United Healthcare Offers its premium program, Care 24, to members of the Valley Schools Employee Benefits Trust (VSEBT). Many of those members are school districts around Arizona that take breaks during different parts of the year, in conjunction with the school year. Accompanying this email, was a brochure as well. It is good to see that a health carrier and a trust like VSEBT are able to provide such extensive and timely information in advance of the holidays!
Happy Holidays…Wishing you good health and happiness this holiday season and throughout the coming year!
Attached you will find the Care24 Calendar and Tip Sheet along with information about the HCR W-2 reporting requirement. Other topics of interest this month include additional information about our upcoming Pharmacy Migration, Negotiations with Emergency Physicians Southwest P.C.
Monthly Care24 Topic:
Please find the attached the monthly Care24 Tip Sheet and Care24 Calendar.
This month’s topic is Holiday Stress and attached are some important tips to remember and share with your employees:
Stress less this season.
Festive though it may be, the holiday season can also drain us of time, energy and dollars. If you sense that the stress in your life might be growing out of control, take note and take action. You can manage your stress level any time of year by:
* Just saying no if you may have taken on too much
* Not demanding perfection from yourself or others
* Making the most of your support network – talking it out with a
friend or family member
* Trying relaxation techniques to help push your stress aside for awhile
* Exercising, getting enough rest and eating a well-balanced diet
Make the most of our Care24 service. When you call, you get one-to-one help from experienced nurses who are here for you and all your health and wellness concerns. All calls are completely confidential. Call 1-866-271-7340 to get started.
What’s New on UHC.TV?
Is There A Healthy Holiday Cookie?<http://www.uhc.tv/uhc_video/is-there-a-
Managing Stress–BBC Brainsmart<http://www.uhc.tv/web_video/managing-stress-
Joy Bauer: Weight Loss Strategies<http://www.uhc.tv/uhc_video/joy-bauers-
Links to videos: http://www.uhc.tv/web_video/managing-stress-bbc-brainsmart
Remember UHC.TV is our online television network that presents relevant, focused, educational and entertaining video programs about good health and living well to help people get inspired to grow healthy and live better.
From expert advice on healthy living to side-splitting comedy, it’s available online anytime. Visit https://www.uhctools.com/UHCTV for ready- made materials to promote UHCTV at your workplace.
Copy and place the following UHC.TV links in your employee communications.
Source 4 Women<http://www.uhc.com/source4women.htm>
Source4Women offers free online seminars and events focused on keeping you and your family healthy. These one-hour seminars are fully interactive and include audio and video of the speaker. Best of all, there is a question and answer period with the speaker immediately following the presentation.
Upcoming Online Seminars:
December 11th: Holiday Social Weight Maintenance
January 1s: Best Weight Loss Tips Ever
Wellness Online: December
Wellness Online is designed to educate your employees and their families on key health issues based on National Health Observances. The monthly emails will include health and wellness information, UHC product information, health tips and recipes. All you need to do is simply forward the below Wellness Online link to your employees for distribution.
Webcast Discusses Upcoming Pharmacy Transition
Get up to date on how consolidating UnitedHealthcare’s pharmacy benefit programs internally through OptumRx will affect you and your employees Learn More<http://click.unitedhealthcareupdate.com/?qs=cd8ad8479875ce5826e22b7aedc
Employers Must Report Cost of Coverage on 2012 W-2 Forms
Employers filing 250 or more W-2 forms are required to report to employees the total cost of their employer-sponsored group health plan coverage under the Patient Protection and Affordable Care Act (PPACA). The W-2 reporting requirement will begin with the 2012 W-2 forms furnished to employees in January 2013.
The cost of coverage generally includes both the portion of the cost paid by the employer and the portion of the cost paid by the employee, regardless of whether the employee paid for that cost through pre-tax or after-tax contributions.
As a reminder, it is the number of W-2 forms filed in the previous year, not the number of employees, that the Internal Revenue Service (IRS) considers when determining which employers are obligated to report the cost of coverage.
At this time, employers filing fewer than 250 W-2 forms do not need to report cost of coverage on W-2 forms. This transition relief will continue until further guidance is issued.
Keep in mind that this requirement is informational only and does not mean that employer-sponsored coverage is subject to income tax.
Ultimately, it is the employer’s responsibility to accurately determine which employees should receive cost of coverage information. Employers are encouraged to consult with their legal counsel or tax preparer for advice on what should be reported to meet the W-2 reporting requirement.
Who Receives Cost of Coverage Information It is important to note that only the plan subscriber (the primary
policyholder) requires the cost of coverage information on his or her W-2 form. Spouses and dependents would not have the cost of coverage on their W-
2 forms. Report the cost within box 12 with a code DD<http://www.irs.gov/pub/irs-pdf/fw2.pdf> of the W-2 form designated for cost of employer-sponsored health coverage.
