a new producer.
Attached is a copy of CommunityCare's Group Health Care Services Agreement,which serves as our HMO contract. This is your copy to keep on file for our mutual CommunityCare HMO clients.
Please keep the following in mind regarding employer group renewals.
We continue to enjoy our relationship with Delta Dental, Oklahoma's largest provider of dental coverage. At this time, we would like to provide you with the Delta Dental rates for both match to medical and non-match to medical plans effective Jan. 1, 2013. Please see the attached summaries for specific benefit information and rates.
Beginning January 1, 2013, CommunityCare will be changing its Pharmacy Benefit Manager (PBM) from Express Scripts, Inc. (ESI) to Catamaran. Catamaran is one if the nation's leading PBMs, and is the result of a recent merger between Catalyst and SXC.
CommunityCare is pleased to announce improvements to our processes for providing Summary of Benefits and Coverage (SBC) documents to employer groups and their eligible employees.
The CommunityCare Life & Health PCC Select and PCC Standard networks will changeto the "CommunityCare PPO Select" and "CommunityCare PPO Standard" networkseffective September 1, 2012.
CommunityCare is pleased to announce that our new Freedom Access POS plans are available May 1. The Freedom Access POS plans combine the strength of our traditional HMO offerings with the flexibility of a PPO plan into one stand-alone product.
As you know, strict state and federal regulations exist regarding Protected Health Information (PHI). According to these regulations, PHI is to be broadly interpreted and includes any part of a patient's medical records or payment history. PHI also includes many common identifiers such as names, addresses, birth dates, phone numbers, e-mail addresses and, of course, Social Security numbers.
We are pleased to introduce CommunityCare's latest addition to the products portfolio designed to save employers money - the new CommunityCare 80 and CommunityCare 70 series plans.
These plans reduce premiums by introducing 80% and 70% coinsurance levels to a number of CommunityCare product offerings. We even have a high deductible 100% plan as part of this series. Please read the memo below for more information.
CommunityCare is pleased to announce that we are now providing our prospect quotes for groups with 2-25 eligible employees on an age-rated basis. Please read the memo below for more information.
CommunityCare will accept valid Agent of Record transfer letters from enrolled groups wishing to appoint a new producer. For the transfer to be valid, the letter must be on the group's letterhead, be signed by an authorized representative of the group and name a producer that holds a valid appointment with CommunityCare. The letter should request an effective date for the appointment transfer to take place.
Congratulations! CommunityCare HMO Inc has received a financial strength rating of "A" or "Excellent" from Weiss Ratings, the nations leading independent provider of ratings and analyses of financial services companies, mutual funds, and stocks.