Health Insurance News
NEW! 6/1/2021 This is the time of year when health insurance carriers may file proposed rate increases for the following year with the NYS Department of Financial Services. The DFS will review and may approve, modify or disapprove these rate and plan changes. So far, the carriers listed below have notified us of this filing:
Empire Blue Cross and Empire Blue Cross Blue Shield
4/20/2021 NY STATE OF HEALTH - The American Rescue Plan
Learn about the American Rescue Plan, signed into law on March 11, 2021 - designed to lower health care costs by providing new and expanded financial assistance to New Yorkers enrolling in health insurance through NY State of Health. Download Document Here
3/1/2021 Highmark and HealthNow (BlueShield of NENY) Affiliation
Highmark and HealthNow have received approval to affiliate, affective immediately. The new organization will be called Highmark Western and Northeastern New York. In the 13 counties of Northeastern New York, the firm will operate as Highmark Blue Shield of Northeastern New York. For more information please click here: Highmark Inc. announces completion of affiliation with HealthNow New York Inc.
Special Notice from MVP Health Care
- Employer Group Coverage During the COVID-19 Pandemic
MVP Health Care® (MVP) understands that many employers are facing unprecedented challenges during the COVID-19 pandemic and we want to assure you that we are here for you and your employees.
-Premium Payment Policies
In order to ensure we can provide much needed health care services to our members, MVP is continuing to follow our current premium payment policies. We continue to monitor New York and Vermont state guidance related to premium payment grace periods and will update you accordingly.
-The Federal Stimulus Package and Small Business Loan Availability
In response to COVID-19, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), which includes Small Business Loans for eligible businesses (under 500 employees) was recently passed into law. The CARES Act expands the eligibility for small businesses to receive a loan of up to ten million dollars. Loans can be used for payroll as well as paid sick, medical, or family leave, costs related to the continuation of group health care benefits, mortgage payments and rent, utilities, and other debts. Loans could also be extended to sole proprietors, independent contractors, and self-employed persons. No collateral or personal guarantee is required. Loans are eligible for forgiveness if they meet specific criteria.
-Active at Work Provision/Employee Termination Scenarios
MVP does not plan to apply the active at work provision at this time. We will continue to provide employer group sponsored coverage to all employees and members who are currently enrolled, if premiums are being paid.
In the unfortunate instance that employers cannot continue to pay premiums for employees and need to terminate coverage for an employee during the COVID-19 pandemic, MVP will allow employer sponsored coverage to be reinstated for the employee once they return to work. MVP will not reset a re-hired employee’s deductible and/or out-of-pocket maximum accumulators as long as they enroll in the same plan during the same plan year. A re-hired employee cannot make a plan change at time of reinstatement.
An employee who is terminated from employment, or permanently laid off, is no longer eligible for employer sponsored group coverage. A terminated employee must seek coverage through COBRA or enroll in a health plan through NY State of Health™, Vermont Health Connect or directly from MVP.
Business Services Corporation
5 Computer Drive South
Albany NY 12205
Press 1 For Eligibility (Jeanne)
2 For Billing (Ann Maria)