Group Benefits Industry News

December 2017
A Note from The FILCO Executive Team:
CVS to Purchase Aetna-
CVS Health's acquisition of Aetna for $69 billion has the potential to transform healthcare by uniting a major pharmacy with a top insurer. There is speculation that if approved, CVS will use the insurer to expand their healthcare services.
Click here to read more
In This Issue
Carrier Highlights 
 Specialty Department 
Please note FILCO offices will be closing at  2pm on Friday, December 22 and will be closed on Monday, December 25th and Tuesday December 26th.
FILCO Online Resources

Check out FILCO's  redesigned state of the art website!   
Plus much more

FILCO Technology 
Ask your FILCO Team member today about FILCO's Technology free to all FILCO brokers!

  Technology at our brokers fingertips to help you grow, support and manage your book of business! 

Multi carrier small group quoting
New York and New Jersey 
Agency Management System CRM
Carrier Forms
Underwriting Guidelines
Plus more, contact your FILCO team member today to set up a training session and get started!

New York 
2018 Small Group Medical Plan Overview

December Wellness

 is only a few clicks away,  Check out this months wellness 

Trying to decided if you should get the Flu shot?  Click on the Flu shot FAQ for more information to help you make an informed  decision .

Beware ACA fines are on the way!

The IRS has released details regarding how penalties for noncompliance with the employer shared responsibility provisions of the Affordable Care Act (ACA) will be communicated. In a November 2, 2017 update, the IRS introduced Letter 226J which outlines the responses employers may make and the process for making payments on assessed penalties.  Our PEO partners can help safeguard your clients from these fines and ensure that they are in compliance!
Carrier Highlights 

UnitedHealthcare and Oxford:
Helpful guide demonstrating the plan changes due to AV changes from 2017 to 2018:  Oxford New York Small Group 2017 vs 2018.
UnitedHealthcare NJ : Recently released, the 2018 Producer Performance Guide which contains information about producer-based medical and specialty commissions, bonuses and policies. Click here to access NJ Producer Performance Guide.
Oxford NJ: Oxford has announced plans to expand the Oxford Garden State network; new and existing Garden State Network members will have access to physicians and hospitals that participate in the Oxford Metro Network  in NY. This will be available starting January 1st, 2018.
Empire BC/BS: 
Bundle it up:  Employers save 5% on dental when they buy new dental and add vision, life and/or disability. 
Have clients that are trying to decide on which Empire BCBS small group network that works best for them? Attached is a useful chart that focuses on major provider practices; please note this is no complete list of providers.
Empire Broker Tool Kit 

Do not forget to get appointed with Oscar , you do not want to miss out on the opportunity to sell one of the hottest new products. Be sure to list FILCO (GA Solutions) as your GA!

Guardian has improved their Guardian Anytime technology, to make it easier for members to quickly search for providers.  In addition you can search forms their desktops and members can also access provider information through Guardian's mobile apps for both Apple and Android devices. 
Groups with 2-24 employees can receive pricing discounts, when groups choose 2 or more Guardian lines of coverage.

Horizon BC/BS:
Now available Horizon BC/BS of NJ Rates for both Horizon POS Platinum and HMO Platinum 1st quarter 2018.

Year-end sales promotions! Take a look at these great benefits for both your clients (reduced fees) and broker referral bonuses.

NAHU Update

Senate Passes Tax Bill - On Saturday, December 2 the Senate passed their version of the tax bill with a vote of 51-49. If adopted, the bill would repeal the ACA's individual mandate.

Children's Health Insurance Program Reauthorization -   The Children's Health Insurance Program (CHIP) provides access to comprehensive and affordable coverage to children nationwide. Funding for the program officially ended on September 30th  and to date, has not been re-authorized. Most states have enough funds to take them through the end of the year, but if the program is not reauthorized by then, all of the covered children could lose their coverage. 

Single Payer
NYSAHU's Legislative Counsel:  As the drumbeat of single payer continues to beat louder, it has never been more critical for our members to be engaged, and for those who have not yet joined NYSAHU to

PEO Update

Now is the time to introduce a PEO to your clients, many of our partners are offering numerous bonuses!

Cash in with Prestige in 2018!  Click here to learn about bonus options with Prestige, between 1/1/18 - 3/31/18!

Idilus PEO has announced that as of January 2018, they are offering the CIGNA Open Access Plus network for their group and sole prop clients. Even better news...Idilus is going to pay our FILCO Brokers 5% on any new 2018 sole prop cases approved for a January start date (no more flat fee payouts) WOW! And yes, this is true for all previously SOLD sole prop cases as well! Whoo-hoo! The increased commission will go into effect as of Jan 1, 2018. Their new 2018 plans and rates have just been released and can be accessed here.  DEADLINE TO APPLY FOR JAN 1ST COVERAGE IS DEC. 21ST!

AETNA has increased commissions for our three PEO partners (Oasis, TriNet and Engage) that offer AETNA plans for any AETNA to AETNA business. If your NY client under 100 group has AETNA currently, NOW is a great time to consider moving them to one of our three great PEO partners for an even greater broker compensation! You will even receive the FULL enrollment fee for Oasis too! WOW!

TriNet: is enticing our FILCO Brokers to enroll their groups with them by offering a one-time 5% bonus (if the client runs their first payroll before 1/31/18) on the admin fee! The group needs to be registered with FILCO first to be eligible for this bonus. Minimum of 5 lives enrolled to qualify. This bonus will be awarded in a lump sum payment in Feb 2018 and will be in ADDITION to the 15% admin fee comp currently paid. AWESOME!!

Colleen Visconti FILCO's  knowledgeable PEO Sales Manager (732)-704-5079
Specialty Department Update 

1) RATE CAP OF 5% ON DENTAL CASES (12/1 and 1/1):
Guidelines for eligible group are as follows:
* Effective Dates: December 2017 and January 2018
* Group Size: 2 to 100 eligible lives
* Exclusions: Groups situs in RI, WI, WA, FL (2 to 50), ACEC groups

UHC has announced that ALL 1/1/18 Specialty sales will count toward broker partners achieving their Bonus for 2017.

Moving forward, any medical case 51-3000 lives located outside of NY are eligible for a 1% -2.5% concession if ancillary lines are added alongside.
* -1% to add Dental
* -1.5% to add Dental and Vision
* -2.5% to add Dental, Vision, Life, LTD and STD

United Vision network now includes : Sears, Target, and Warby Parker

 Contact FILCO's specialty team to discuss opportunities and strategies for your clients and prospects 
New Business: Andrew Guarini, direct line (732)-704-5073
Existing Business: Christa Wilson, direct line (732)-704-5074

" Everything you've ever wanted is on the other side of fear."
--George Addai
Fiduciary Intermediary Ltd
NYC Office: (212) 972-1970 | NJ Office: (732) 219-6545 |  |