Carrier Review Capital BlueCross SBC Distribution
Groups enrolled with Capital BlueCross will be responsible for distributing the SBC to their enrollees. Capital will provide inforce groups with information on accessing their SBC for their specific benefit plan(s) with the group’s renewal document. The renewal and related notifications will provide information to the group on how and when they can locate their specific SBCs.
If a group is not amenable to using web access, upon request Capital will email the documents to the group in .pdf file format. It is essential that Capital has current email addresses for policy holders and group policy makers to ensure receipt of SBCs at all group locations.
MLR Rebates
Capital BlueCross and its subsidiaries appear to have met all MLR requirements in accordance to guidance from the National Association of Insurance Commissioners (NAIC). However, these calculations for Capital BlueCross and its subsidiaries only include data as of Dec. 31, 2011, and are subject to change based on the development of unpaid claim estimates to be finalized after the first quarter of 2012. |
Highmark, Inc.SBC Distribution
Highmark will provide an electronic copy of the SBC to fully-insured and self-funded clients free of charge.
Beginning September 23, 2012, groups can obtain a copy of your SBC by going to www.highmark.com/sbc. If you do not have access to the internet, you can request a free paper copy by calling (800) 345-3806.
MLR Rebates
Highmark will not be required to issue MLR rebates.
Bethlehem Hospital Agreement Terminated
Effective Friday, Aug. 31, 2012, the hospital agreement between Coordinated Health – Bethlehem Hospital in Bethlehem, PA, and Highmark will be terminated.
Highmark believes it made reasonable offers to Coordinated Health/Bethlehem Hospital that reflected the delicate balance of paying hospitals fairly and striving to offer affordable health benefit programs and felt the Hospital’s proposal was unreasonable and not in the best interests of the community. |