Jun 07, 2023
2023 Portfolio Updates
Health Net's Q4 rates are now available for quoting; please note, rates are pending completion of regulatory review. Health Net is very excited to announce a new National PPO Network administered by Cigna! Effective 11/1/2023, members will have access to Cigna's Network that includes more than 1 million national providers.
Rates
- Medical: Q4 2023 small business rates will have a 2.1% increase for HMO plans, and a 1.1% increase for PPO plans.
- Dental: No plan changes at this time.
- Vision: No rate or plan changes at this time.
- Optional chiro: No changes at this time.
Underwriting
Health Net is continuing their current promotions into Q4:
Enhanced Choice Promo
- Must have 5 active subscribers.
- Groups of 5-100 eligible employees.
- No DE-9C, prior carrier bill, payroll or ownership documents required.
- All eligible employees declining coverage must provide a waiver including those enrolling with another carrier.
- Employees enrolled on another carrier through the same employer will not count against participation.
Sell HMO with 6 Promo
- Mix and match any plans from the HMO networks.
- Must have 6 active subscribers.
- No DE-9C, participation attestation, payroll, ownership documents or prior carrier bill required.
- No minimum participation requirement. Waivers are not required unless sold alongside Life or Employer Paid Dental/Vision.
- No PPO plans.
- New HMO sales only
Health Net's relaxed paperwork requirements make selling groups easier!
- 2 weeks of payroll for a startup groups of any size (down to 1)
- Mix and Match any of their 52 plans
- Health Net can be written alongside any carrier, no limit to the number of carriers if participation is met
- Groups of 1-4 enrolling, 70% participation
- Groups of 5-100 enrolling, 25% participation is required -Not a promotion!
- PEO subgroups accepted with a quarterly wage report or 2 weeks of payroll from the PEO.
2023 Small Group Portfolio Highlights
- Health Net is continuing no medical deductibles in any HMO plans on Full, WholeCare, SmartCare, or Salud networks.
- Health Net offers Peak Season Incentives to grow your small group business.
- Health Net's many Value-Add programs aim to help empower members to make healthy lifestyle choices.
- Simplified PPO plan naming and removing the term "Value" from plan names.
- Adding chiropractic buy-up rider for all PPO plans to match HMO options.
- All Small Group plans will have Babylon at a $0 copay.
- Eliminating member copays and coinsurance for abortion services.
- Health Net wellness programs for 2023- ShareCare, RealAge, Green Day Tracking, Lifestyle Management Coaching, Monthly Wellness Webinars and more. All of which are designed to make it easy for members to monitor their health while engaging in Health Net's wellness platforms.
- Reminder- Health Net has simply transitioned their PPO Plans from the CDI over to the DMHC, and will continue to offer PPO comparable plan choices. Health Net is NOT exiting the market! Click here, for more Health Net PPO Updates.
Feel free to contact your Amwins Connect Sales Representative with any additional questions.
