October 2020
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New Business Submission Deadline for November 1, 2020 Effective Dates

New Business Submission Deadline for November 1, 2020 Effective Dates


Blue Cross Blue Shield of Michigan and Blue Care Network underwriting policy requires a 21-calendar day lead time for new business. However, Action Benefits strongly suggests submitting new business by the 8th of the month to accommodate any necessary follow-up requests for missing or incomplete information.

 

Healthy Blue Achieve, Healthy Blue Living, and plans with consumer-directed funding arrangements require a 45 day minimum lead time. We recommend submitting these cases 50 days prior to the desired effective date.



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Intro to the Blues and Action Benefits - WEBINAR 10:00 AM

Intro to the Blues and Action Benefits - WEBINAR

When:   10:00 AM – 11:00 AM


This course provides newly appointed agents and agency staff an overview of the Blues’ managing agent distribution channel, as well as the product portfolio, rating and underwriting, and the tools available to those selling and servicing Blue business.

Topics include:

  • Action Benefits – our business model and partnership with agents

  • An introduction to group rating

  • The medical and specialty product portfolio

  • Resources and tools

  • Commissions

Becoming Appointed

Click here for information about the Blue Cross Blue Shield of Michigan and Blue Care Network appointment process.



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BCBSM Product Functionality - WEBINAR 10:00 AM

BCBSM Product Functionality - WEBINAR

When:   10:00 AM – 11:00 AM


This course provides a detailed look at Blue Cross Blue Shield of Michigan (BCBSM) small group plans, their benefits, and how member care is covered. Topics include:

  • Community Blue, Community Blue HRA, Simply Blue, Simply Blue HSA, Simply Blue HRA, BCBSM Routine Care, Physicians Choice and Healthy Blue Achieve
  • Plan functionality and employer contribution requirements
  • Pharmacy copay tier breakdown
  • Custom Select Drug List
  • The member experience


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Intro to Senior Markets: Opportunity, Business Rules, Support and Resources - WEBINAR 10:00 AM

Intro to Senior Markets: Opportunity, Business Rules, Support and Resources - WEBINAR

When:   10:00 AM – 10:30 AM


This course provides participants an overview of the opportunity available to agents who choose to work in the Medicare Advantage and Medicare Supplement markets, as well as the unique compliance concerns they face, and the support available to help them succeed. Topics include:

  • Annual certification
  • Compliance procedures
  • The sales and enrollment processes
  • Technology and tools
  • The Action Benefits Senior Health Services Team
  • Commissions and earning potential


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BCN Product Functionality - WEBINAR 10:00 AM

BCN Product Functionality - WEBINAR

When:   10:00 AM – 11:00 AM


This course provides a detailed look at Blue Care Network (BCN) small group plans, their benefits, and how member care is covered. Topics include:

  • BCN HMO, BCN HRA, BCN HSA, BCN Routine Care, Healthy Blue Living, Blue Elect Plus, PCP Focus
  • Plan functionality and employer contribution requirements
  • Pharmacy copay tiers
  • Custom Select Drug List
  • The member experience


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Group Wide Change Deadline for December 1, 2020 Effective Dates

Group Wide Change Deadline for December 1, 2020 Effective Dates


The BCBSM and BCN underwriting policies require a 45-day lead time for benefit changes, and a 30-day lead time for maintenance changes.

 

Group wide changes vary greatly, and can be processed using a number of different methods, depending on the changes being made. Action Benefits recognizes that many changes can be executed within a shorter timeframe than required by the underwriting policies. However, adequate lead time is necessary to ensure that changes are completed by the desired effective date, so members can receive the appropriate benefits when seeking services. Appropriate lead time also helps to allow adequate time for follow-up requests for missing information or required documentation



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April 2021 Data Collection Survey (RRC/MLR) Deadline

April 2021 Data Collection Survey (RRC/MLR) Deadline


April 2021 Data Collection (RRC/MLR) surveys must be submitted to Action Benefits by this date.


Please contact the Action Benefits Renewal Team with questions at renewals@actionbenefits.com or (248) 356-8585.



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CoverageForCompanies Demo - WEBINAR 10:00 AM

CoverageForCompanies Demo - WEBINAR

When:   10:00 AM – 11:00 AM


Want to learn how you can deliver a paperless enrollment process and an ideal customer experience?Interested in seeing the latest enhancements or need a refresher on CoverageForCompanies? 

Join us for a full demonstration of the CoverageForCompanies enrollment tool that will cover all steps from quoting through open enrollment and renewal. This live webinar also provides an opportunity for questions with CoverageForCompanies experts. Topics include: 

  • Quoting small groups
  • Enrollment setup
  • Building custom suites of up to four plans
  • Executing contribution strategies
  • The open enrollment experience
  • Site navigation and features
  • The renewal process


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