Archive for the ‘UnitedHealthcare’ Category

RxDC Reporting Deadlines and Resources

Article last updated: March 4, 2025.

Most of your clients have upcoming deadlines under the federal prescription drug benefits reporting (RxDC) requirements. Here’s a summary of the requirements, carrier support initiatives, and critical submission deadlines to ensure timely compliance.

General Information

Under Section 204 of the 2021 Consolidated Appropriations Act (CAA), insurance companies and employer-based health plans must submit information regarding prescription drug benefits and health care spending. The information must be submitted to the Centers for Medicare and Medicaid Services (CMS) by June 1st of each year for the prior year’s coverage.

The CMS requires the following information be submitted by insurance companies and employers:

• Spending on prescription drugs and health care services.
• Prescription drugs that account for most spending.
• Drugs that are prescribed most frequently.
• Prescription drug rebates from drug manufacturers.
• Premiums and cost-sharing that patients pay.

CMS Resources

• CMS Prescription Drug Collection Reporting Page
• CMS Prescription Drug Collection RxDC Reporting Instructions
• CMS Prescription Drug Data Collection FAQs
• CMS Help Desk – CMS FEPS@cms.hhs.gov
• CMS Enterprise Portal

Anthem

Anthem will follow the same process as in prior years and will file on behalf of their fully insured and ASO clients for the benefits they administer and maintain. This includes ASO groups who opt-in to the D1 reporting. To submit all required information and ensure reporting accuracy, they will request some information from their clients.

Week of February 17th – Large Group, Small Group, and National Account clients were notified about required RxDC filings and necessary actions.

• Fully Insured Clients received an email with a link to submit required filing information via an online form.
• ASO Large Group and National Account clients received an email with a link to opt in for Anthem to file their 2024 D1 Premium and Life Years report. Opted-in clients will have aggregated data submitted on their behalf.

Early June 2025 – RxDC Filing Confirmation

• When the filing is complete, Anthem will publish an article in EmployerAccess Latest News and their Broker Hub, Broker Plus app, Producer Toolbox, and Anthem Consultant Hub new channels.

For more information, please visit Anthem’s CAA/Transparency Resource Center.

Blue Shield

Blue Shield will collect D1 Premium Contribution data from groups between February 19, 2025 and April 19, 2025. Blue Shield will also submit D2 for all groups and D3-D8 for groups with prescription drug benefits under a Blue Shield health benefit plan. If a group does not have prescription drug benefits with Blue Shield, they should coordinate submission of D3-D8 with their pharmacy/prescription drug benefits carrier.

Key Details

• Groups or their brokers with access to an Employer Connection account are encouraged to complete the survey by logging in to Employer Connection.
• Groups or their brokers without access to an Employer Connection account can submit the required information via the Prescription Drug & Healthcare Spending Survey using their group ID and web key: #25yr24,
• Submission Deadline: Saturday, April 19, 2025, 6:00 pm PST (for the 2024 reference year),
• Date Reporting Period: Calendar year 2024,

Who Needs to Submit The Survey?
Any group (or broker/delegate on behalf of the group) who would like Blue Shield to submit D1 Premium data on their behalf to the CMS. This includes:

• Small Business Groups: Covered California On-Exchange and Off-Exchange.
• Core Groups: Fully-Insured and ASO.
• Premier Groups: Fully-Insured and ASO.

Third-Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) may assist in reporting. Groups that miss the deadline will not be included in Blue Shield’s filing and may be subject to non-compliance if they do not report the required data directly to the CMS by the June 1, 2025 deadline.

Other Details

• Only one individual (broker, group administrator, or delegate) may submit responses for a single group ID.
• A single broker or delegate may, however, submit a response for multiple groups.
• Submitters will receive an email confirmation displaying a snapshot of their responses along with a link to edit the survey until the deadline.
• Only the submitter will have access to edit responses until the deadline.
• For more information, view the Prescription Healthcare Spending Survey FAQs.

