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New schedule for small group administration move to CBIA
As we shared last month, we are expanding our relationship with the Connecticut Business & Industry Association (CBIA) to include administration of most fully-insured small-group plans.1
New small-group clients with effective dates of Aug. 1, 2020 or later will be administered by CBIA upon enrollment. Current ConnectiCare small-group clients will move over and have their services administered by CBIA based on the schedule below. And be assured – we will reach out to you and your small-group clients approximately 60 days before their transition so they know what to expect. Your account manager will work closely with you to ensure you have everything you need to help your clients through this transition period.
| Groups with renewal dates of… |
will move under CBIA administration on… |
| Aug. 1, 2020 |
Aug. 1, 2020 |
| Sept. 1, 2020 |
Sept. 1, 2020 |
| Oct. 1, 2020 |
Oct. 1, 2020 |
| Nov. 1, 2020 |
Nov. 1, 2020 |
| Dec. 1, 2020 |
Dec. 1, 2020 |
| Jan. 1, 2021 |
Jan. 1, 2021 |
| Feb. 1 – July 1, 2021 |
Oct. 1, 2020
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With this move, your small-group clients will enjoy the services of nationally known telemedicine provider Teladoc® and, if they have FlexPOS plans, a new national network in First Health®.
To make this happen, we will be issuing new member ID numbers and cards to the employees of your small-group clients. As a reminder, here’s an employer guide to small-group changes that you can use with your employer groups. It provides additional details on the changes they’ll experience as they move to CBIA administration.
1Access Health CT will continue to administer ConnectiCare SHOP plans.
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Large-group clients will have early access to new features and benefits
Large-group clients won’t have to wait for new features and benefits we have planned for our employer-sponsored health plans:
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A new national network in First Health®, an Aetna subsidiary, for those with FlexPOS plans
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A nationally known telemedicine provider in Teladoc®.
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Here is the schedule for transitioning large group clients, starting on Aug. 1, 2020. Be assured – we will reach out to your large-group clients in advance so they know what to expect and work with you throughout the renewal process.
| Groups with renewal dates of… |
will have access to the new features and benefits on… |
| Aug. 1, 2020 |
Aug. 1, 2020 |
| Sept. 1, 2020 |
Sept. 1, 2020 |
| Oct. 1, 2020 |
Oct. 1, 2020 |
| Nov. 1, 2020 |
Nov. 1, 2020 |
| Dec. 1, 2020 |
Dec. 1, 2020 |
| Jan. 1 – July 1, 2021 |
Jan. 1, 2021
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Please note, the above schedule does not affect large-group clients enrolling in new ConnectiCare plans as of Aug. 1, 2020 and later. Those clients will have access to the new features and benefits as they enroll. Please remember to use our new enrollment forms for fully-insured or self-funded groups to enroll these new groups.
Groups will be assigned new ID numbers, and members will receive new member ID numbers and cards.
ID cards, group numbers, and welcome letters
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New member numbers and cards: By the end of 2020, we will mail all employees of your large-group clients new, 11-digit member ID numbers that start with the letter "K." We will mail ID cards (with the new numbers) before their renewal dates or before Jan. 1, 2021. We will work closely with you and your clients so they know what to expect.
A letter with the ID card will instruct members on what date to begin using the new card when visiting a doctor, picking up a prescription, or visiting another health care provider.
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New group ID numbers: We will also update all group ID numbers by the end of 2020. Renewing groups through Jan. 1, 2021, will receive new group ID numbers in the month before their effective dates.
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New welcome letter: Subscribers of new and renewing group plans after Aug. 1, 2020, will receive a welcome letter with information on how to find their benefit summaries, membership agreements or certificates of coverage, riders, and other essential plan information on connecticare.com.
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Changes to billing processes for large-group clients
Monthly premium invoices sent to group clients with Aug. 1 effective dates and after will have:
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A new look and be mailed on the 14th of each month.
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New premium payment information. Premium payments will be mailed to JP Morgan Chase at this address:
ConnectiCare
P.O. Box 21852
New York, NY 10087-1852
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Please instruct your large-group clients to send their payments to the address listed on their invoices to make sure they send it to the right bank. We do, however, have a process in place to ensure payment is applied to the correct account if your client sends premium payments to the wrong bank.
Large group COBRA billing
After Aug. 1, you will receive a system-generated email if an individual with COBRA coverage billed by ConnectiCare is at risk of cancellation due to nonpayment. The email will encourage you to sign into the secure broker website account to view the premium status.
Summary of changes
We know this is a lot of information, but here’s a large-group employer resource you can share with your clients. Your account manager will work closely with you and your clients during this transition period.
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Fraud monitoring and support now included with large-group plans
We partnered with CyberScout, an industry leader in cyber security, to bring large-group plan members identity monitoring and resolution services. These services include:
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Child identity (ID) theft.
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Tax ID theft.
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Medical ID theft.
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Estate support.
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Lost wallet support.
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Active duty military fraud alerts.
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CyberScout’s offerings are especially important now with increased fraud attempts during the coronavirus (COVID-19) pandemic. These services are available at no cost to employers or to covered employees with large-group plans and immediate family members in their households. Members can call 1-877-432-7463, a dedicated line for ConnectiCare, to use the services.
