Group Benefits Industry News

 March, 2017
A Note from The FILCO Executive Team:  
On Friday, March 3 rd the New York State Association of Health Underwriters issued a press release in response to the suggestion that New York should adopt a "Medicare for all" approach to health insurance. Assembly member Richard Gottfried has again released a single payer healthcare proposal which he advises would save the state money if the Affordable Care Act is repealed. The idea that single payer would mitigate the impact of ACA repeal is akin to pouring gasoline on a roaring fire in the hope that it will put it out.
Healthcare analyst, Avik Roy, in conjunction with NYAHU, released an economic analysis of the New York Health Plan. Roy conclusively shows that the estimates used by supporters of this proposal are flat out wrong. The passage of A.4738 / S.4371 would irrevocably damage New York State's economy by nearly quadrupling the size of the entire state budget and raising state taxes by unsustainable amounts while driving businesses - and taxpayers - out of New York, and shows conclusively that the savings that Assembly member Gottfried and supporters of single payer claim will come from making the sale of health insurance in NYS illegal and replacing it with a state-government run "Medicare for all" are not factual. View the report Here
As professionals in this industry and consultants to our clients it is so important that we properly educate all business owners of the unintended but negative impact a single payer plan would have on NY State. We have a duty to work in the best interest of our clients and their employees while assisting in providing healthcare options to protect their families. On May 8-9 NYAHU will be holding its annual Day on the Hill in Albany. We encourage all of brokers to attend and make your voice heard!

In This Issue
Carrier Highlights 
AmeriHealth NJ
NAHU Events 
PEO Products
Specialty Department 
Senior Care
HR Compliance Libary 
Individual Coverage
Always stay up to date with the FILCO Monthly Calendar

FILCO Resources   
Voluntary Benefits
Questions about the fastest growing market, Voluntary Benefits?
Voluntary Benefits allow employers to offer a variety of coverage at no cost to the company which provide protection for their employees for many life events!
Click here to for a quick summary on Voluntary Benefits 

Contact FILCO's Voluntary Expert to learn more 
Sal Maldonado | Office Number: 646-658-6926 | Mobile: 347-267-0922

Upcoming Spring NAHU Event s

NYMAHU Annual Conference 
April 27, 2017
8:30 AM - 8:00 PM

Kimpton Hotel Eventi
851 6th Avenue
New York, NY 10001
11th  Annual Day on  the Hill

Monday, May 8th and Tuesday May 9th 
Highlights include an optional CE Class, cocktail reception, legislative update plus much more!
Register for Day on the Hill

NJAHU Annual Conference 
May 15-17, 2017

Bally's Atlantic City Hotel and Casino
1900 Pacific Ave.
Atlantic City, NJ 08401

 March is National Wellness Month!
This months Well- Aware News is packed with information; from gym bag essentials, food trendy terms, benefits of 7 hours of sleep plus much more.
Click on the link for the complete news letter share with your clients!

Questions? Call:

Individual Health Plans
Do your clients need an individual health care plan?  With Oxford pulling out of the individual market, many clients will need to find alternative coverage options during open enrollment. You can now refer them to our individual website:  


Carrier Highlights 
Please inform your clients that UnitedHealthcare/Oxford have terminated their agreement with St. Johns Episcopal Hospital Network as of February 15, 2017. 
*In accordance with the two-month cooling-off period mandated by the State of New York, covered services received at St. John's Episcopal Hospital will continue to be in-network through April 14, 2017.

P lease Note: 3/1/17 NY community rated group renewal notices were sent out  late, as a result some groups will be receiving a credit on April invoices, due to the requirement that a 60 days' notice of renewal. See the attached sample letters from Oxford that have been mailed.

Oxford 3rd quarter rate sheets 
Excellent deal closer when presenting your clients with CareConnect: CareConnect Wellness Program includes numerous opportunities for subscribers to be reimbursed for general wellness such as; g ym reimbursement and entries into walk or run races plus much more.
Healthpass NY:
3rd Quarter Rates are now available, click below to download the rate sheets. 