Information Requested

• Basic group information such as group name and group ID.
• Healthcare premium percentage paid by the employer for Small Business Groups and Large Groups that have prescription drug benefits with Blue Sheild or,
• Total healthcare premium paid by employer and employee, for Large Groups that have pharmacy/prescription drug benefits with another carrier besides Blue Shield.
• Total Premium Equivalent Amount (for self-funded ASO only, when applicable) – Total cost of providing and maintaining coverage, including claims costs, administrative costs, self-funded ASO and other TPA fees, and stop-loss premiums.

Health Net

Health Net will not require any data from employer groups to complete Plan List (P2) and Data File (DI) submissions with the CMS on behalf of their clients. No action or any fees are required by employer groups or brokers. This includes groups with members enrolled in Health Net through CaliforniaChoice.

Kaiser Permanente

Fully insured employer groups will need to complete the Kaiser Permanente RxDC data collection form by March 31, 2025.

Information Requested

• Employer Identification Number (EIN).
• Form 5500 Plan Number, if applicable (ERISA plans only).
• Average monthly premium paid by members/employees = total 2024 premiums paid by members/employees divided by 12.
• Average monthly premium paid by employers = total 2024 premiums paid by employer minus the amount paid by employees divided by 12.

Self-funded groups: Kaiser Permanente representatives will reach out to each self-funded group, via email, with instructions and offline forms that will be prepopulated with the group’s information along with blank fields for the group to complete and return to Kaiser Permanente.

Specific CA Small Groups: Covered California for Small Business (CCSB) and CaliforniaChoice groups do not need to complete the form as these exchanges will be providing the needed data for all the employers they serve, aggregated at the exchange level, to Kaiser Permanente.

Kaiser Permanente plans to submit all applicable reports and required responses for all employer groups to CMS by the June 1, 2025 deadline. To learn more, view the Kaiser Permanente RxDC FAQs.

Sharp Health Plan

Sharp Health Plan will request employer contribution data via a Request for Information (RFI) survey and will file on behalf of the group. Deadline: April 18, 2025.

UnitedHealthcare

UnitedHealthcare will complete the CAA Prescription Drug (RxDC) reporting for its fully insured and self-funded/level funded groups, including those with OptumRx as the integrated PBM. However, groups with these will need to complete the Request for Information (RFI) tool for RxDC reporting between February 1, 2025, and March 31, 2025.

To support its customers with this important filing, UnitedHealthcare will be submitting the P2 (Group Health Plan), D1 (Premium and Life Years) and D2 (Spending by Category) files for all employers who had active coverage during the reference year (2024). However, completion of the submission requires gathering some information not currently maintained in their system.

UnitedHealthcare will also submit the D3-D8 data files for customers with OptumRx as an integrated PBM. UnitedHealthcare has access to all data required to complete the submission of the D3-D8 data files. Customers who use any other PBM, including OptumRx Direct, must work with that PBM to submit the D3-D8 files.

Resources

• UnitedHealthcare Pharmacy Benefits and Costs Reporting Website
• UnitedHealthcare Pharmacy Benefits and Costs Reporting (RxDC) FAQs
• UnitedHealthcare Pharmacy Benefits and Cost Guide
• UnitedHealthcare RxDC RFI Worksheet

Western Health Advantage

Western Health Advantage will request employer contribution data via a Request for Information (RFI) survey and will file on behalf of the group. Deadline: April 15, 2025.

Covered California for Small Business

Covered California for Small Business (CCSB) serves as an administrator of their participating Health Plan Issuers and is not an insurance company nor an employer-based health plan. Therefore, CCSB is not subject to RxDC data collection requirements on behalf of their employer groups. Claremont recommends that the employer follow the reporting guidelines for the enrolled carrier(s).

