EHA News

EHA News

Summary of Benefits and Coverage for EHA Health Insurance Plans

Please review the following links for the Summary of Benefits for the EHA insurance plans for the coverage period: 09/01/2012 - 08/31/2013

*NEW* EHA Announces Opportunities for Optional Open Enrollment

The Educators Health Alliance (EHA) Board is announcing two alternatives for EHA subgroups to have an Open Enrollment on September 1, 2013.  Please review the following documents below as the announcement will give direction to the pathways to Optional Open Enrollment.  The Administration must hold a meeting with the local teaching association regarding the possibility of an Open Enrollment. An affidavit must be signed by the administration stating the meeting was held explaining the options. The signed affidavit will be sent to Blue Cross Blue Shield of Nebraska stating a meeting was held and the School Administration has elected to hold an Open Enrollment. 

*New* Market Reform Power Point

Please click on the below link to review the Market Reform Power Point.  If you have any questions please contact Gregory Long of the Educator Health Alliance. 

*New* Health Care Reform Webinar

The March 15 webinar will cover the following topics: 

  • Welcome and Purpose of the Webinars - Cara Kirsch, Director, Large and National Account Sales
  • Product Overview - Tom Gilsdorf, Director, Individual Product Development
  • Employer Shared Responsibility - Jim Hempel, Senior Corporate Counsel
  • Transitional Reinsurance Fee - Jerome Rewolinski, Director, Large Group Account Management
  • The Impact of Community/Age Rating on Pricing - Beckie Bees, Director, Actuarial Services
  • What BCBSNE is Doing to Support You - Cara Kirsch

Join us!
 
Title: Ask Blue: Health Care Reform Webinar
Date: Friday, March 15, 2013
Time: 10 - 11 a.m. CDT
 
After registering you will receive a confirmation email containing information about joining the Webinar.
System Requirements
PC-based attendees
 Required: Windows® 7, Vista, XP or 2003 Server
Mac®-based attendees
 Required: Mac OS® X 10.6 or newer
Mobile attendees
 Required: iPhone®, iPad®, Android™ phone or Android tablet
 

Dependent Eligibility Verification Appeals Extension Announcement

The Educators Health Alliance (EHA) Board at its April 29th, 2013 meeting gave the authorization for Xerox to extend the Dependent Eligibility Verification Process (DEV) Appeals Period until May 31st of 2013.  This will give members an extended period of time to satisfy the requirements to verify dependent eligibility.  It is strongly recommended that any member who has not met the requirements of the DEV do so in an expedited manner.  

The coverage termination date remains March 31 for dependents that are determined to be ineligible or do not provide sufficient evidence of eligibility.  If your dependent has had coverage terminated and is successful in appealing this determination before May 31, 2013, their coverage will be reinstated back to March 31, 2013.  If the appeal occurs after May 31, 2013 the member that lost coverage will not be able to get the coverage backdated to March 31 coverage; even if the appeal is successful.

The DEV will also allow verifications between June 1st and August 31st.  If the eligibility has been approved during this period the dependent will be reinstated the 1st of the month following the approval. 

Blue Cross Blue Shield of Nebraska has sent to EHA subgroups a list of employees whose dependents whose coverage has been terminated.  If your subgroup has not received such a list it is because all your employees have satisfied the DEV requirements. 

If you have any problems you are strongly encouraged to contact Xerox at 855-874-8505.   

Thank you,

Greg Long

Your EHA Field Representative

EHA Early Retiree Plan Benefit Options

Click on the headings below to view the informational power points.

Affordable Care Act Plan Year and Shared Responsibility Issues

Educator Health Alliance Summary of Coverage Booklets

The EHA and Blue Cross Blue Shield of Nebraska have posted the following 2013-2014 summary of coverage booklets.  Please click on the links below to view. 

 

IRS Delays Reporting of Group Health Plan Cost on W-2 Forms

 

On October 12, the Internal Revenue Service (IRS) released Notice 2010-69, which provided a one-year delay in the Health Reform Act (PPACA) requirement to report the cost of coverage under an employer-sponsored group health plan on Form W-2. The IRS stated that this delay was necessary to allow employers to make changes to their payroll systems or procedures in preparation for compliance with the new PPACA requirement.

Previous to this announcement, the new rule was to apply for employees' tax years beginning after Dec. 31, 2010. It will now be for tax years beginning after Dec. 31, 2011, so payroll systems need to be updated for this change by January 2012.

The IRS also issued a draft W-2 Form for 2011, which would allow employers to voluntarily provide information about the cost of coverage.

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