UnitedHealthcare announced rate updates for October 1, 2018 effective dates, with no changes to existing plan benefits. All rates are available for quoting.
RATES
Medical quarterly rate change:
- PPO: RATE PASS
- HMO: 1.5% increase (varies by network)
- Full: 2.0%
- Advantage: 2.0%
- Alliance: 0.0%
- Focus: 1.5%
UNDERWRITING
UnitedHealthcare has made the following changes effective July 1, 2018:
- A minimum of 60 percent participation is required for contributory groups, excluding COBRA participants.
- Choice Simplified Package and a staff model: There must be at least 60 percent participation between the participating carriers with five California employees enrolling with UnitedHealthcare, excluding COBRA participants.*
- Multi-Choice State Package and a staff model: There must be at least 60 percent participation with UnitedHealthcare, excluding COBRA participants.*
- Additional participation guidelines for all groups applying for coverage:
- When the employer contributes 100 percent toward the employee premium, 100 percent of Eligible Employees must enroll.
- COBRA participants and employees in waiting period are not considered Eligible Employees and are not included when determining the participation requirement.
Groups may be written alongside two other staff model carriers. Eligible staff models include Chinese Community Health Plan, Kaiser, MediExcel, Sharp, SIMSA, Sutter and Western Health Advantage. Groups may not be written alongside CaliforniaChoice or Covered California.
*A complete copy of the most recent billing statement from the current carriers reflecting employee census and applications/waivers from any employees not reflected on the billing statement.
ZIP CODE UPDATE
Zip code 94924 (Marin County) has been added to Signature HMO network and all PPO networks.
NEW PLANS EFFECTIVE NOVEMBER 1, 2018
The following two HMO plans will be available effective November 1, 2018 in all four HMO networks (eight plans total):
- HMO 20-40/500d paired with existing HMO Rx plan 407
- HMO 30-60/1000d paired with new HMO Rx plan 859
There will be a new Choice Simplified III package available effective November 1, 2018.
BOOK RATES
October book rates for UnitedHealthcare will be posted on the B&P website as soon as they become available.
For questions, please contact a member of your B&P Sales Team - 888.722.3373.