• Blue Shield of California 800.559.5905
  Blue Shield of California issued a Broker Alert detailing instructions for the submission of group data via an intake form. The deadline for the submission of this form is Saturday, April 19, 2025 at 6:00 PM PST.
  Information required to complete the form:
  – Blue Shield Group ID number, found on the MyCCSB Portal Employer Dashboard under Enrolled Medical Plans.
  – Web key: #25yr24
• Kaiser Permanente 800.464.4000
  Kaiser Permanente is compiling and submitting the required data on behalf of their employer groups.
• Sharp Health Plan 800.359.2002
  Sharp Health Plan will be contacting their employer groups directly to obtain the required information. In addition, they will be sending a broker and employer alert informing all brokers and CCSB employers of the RxDC reporting requirement.

CCSB’s Small Business Service Center is available to help with questions at 855.777.6782.

CaliforniaChoice

CaliforniaChoice serves as an administrator of their participating Health Plan Issuers and is not an insurance company nor an employer-based health plan. Therefore, CaliforniaChoice is not subject to RxDC data collection requirements on behalf of their employer groups.

Like last year, CaliforniaChoice is facilitating the RxDC for its employers and their plans for the 2024 reference year (reporting due June 1, 2025). CaliforniaChoice will coordinate directly with their carriers to facilitate all reporting obligations. There is no action required from the employer.

Summary

The carriers are actively assisting your clients with federal reporting compliance and will require specific information from each employer group. Watch for direct communication from the carriers and follow their instructions. If you or your clients need assistance we can connect you with appropriate carrier representatives.

Contact us today for assistance.

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.

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RxDC Reporting Deadlines

Article last updated: March 19, 2024.

Most of your clients likely have upcoming deadlines under the federal prescription drug benefits reporting (RxDC) requirements. Here’s a summary of the requirements, how carriers are helping, and the deadlines.

General Information

Under Section 204 of the 2021 Consolidated Appropriations Act (CAA), insurance companies and employer-based health plans must submit information regarding prescription drug benefits and health care spending. The information must be submitted to the Centers for Medicare and Medicaid Services (CMS) by June 1st of each year for the prior year’s coverage.

According to the CMS, the information that is required to be submitted by insurance companies and employers are:

• Spending on prescription drugs and health care services.
• Prescription drugs that account for most spending.
• Drugs that are prescribed most frequently.
• Prescription drug rebates from drug manufacturers.
• Premiums and cost-sharing that patients pay.

CMS Resources

• CMS Prescription Drug Collection Reporting Page
• CMS Prescription Drug Collection RxDC Reporting Instructions
• CMS Prescription Drug Data Collection FAQs
• CMS Help Desk – CMS FEPS@cms.hhs.gov
• CMS Enterprise Portal

Blue Shield

Blue Shield will collect D1 Premium information from groups between February 5, 2024 and April 19, 2024. Blue Shield will also submit D2 for all groups and D3-D8 for groups with prescription drug benefits under a Blue Shield health benefit plan, and P2 accordingly. If a group does not have prescription drug benefits with Blue Shield, they should coordinate submission of D3-D8 with their pharmacy/prescription drug benefits carrier, and P2 accordingly.

Key Details

• Covered CA Small Business groups, whether active or inactive with Blue Shield, are required to fill out this intake form, using the group ID and following web key: #24yr23.
• All other groups (Off-Exchange/non-Covered California plans) are required to follow the process below:
  • Active groups have two options:
    1. Complete this form using web key #24yr23.
    2. Complete the intake form available on Employer Connection upon logging in.
  • Inactive groups (terminated on or before December 31, 2023) are required to fill out this intake form, using the group ID and following web key: #24yr23.
• The deadline to provide information is Friday, April 19, 2024 at 6:00 PM (PST).
• Blue Shield is not accepting paper, PDF, or fax submissions. If you, or the group, previously provided a response through either of these methods, please resubmit this information through the process outlined above.

Other Details:

• For group plan sponsors whose benefit structures include multiple groups (subgroups), the intake form must be completed for the group, not the subgroup, under the main ID.
• Only one individual (broker, group administrator, or delegate) may submit responses for a single group ID.
• A single broker or delegate may, however, submit a response for multiple groups.

