Scott Kilpatrick

BCBS Reinstates St Lukes Network Agreements without Contract Lapse

By Scott Kilpatrick | Published Wed, Jan 13, 2021

BCBS and CommonSpirit Health reached an agreement to reinstate CommonSpirit’s network agreements with no lapse in network participation. CommonSpirit is … FULL STORY

Posted in Carrier News | Tagged BCBS, HMO, individual market, large group, medical, PPO, small group | Comments Off

Group Health Plans – Determination of Medicare Part D Creditable Coverage Status

By Scott Kilpatrick | Published Wed, Dec 2, 2020

Employers are required to provide notices to Medicare-eligible individuals covered by their prescription drug plan about whether the plan is … FULL STORY

Posted in Carrier News | Tagged compliance, creditable coverage, large group, Medicare, sel, small group | Comments Off

BCBS Updates Retail (Individual Under 65) Compensation to PMPM in 2021

By Scott Kilpatrick | Published Thu, Nov 5, 2020

BCBS is changing its compensation schedule for individual under 65 major medical qualified health plans (QHPs). They are moving away … FULL STORY

Posted in Carrier News | Tagged 2021, BCBS, commission, individual market | Comments Off

BCBS Transitions to New SBC Tool for 2021

By Scott Kilpatrick | Published Wed, Oct 21, 2020

BCBS is transitioning to a new platform to generate SBCs for group and individual market plans. The old tool will … FULL STORY

Posted in Carrier News | Tagged 2020, 2021, BCBS, individual market, large group, SBC, small group | Comments Off

BCBS Providing Premium Credits on November 2020 Billing Statements

By Scott Kilpatrick | Published Thu, Oct 8, 2020

BCBS will issue premium credits to fully insured group customers on their November 2020 billing statements. The credits apply as … FULL STORY

Posted in Carrier News | Tagged 2020, BCBS, COVID-19, dental, large group, medical, small group | Comments Off

Employer Reporting Requirements under the ACA

By Scott Kilpatrick | Published Fri, Oct 2, 2020

Update 10/2/2020: The IRS extended the deadline for providing the statements to employees/individuals in 2021. No extension for the IRS … FULL STORY

Posted in Industry News | Tagged 1094, 1095, ACA, employer mandate, health insurance, health reform, HHS, IRS, large group, minimum essential coverage, minimum value, section 6055, section 6056, self-funded, small group | Comments Off

BCBS Launches Financial Relief Program for 51+ Insured Customers

By Scott Kilpatrick | Published Wed, Jul 15, 2020

BCBS of TX announced a COVID-19 Economic Response Program designed to help new and existing fully insured employer group customers … FULL STORY

Posted in Carrier News | Tagged 2020, 2021, BCBS, COVID-19, dental, health insurance, large group | Comments Off

UHC and Houston Methodist Finalize Network Agreement Effective June 1, 2020

By Scott Kilpatrick | Published Mon, Jun 1, 2020

UHC and Houston Methodist finalized a multi-year network agreement to bring Methodist’s facilities back into UHC’s provider networks. The agreement … FULL STORY

Posted in Carrier News | Tagged Houston, Houston Methodist, medical, UHC | Comments Off

All Savers Offering 15 Month Rate Guarantees

By Scott Kilpatrick | Published Thu, May 28, 2020

All Savers will offer a 15 month rate guarantee to groups effective or renewing Nov 2019 – Jan 2020 and … FULL STORY

Posted in Carrier News | Tagged 2019, 2020, 2021, All Savers, medical, self-funded, small group | Comments Off

NAHU: Emergency Extension of COBRA Election Timeframes

By Scott Kilpatrick | Published Fri, May 1, 2020

This article is adapted from this NAHU update.

Earlier this week, the DOL and IRS released an emergency final regulation regarding … FULL STORY

Posted in Industry News | Tagged 2020, COBRA, COVID-19, DOL, ERISA, IRS, large group | Comments Off

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Scott Kilpatrick