AmeriHealth NJ:
AmeriHealth NJ has made some changes to the Select Drug Program formulary, effective April 1, 2017.   Click here for a summary of the changes for your clients.
Idilus Self Funded Plan: 
Idilus is now offering an association plan (The American Human Resource Association) licensed in all 50 states.  This association plan will have self-insured options and each group will require medical underwriting to validate the rates (the renewal increases will also be based on each specific group's claims).  With only a minimum of 20 needed to enroll, 50% participation (after valid waivers), a 48-hour turnaround time to quote and several networks to choose from, this plan could be a game changer!   Quoting can begin this April 1st, for May 1st or later effective dates. More detailed underwriting guidelines can be found here, stay tuned for more details over the next several weeks!
PEO Update

ADP Clients: ADP Clients will be receiving their upcoming 6/1 renewals this month! Now is the perfect time to reach out to any lost clients and see if they want to consider a different PEO solution for their company! TriNet and Insperity have indicated that they plan to aggressively price beat their competition to win over this business!

PEO Luncheon
F ILCO is hosting an upcoming PEO luncheon in NYC. Space is limited. Please reach out to your FILCO Rep if you want to attend this EXCLUSIVE event!

Prestige is offering $50 CASH to any of our FILCO Brokers that accompanies our Prestige rep to an upcoming client meeting! If you book 5 or more appointments from 4/1 - 6/30, you would be eligible to earn an additional bonus of $350 -$1000!! WOW! Please submit/register all upcoming opportunities through Colleen Visconti, our PEO Specialist so she can track your potential earnings! What a great way to earn some extra dollars in your pocket!
Prestige Broker Bonus  

Contact  Colleen Visconti FILCO's  knowledgeable PEO specialist 732-704-5079.

Specialty Department 

Considering Dental Plans?  Consider a MAC Option

* Affordable
* Not everyone needs UCR
* Maximizing Premium dollars
* Same Network as UCR Plans

Click on the attach presentation to learn more about this option that benefits both the broker and the client plus Sample NY and NJ plan designs.

FILCO Specialty Team 
Andrew Guarini: 732-704-5073 | Christa Wilson: 732-704-5074
Senior Care Update 
Medicare Spending on the Rise - Protect Your Clients
  • "Medicare spending growth is projected to have been 5.0 percent in 2016 and is expected to average 7.1 percent over the period from 2016-2025. Faster expected growth after 2016 primarily reflects utilization of Medicare covered services increasing to approach rates closer to Medicare's longer historical experience. This results in Medicare spending per beneficiary growth of 4.1 percent over 2016-2025 (compared to 1.6 percent growth for 2010-2015)."  These statistics are according to a recent study released by the Centers for Medicare and Medicaid Services on February 15, 2017.  Purchasing a Medicare Supplement will help ease some of this financial burden by covering the gaps in original Medicare.

Senior Care Resources 
FILCO Senior Care Team
Cheryl Dicksheid:(646) 658-6921 | Joe Ricci: (646) 658-6927 Howard Roth: (646) 658-6915

NJ NAHU Update
A Note from NJ NAHU  
The New Jersey Association of Health Underwriters, representing health insurance brokers statewide, believes state lawmakers should not raid the reserves of Horizon Blue Cross Blue Shield as part of efforts to plug the proposed fiscal 2018 state budget.
Horizon, as the state's largest health insurer serving more than 900,000 Medicaid members, helps New Jersey's most vulnerable and financially challenged residents. Taking money from families that Horizon insures, including people who rely on Medicaid, will only make insurance more expensive and less secure in New Jersey
The claim that Horizon and its policyholders have an "abundant surplus" is just plain wrong. It is our firm understanding that those reserves have only enough to cover 75 days of claims or just a single day of hospital care for every person Horizon insures. 
Moreover, the company's net income was less than 1 percent of revenues in 2016. Despite being structured as a not-for-profit, Horizon paid more than half a billion dollars in federal, state and local taxes last year. 
While other insurance companies have left, Horizon has stayed in the Affordable Care Act marketplace, demonstrating its ongoing commitment to New Jersey. 
Compliance Library 

There is still time to take advantage of this excellent resource.  DO NOT delay  Please contact us at write in the subject line or in the body of the email "Sign Me Up" or you can reach out to your FILCO Team member to obtain your own free login to our extensive compliance library.
Compliance Library Highlights
  • HC Reform 
  • COBRA Information and Guidelines 
  • Specific State Law Finder
  • Total Compensation Statement Builder 
  • ACA Checklist by Group Size, fully insured, self insured, plus a checklist for employers brokers can send to their clients.
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 Vidal Sassoon 
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