Information Requested

• Basic group information such as group name and group ID.
• Healthcare premium percentage paid by the employer for Small Business Groups and Large Groups that have prescription drug benefits with Blue Sheild or,
• Total healthcare premium paid by employer and employee, for Large Groups that have pharmacy/prescription drug benefits with another carrier besides Blue Shield.
• Total Premium Equivalent Amount (for self-funded ASO only, when applicable) – Total cost of providing and maintaining coverage, including claims costs, administrative costs, self-funded ASO and other TPA fees, and stop-loss premiums.
• Blue Shield 2024 RxDC D1 Intake Form FAQs
• Blue Shield 2024 RxDC Responsibility Matrix
• Blue Shield Employer Connection
• Blue Shield 2024 RxDC Reporting Intake Form – Terminated Groups

UnitedHealthcare

Due to technical issues on their end and updated guidance from CMS about the 2024 submission, below are revised dates:

• The opening of the Request for Information (RFI) tool is Wednesday, February 14, 2024.
• The deadline for employers/brokers to complete submissions (or to contact UHC to request data) is Wednesday, April 10, 2024.

UnitedHealthcare will complete the CAA Prescription Drug (RxDC) reporting for its fully insured and self-funded/level funded groups, including those with OptumRx as the integrated PBM. However, groups with these will need to complete the Request for Information (RFI) tool for RxDC reporting between February 1, 2024, and March 31, 2024. The March 31, 2024, deadline is firm.

To support its customers with this important filing, UnitedHealthcare will be submitting the P2 (Group Health Plan), D1 (Premium and Life Years) and D2 (Spending by Category) files for all employers who had active coverage during the reference year (2023). However, completion of the submission requires gathering some information not currently maintained in their system.

UnitedHealthcare will also submit the D3-D8 data files for customers with OptumRx as an integrated PBM. UnitedHealthcare has access to all data required to complete the submission of the D3-D8 data files. Customers who use any other PBM, including OptumRx Direct, must work with that PBM to submit the D3-D8 files.

Resources

• 2024 UnitedHealthcare Approach to CAA Prescription Drug Data Collection RxDC Reporting Website
• UnitedHealthcare RxDC Reporting FAQs

Kaiser Permanente

Kaiser Permanente is required to submit information on prescription drugs and healthcare spending to CMS. On February 1, 2024 Kaiser Permanente began to send out a survey form from Kaiser-Permanente-RxDC@kp.org to all contract signers to request this information. The form must be completed by March 15, 2024.

Information Requested

• Average monthly premium that is paid by employee/member.
• Average monthly premium that is paid by the employer/group.
• Employer/group Form 5500 Plan Number (if applicable).

Kaiser Permanente plans to submit all applicable reports and required responses for all employer groups to CMS by the June 1, 2024 deadline.

Sutter Health Plus

Employer groups must submit information to Sutter Health Plus regarding the average monthly premiums paid on behalf of enrollees and the amount paid by enrollees each year.

For calendar year 2023 reporting, employers or brokers are to submit the required information through the online Premium Reporting Form.

Submissions are due no later than March 1, 2024.

Cigna + Oscar

Cigna is reporting on behalf of Cigna + Oscar groups, so no action is required by employer groups or brokers.

Covered California for Small Business

Covered California for Small Business (CCSB) serves as an administrator of their participating Health Plan Issuers and is not an insurance company nor an employer-based health plan. Therefore, CCSB is not subject to RxDC data collection requirements on behalf of their employer groups. Claremont recommends that the employer follow the reporting guidelines for the enrolled carrier(s).

• Blue Shield of California 800.559.5905
  Blue Shield of California issued a Broker Alert detailing instructions for the submission of group data via an intake form. The deadline for the submission of this form is Friday, April 5, 2024 at 6:00 PM PST.
• Kaiser Permanente 800.464.4000
  Kaiser Permanente is compiling and submitting the required data on behalf of their employer groups.
• Sharp Health Plan 800.359.2002
  Sharp Health Plan will be contacting their employer groups directly to obtain the required information. In addition, they will be sending a broker and employer alert informing all brokers and CCSB employers of the RxDC reporting requirement.