Share this information with your large-group clients today. Contact your sales representative with any questions.
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Commercial Passage plan referrals waived through Sept. 9, 2020
ConnectiCare will continue to allow members with commercial Passage plans to see specialists without first getting a referral from their primary care provider (PCP) through Sept. 9, 2020. This applies to members of group plans and individual plans, those purchased through Access Health CT and SOLO plans. Referrals are not required for members of Medicare Advantage Passage Plan 1 (HMO).
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COVID-19 updates – benefit extensions and revised business FAQs
We have extended some cost-share waivers and additional services through Sept. 9, 2020 to help keep our members well and safe.
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ConnectiCare members can continue to use telehealth for covered medical and mental health services without paying a deductible, copayment, or coinsurance through Sept. 9, 2020.
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ConnectiCare members will not pay cost shares for tests to diagnose COVID-19 or the visit to a doctor or other health care provider through Sept. 9, 2020.
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They may continue to take advantage of free home prescription delivery services through Express Scripts, CVS, and Walgreens and fill prescriptions early, if needed.
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ConnectiCare will waive member cost-shares for clinically appropriate inpatient, outpatient, and emergency room treatment of COVID-19 by in-network health care providers through Sept. 9, 2020.*
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Also, commercial Passage plan members will not require primary care provider (PCP) referrals to specialists through Sept. 9. (Referrals are not required for Medicare Advantage Passage plan members.)
Updated resources for you and your clients
So much has changed over the past few months. We updated our list of answers to employers’ frequently asked questions to help you and your clients navigate the evolving situation.
You can also direct your clients to share answers to questions for commercial members and Medicare members about COVID-19 coverage with their employees. These pages include additional information about the benefit extensions noted above.
The benefits described above apply to fully-insured plans. Self-funded employer groups may have different coverage.
*This temporary policy applies as follows:
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To members who are covered by fully-insured plans through an employer, through Access Health CT, by a SOLO plan, or a Medicare Advantage plan.
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For members of Fixed Funding Solutions level-funded plans, ConnectiCare will apply cost-share waivers under the same terms as its fully-insured policies unless plan sponsors opt out.
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Administrators of large group self-funded (“ASO”) plans will have the opportunity to opt into cost-sharing for COVID-19 treatment for their members.
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Confirm your contact information through our broker website by Aug. 1, 2020
ConnectiCare will introduce a new secure broker website this fall. To ensure your successful sign-in when the website is launched, please sign in and follow the prompt to update your email address and mobile phone number. Please do this as soon as possible but no later than Saturday, Aug. 1, 2020. Thank you!
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ConnectiCare centers closed, but available by phone
We’re focused on the health and safety of our members and employees. ConnectiCare centers remain closed, but our staff is available by phone for questions about ConnectiCare plans. Encourage your clients to call 1-877-523-6837 (TTY: 711) from 8:30 a.m. to 5 p.m., Monday - Friday for help. They can also call Member Services at 1-800-251-7722 (TTY: 711) from 8 a.m. to 8 p.m. Monday - Friday, 9 a.m. to 2 p.m. Saturday.
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ConnectiCare in the community
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ConnectiCare President Eric Galvin and Senior Medical Director Waldemar Rosario joined Mental Health Connecticut for a virtual member town hall earlier this month. The sessions focused on how to identify and reduce signs of stress from traumatic experiences and the resources available to ConnectiCare members.
ConnectiCare was proud to once again be the lead sponsor of Operation Shower, celebrating expectant military moms. A tradition of the Travelers Championship tournament week, the mothers received baby supplies at a “drive-through” event in Groton to promote social distancing. Galvin and several other ConnectiCare employees safely joined in the celebration. View photos from the event.
Dr. Rosario also appeared on Dinámica Radio this month to talk about safe ways to exercise in summer heat. Watch the full interview in Spanish.
Much more to see! Follow us on social media to stay up to date:
Facebook | LinkedIn | Instagram | Twitter
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© 2020 ConnectiCare | 175 Scott Swamp Road | Farmington, CT 06032 | Privacy Policy| Social Media Policy
ConnectiCare is a brand name used for products and services provided by ConnectiCare Insurance Company Inc., and its affiliates, members of the EmblemHealth family of companies.
ConnectiCare, Inc. is an HMO/HMO-POS plan with a Medicare contract. Enrollment in ConnectiCare depends on contract renewal.
ConnectiCare Insurance Company, Inc. is an HMO SNP plan with a Medicare contract and a contract with the Connecticut Medicaid Program. Enrollment in ConnectiCare depends on contract renewal.
Coverage is provided by and services are administered as follows: In Connecticut: Group HMO and POS coverage, and Individual HMO coverage is underwritten by ConnectiCare, Inc.; Group coverage for coinsurance plans and Individual POS coverage is underwritten by ConnectiCare Insurance Company, Inc. In Massachusetts: Group HMO and POS coverage is underwritten by ConnectiCare of Massachusetts, Inc. FlexPOS, PPO coverage, ASO/Self-funded services, and Dental products are administered or underwritten by ConnectiCare Insurance Company, Inc.
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