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RBG Newsletter
by Amber Bair » Friday, February 02, 2018 1:43 PM

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Better You Strides
by Amber Bair » Thursday, February 01, 2018 1:10 PM
     Regarding   »  Florida Blue

Florida Blue's new Wellness Platform for Small Group!
 This new platform is called Better You Strides and is powered by CaféWell.

The new wellness solution will be available as a part of the small group health plans on January 1, 2018. All small group members get access to this new platform at no cost.

Here's a video for Employers:

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2018 UHC portfolio added
by Amber Bair » Monday, October 16, 2017 10:18 AM
     Regarding   »  UnitedHealthcare

New small group plans effective 1/1/18
Please visit the link below to download the 2018 small group product offerings from UHC.
Please note:  There are three packages (802, 803 & 804) for small group plans. Dual and triple options are permitted with 5+ enrolling; however, packages cannot be mixed and matched. All plan offerings must be from within the same package.

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2018 Florida Blue Small Group Benefit Matrices Available Now!
by Amber Bair » Thursday, October 12, 2017 6:25 AM
     Regarding   »  Florida Blue

BlueOptions, BlueCare, BlueSelect and SimplyBlue
Please navigate to the Carriers & Info Section, under Florida Blue to access the 2018 small group matrices, or use the link as a shortcut.

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Medical Loss Ratio Rebates Will Be Mailed in Early August
by Amber Bair » Monday, August 14, 2017 6:17 AM
     Regarding   »  Florida Blue

Florida Blue will send a letter with a check to group benefit administrators to let them know that their group received a rebate.
Impacted Groups
Small Group (Fully Insured HMO and PPO Plans) & Large Group (Fully Insured HMO Plans): Group Business Administrator Sample Letter
Groups Not Receiving Rebates include:
• Fully insured large groups with PPO plans
• All self-insured groups are excluded
Employers can distribute this rebate to their employees in one of two ways:
• Reduce premium for the upcoming year or
• Provide a cash rebate to employees or subscribers that were covered by the health
   insurance on which the rebate is based
If you have specific questions about the MLR rebate:
• Visit
• Visit
• Contact the Department of Labor's Employee Benefits Security Administration at
• Call Florida Blue at 866-728-7034 

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PCORI fees due by July 31st!
by Amber Bair » Thursday, July 27, 2017 12:34 PM

The Affordable Care Act imposes a fee on issuers of specified health insurance policies and plan sponsors of applicable self-insured health plans to help fund the Patient-Centered Outcomes Research Institute.
Self-funded customers must file Form 720 and pay the PCORI fee directly to the IRS. The fee is due by July 31 of the calendar year immediately following the last day of the plan year. For example, a customer that started a self-funded plan 1/1/16 would have to report by 7/31/17 as their plan year ended 12/31/16. Groups with later effective dates in 2016 wouldn't file until 2018 as the last day of their plan year would fall in 2017. Please visit the IRS link referenced for additional information.

Reporting and Paying the Fee

The payment should be applied to the second quarter (in EFTPS, select Q2 for the Quarter under Tax Period on the "Business Tax Payment" page).

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Member Outreach to Update Information for IRS
by Amber Bair » Thursday, July 27, 2017 9:53 AM
     Regarding   »  Florida Blue

Florida Blue is required to report to the IRS a list of their members who are enrolled with minimum essential coverage (MEC). This is to ensure that members get credit for having coverage, as required by the Affordable Care Act.
Fully Insured Groups
• We need members to update their name, Social Security number or date of birth so Florida Blue’s    records match those at the IRS
• Members should contact their HR representative to make updates
• If members don’t update their information, they could be assessed a $50 penalty by the IRS

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