CCSB Resources – CCSB’s Small Business Service Center is available to help with questions at 855.777.6782.

CaliforniaChoice

CaliforniaChoice serves as an administrator of their participating Health Plan Issuers and is not an insurance company nor an employer-based health plan. Therefore, CaliforniaChoice is not subject to RxDC data collection requirements on behalf of their employer groups. Claremont recommends that the employer follow the reporting guidelines for the enrolled carrier(s).

• Anthem – Anthem will file on behalf of their fully insured and ASO clients for the benefits they administer and maintain. This includes ASO groups who opt-in to the D1 reporting. In order to submit all required information and ensure reporting accuracy, Anthem will request some information from clients via email that will link to an online form.
• Cigna + Oscar – Cigna is reporting on behalf of groups. No action required by employer or broker.
• HealthNet – HealthNet is reporting on behalf of groups. No action required by employer or broker.
• Kaiser – see above.
• Sharp Health Plan – no details released yet.
• Sutter Health Plus – see above.
• UnitedHealthcare – see above.
• Western Health –  the carrier will reach out to the employer group for any additional.

Summary

The carriers are taking action to support your clients with the federal reporting requirements. In order to do so, they require information from each employer group. Look out for emails directly from the carriers, and follow their instructions. If you or your clients have questions, we can help direct you to the right contacts at the carriers.

Contact us today for assistance.

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.

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UnitedHealthcare Specialty Plans – Update and Reminders

The recent specialty plans update and reminders are listed below.

Update

5% Dental Rate Cap Extended Through July 2021 Effective Dates

The UnitedHealthcare Dental Rate Cap Program guarantees that groups enrolling in a new plan will receive no more than a 5% increase at their first renewal.

• Group size of 2 – 100 eligible employees.
• Applies to both employer sponsored and voluntary coverage.
• Available to both new business and new coverage existing accounts (NCEA).

Reminders

Enhanced Dental Plan Options

• FlexAppeal Enhanced (X series)
  Dental plan codes with the letter ‘X’ include coverage for white composites, implants, and up to four cleanings per year with a supportive diagnosis.
• Preventive MaxMultiplier (H series)
  Dental plan codes with the letter ‘H’ do not apply preventive and diagnostic services towards the annual maximum (the same concept as Delta Dental’s ‘DPM Waiver’ and Principal’s ‘Preventive Passport’ feature).

Off-Cycle Specialty Adds
UnitedHealthcare allows certain specialty products to be added off-cycle without any approvals. The rate guarantee period will be adjusted so the off-cycle products renew at the policy anniversary.

Products that DO NOT require approval to be added off-cycle:

• Contributory and voluntary dental.
• Contributory and voluntary vision.
• Non-contributory and contributory basic life.
• Non-contributory and contributory long-term disability.
• Non-contributory and contributory short-term disability (employees working in CA, HI, RI, NY, NJ, and Puerto Rico are not eligible).

Products that DO require approval to be added off-cycle:

• Supplemental (Voluntary Life).
• Voluntary short-term and voluntary long-term disability.

Start quoting UnitedHealthcare specialty plans today!

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

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UnitedHealthcare Specialty Plans – Update and Reminders

The recent specialty plan update and reminders are listed below.

Update

Employer Bundling Program extended to July 2021 to earn up to a $3,000 credit by bundling 3+ lines of new ancillary coverage.

Qualifications

• Hit the Annualized Premium Threshold of at least $7,500.
• Groups receive an administrative credit on the third or fourth invoice after the lines have been added.

Eligibility Requirements

• February 2021 – July 2021 effective dates.
• 1 -100 eligible employees in California and Colorado.
• 2-50 eligible employees in other states.
• Dental, vision, life, voluntary life, STD, and LTD. STD is not available in California because of CASDI.

Download the Employer Bundling Program flyer to learn about the savings on specialty plans.

Employer Bundling Program

Reminders

Dental and Vision Rate Passes Extended Through April 2021

• Applicable for groups of 2-100 eligible lives.
• Includes UnitedHealthcare and All Savers business.
• Life and disability coverage are still subject to review and potential rate increases due to filed claims.

Q2-2021 Small Group Rate Actions and Broker Bonus Programs

Broker bonus for new sales and renewing groups.

Specialty Benefits Quick-Quote-Tool

• Access the self-service quoting tool through United eServices using your UeS login information.
• The Quick Quote Tool is available now.
• Get the Specialty Benefits Quick Quote Tool Job Aid to see all the steps you need to follow for quoting dental, vision, and basic life for 2-100 eligible employees.

Start quoting UnitedHealthcare specialty plans today!

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

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UnitedHealthcare Webinar: COVID-19 Briefing on The Latest Vaccination Efforts

Stay up to date on the latest COVID-19 vaccination efforts by attending UnitedHealthcare’s webinar on January 27th at 12:00 pm PST.

Topics Include:

• Updates on vaccine availability, distribution, and vaccination efforts.
• Information about new COVID-19 variants and the implications for testing and patient care.
• A review of tools such as ProtectWell that help employers ensure workplace safety and compliance.
• Healthcare updates, including regulatory changes to improve transparency and potential new rules from the Biden Administration.

Register now.

Register for The Webinar

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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UnitedHealthcare Small Group Rate Actions and Bonus Programs

Prepare for Q2-2021 with these rates actions, broker bonus programs, updates, and reminders from UnitedHealthcare.

Q2-2021 Small Group Rate Actions

• Northern California
  Quarterly Change: PPO +2.7% and HMO +2.3%
  Annual Renewal: PPO +3.9% and HMO +3.0%
• Southern California
  Quarterly Change: PPO +2.1% and HMO +2.3%
  Annual Renewal: PPO +0.3% and HMO +1.8%

Broker Bonus Programs*

‘New’ Sales Bonus

• Eligible California agents will receive a $100 bonus for each member enrolled in medical coverage sold during the bonus period.
• Eligible groups are fully insured medical groups with up to 100 eligible employees in California that have an effective date from January 1, 2021 – December 31, 2021, and have at least 10 employees enrolled in UnitedHealthcare medical coverage.
• Groups must be a California situs to be eligible for the bonus.

Renewal Bonus

• Eligible agents can earn an additional $100 bonus for each enrolled employee for groups that receive the ‘New’ Sales Bonus for 2021, and renew coverage in 2022.
• Another $100 bonus will be paid for each enrolled employee if the group renews coverage again in 2023.
• Bonus example:
  • When an agent sells an eligible medical group with 60 enrolled employees, with an original effective date in 2021, the agent is eligible for a new sales bonus of $100 per enrolled employee, or $6,000 ($100 x 60 employees).
  • When this group renews fully insured medical coverage in 2022 with 65 enrolled employees and is active on December 31, 2022, the agent will receive a 2022 renewal bonus of $6,500 ($100 x 65 employees).
  • When the same group renews fully insured medical coverage in 2023 with 70 enrolled employees and is active on December 31, 2023, the agent will receive a 2023 renewal bonus of $7,000 ($100 x 70 employees).

  

  • To learn more, download the flyer.

Current Small Business Broker Bonus
The current bonus program is in place and will be in addition to the bonus programs mentioned above for new groups written in 2021.

• Effective dates: March 1, 2020 through February 28, 2021.
• Eligible groups are fully insured medical groups, located in California, that have at least 10 enrolled eligible employees.
• The maximum bonus for eligible groups or a collection of affiliated groups is $50,000.
• Example of the payout amounts by group size and medical coverage:

• Download the flyer to learn more.

*Only agents permanently located in California are eligible for the bonus.

Underwriting

Choice Simplified Packages

• 3 packages that can be mixed and matched with all plans and networks.
• Employers can anchor with a base plan and allow employees to buy up to richer options or larger networks.
• To learn more, download the flyer.

Staff Model Guidelines
Only 5 California employees enrolled in UnitedHealthcare to offer alongside up to 2 Staff Model carriers, 60% overall participation required.

Out-of-State Guidelines
Does not require 51% to reside in a state.

Participation Certificate
Groups with 10+ employees can submit a participation certificate in lieu of a DE9C.

Start-Up Groups
6 weeks in business and 2 weeks payroll prior to the effective date.

Packaged Savings
Discounts for bundling specialty coverage (dental, vision, life and/or short-term disability) with medical coverage.

• Monthly credit per enrolled medical employee per month.
• Dollar amount to be credited does vary by line of coverage.
• Additional details can be found on the Package Savings Flyer.

Specialty Updates

Dental 
UnitedHealthcare is extending the 5% dental rate cap until July 2021 effective dates.

• Enhanced dental plans available:
  – X Series: Implants, white composites, and up to 4 cleanings per year (no missing tooth clause).
  – H Series: Preventative and diagnostic services do not count toward the annual maximum.
• Implants and ortho included in the CA DHMO plans.

Vision

• Retail network includes Lens Crafters, 1-800 Contacts, Warby Parker. and Glasses USA.
• Additional exam and materials benefits are available for diabetic, pregnant/nursing women and children under the age of 13.

Wellness Reminders

Motion HSA Prepaid Debit Card

HSA members (employee or spouse) can choose to receive incentives via an HSA deposit or via a prepaid debit card during Motion registration. The debit card may be used for non-health care-related expenses.

• Prepaid card option is effective January 1, 2021.
• Employee and spouse can have their own HSA account or prepaid debit card.
• Existing members will receive a notification.
• Members can change their options throughout the plan year.

Motion and Apple Fitness+

Motion members with an Apple Watch® can now receive 5 months access to Apple Fitness+ at no additional cost from January 1, 2021 through June 30, 2021.

Important Dates

• April 1, 2021 rate guides have been posted to the UnitedHealthcare portal.
• Q2-2021 rates are live in PRISM.
• New business submission deadlines are the 10th of every month.
• April 1, 2021 renewals are available.
• COVID-19 Public Health Emergency has been extended to April 20, 2021.
  UnitedHealthcare will cover medically appropriate COVID-19 testing during the national public health emergency period.
• Access the COVID-19 FAQs.

Drive sales with UnitedHealthcare’s valuable free services, including:

• • • Free COBRA, FSA and POP (2+ members)
    • Virtual Visits
    • Gym Membership
    • Rally Wellness App
    • Member Account Management App

Start quoting UnitedHealthcare today!

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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UnitedHealthcare Vision Provider Network Update

UHC Vision Provider Network Update

• Effective January 1, 2021, 1-800 Contacts has become UnitedHealthcare’s newest online provider. Eligible members can apply their contact lens allowance by logging in at 1800contacts.com and selecting the insurance link.
• LensCrafters, a recent UnitedHealthcare partner, offers consumers a large selection of designer frames, convenient hours and locations.
• Check out this current listing of UnitedHealthcare’s brands and retail stores.

Reminders

Vision Coverage

• Members continue to have in-store and on-line access to Warby Parker® products and services. To learn more, visit warbyparker.com/united.
• GlassesUSA.com will continue to be offered as an online retailer.

Specialty Benefits Quick-Quote-Tool

• Get the Specialty Benefits Quick Quote Tool Job Aid to see all the steps you need to follow for quoting dental, vision, and basic life for 2-100 eligible employees.
• Access the self-service quoting tool through United eServices using your UeS login information.
• The Quick Quote Tool is available now.

Dental and Vision Rate Passes Through April 2021

• Life and disability coverage are still subject to review and potential rate increases due to filed claims.

Start quoting UnitedHealthcare Specialty plans today!

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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Apple Fitness+ Now available to UnitedHealthcare Motion Members

Starting in 2021, UnitedHealthcare Motion® members with an Apple Watch® will be eligible to sign up for Apple Fitness+ and get a five consecutive month subscription at no additional cost.

Members will have access to Apple Fitness+ digital studio-style workouts with real-time metrics from Apple Watch synced to their iPhone, iPad or Apple TV, so they can follow their workout progress on screen. And they can choose from 10 workout types, with new workouts added every week that can be completed anytime, anywhere. Members can handpick music from their favorite artists to stay motivated. What’s more, Motion members may earn financial rewards for participating in Apple Fitness+ workouts.

Eligibility

The Apple Fitness+ promotion is available to any Motion-eligible member who activates the offer between January 1 – June 30, 2021, and has registered for UnitedHealthcare Motion and paired an Apple Watch on the UHCMotion mobile app. Once members pair an Apple Watch, they’ll receive a notification on how to redeem the Fitness+ promotion code.

Check out the press release to learn more.

Start quoting UnitedHealthcare today!

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

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UnitedHealthcare Vision Benefits Update

UnitedHealthcare Specialty plan reminders:

UnitedHealthcare’s Flexible Vision Network

• Includes 66 retail chains that offer convenient evening and weekend hours (good to know for groups with out-of-state locations). Many of the retail stores offer consumer discounts, on-going promotions, and a large inventory, unlike many private practice providers that are unable to due to space limitations.
• For a full list of providers, sign in to myuhcvision.com or call 800.638.3120.
• Download the vision provider network flyer to learn more.

Enhanced Maternity and Pediatric Vision Benefits 

• Additional maternity and pediatric vision benefits are included at no extra cost to members:
  • Two eye exams are covered each plan year for mothers-to-be and children up to the age of 13.
  • Coverage for one new pair of glasses (frames and lenses) at no additional premium cost if the vision prescription changes .5 diopter or greater in a plan year.
• Please note: these details are not included in UnitedHealthcare’s vision benefit summaries – only in this flyer.

Online Vision Providers: Warby Parker and GlassesUSA.com

• Warby Parker:
  • A network option for UnitedHealthcare members to purchase eyeglasses, prescription sunglasses, or contact lenses with vision benefits.
  • Free shipping.
  • A full refund or exchange is available within 30 days of receipt.
  • For more information, visit warbyparker.com/united.

• GlassesUSA.com:
  • Access to over 7,000 styles of glasses and sunglasses, including well-known designer brands and established house brands.
  • Ultraviolet, anti-reflective (anti-glare), and scratch-resistant coatings included at no additional cost.
  • Virtual Try-On allows members to see how the glasses fit.
  • Transparent pricing and benefits integration.
  • Free shipping and returns.
  • 24/7 customer support.

Start quoting UnitedHealthcare Specialty plans today!

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

Get The Latest News with Text Messaging!

Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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UnitedHealthcare Specialty Benefits Quick Quote Tool and Plan Administrator Guide for Life and Disability Products

Specialty Benefits Quick Quote Tool for Small Business

UnitedHealthcare’s newly launched Specialty Benefits Quick Quote Tool is a web-based self-service quoting tool that allows brokers to quickly and easily provide dental, vision, and basic life quotes for groups with 2-100 eligible employees. Easily access it through United eServices using your UeS login information

New Features Include:

• Summary census only for dental and vision quoting 2-50. No need to enter a full census!
• Comprehensive product portfolio.
• Advanced search options to filter portfolios based on needs.
• Side-by-side plan comparisons of benefits and rates.
• Benefit Summary accessibility.

Check out the Quick Quote Tool guide to learn more.

Get The Quick Quote Tool Guide

Plan Administrator Guide for Life and Disability Products

Get helpful action items and definitions to review as you administer your UnitedHealthcare life and disability coverage. Download the Plan Administrator Guide.

Get The Plan Administrator Guide

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

Get The Latest News with Text Messaging!

Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

Sign Up for Text Messaging