Employers are not required to report the cost of coverage issue for non- employees currently receiving health coverage such as retirees, former employees not receiving compensation from the employer or an individual to whom the employer is not otherwise required to issue a W-2.
W-2 Reporting Recap
The W-2 Reporting: IRS Recap of What to
UHCEW579805.pdf> outlines what coverage should and should not be reported on the W-2 form.
What Not to Report
Health Insurance Portability and Accountability Act (HIPAA) “excepted benefits” plans (accident, disability income, supplemental liability, workers’ compensation insurance) are not subject to the W-2 reporting requirements. Stand-alone dental and vision plans are also not subject to the requirements. Amounts contributed to a health savings account (HSA) or an Archer medical savings account are not reportable on the W-2. Health flexible spending accounts (FSA) funded solely through employee salary reductions are not reportable. Employers are required to report the FSA value when it exceeds the employee’s cafeteria plan election for all tax favored benefits. In addition, coverage under a health reimbursement account/arrangement (HRA) may be reported on the W-2 at the option of the employer.
Finding Cost of Coverage Data for Employees
* Review the 2012 bills from UnitedHealthcare.
* Talk to payroll vendor and request data for each employee.
* Fully insured clients on the UNET platform may log on to Employer
eServices<https://www.employereservices.com/ees/prelogin> to view monthly invoices to find the premium costs per employee.
* Self-funded clients should reach out to their COBRA vendor for COBRA
rate, if applicable.
Available Upon Request
UnitedHealthcare Benefit Operations Billing and Enrollment will provide supporting data to employers to assist them meeting this requirement. This data will only be made available upon request. For fully insured employer groups, billing operations can provide a member premium audit report that recaps the premiums charged for the calendar year. The premium audit report is a detailed listing for all subscribers invoiced under the policy and will include the subscriber name, subscriber ID, and total premium charged for each coverage month in 2012 for which the subscriber was invoiced.
Requests can be submitted to the dedicated billing analyst or through the broker and employer call center.
Video: W-2 Reporting
Negotiations Continue with Emergency Physicians Southwest November 27, 2012 We are in negotiations with Emergency Physicians Southwest P.C. to renew its contract, which expires on Dec. 31, 2012. Despite several months of intense negotiations, we have not yet reached an agreement.
If we cannot renew our contract, effective January 1, 2013, Emergency Physicians Southwest P.C. will no longer be considered a network emergency hospital-based physicians for members. Per regulatory and contractual obligations, we will provide notification to affected members (including retirees if applicable) as follows:
· In an emergency, members should always seek care at the nearest
· Members will be advised they can find other contracted
facilities/participating physicians at myuhc.com or by calling the customer care telephone number on the back of their medical ID card.
· We will work closely with patients and their physicians on a
transition of care plan to ensure continuity of care for members receiving ongoing medical treatment at Emergency Physicians Southwest P.C. Members with pre-planned services through Emergency Physicians Southwest P.C. are advised that they may be eligible for network benefits for these services during a transition period as part of our continuity of care program.
Members are advised to call the customer care number listed on their ID card to determine eligibility.
Many of our network physicians have privileges at other local hospitals. We will actively assist physicians with sole privileges at Emergency Physicians Southwest P.C. in obtaining privileges at alternate facilities.
It’s important for you to know that as the steward of health care dollars, we do everything possible to contain the rising cost of health care.
Continuity and access to top quality, affordable health care for members are key priorities. We work hard to ensure that contracted hospitals are reimbursed at rates that are not only fair and reasonable, but consistent with trends in their respective local markets. We understand that employers and consumers have limited budgets, and they count on us to provide them access to affordable in-network hospitals.
We continue to be engaged in discussions with Emergency Physicians Southwest P.C. and we are working hard to bring these negotiations to a fair and successful conclusion.
We regret any inconvenience Emergency Physicians Southwest P.C. potential termination may cause you or your members. We will keep you apprised of our progress through future communications.
Resources Available for Hispanic/Latino Members
Provide your Hispanic/Latino members with access to materials in a culturally-relevant and bilingual format to help improve their health care experience through our Latino Health Solutions website. Fotonovelas or photo novels (in English) are bilingual photo stories depicting how a family discusses common health concerns can be shared with members
The fotonovelas, entitled, “¿Que le dijo el medico?” (What did the doctor tell you?) contain brief vignettes that depict a series of dialogues between family members discussing topics such as diabetes, hypertension, physical activity, nutrition, tobacco use and depression.
The fotonovela information is presented in a format that lends itself to helping Hispanic/Latino members and their families make informed decisions on their health and well-being. It’s another tool that will help them better understand prevention and wellness and guide them to take action by providing them with helpful tips on health-related issues.
language/en-US/Default.aspx>” and other health and wellness information in Spanish and English at our Latino Health Solutions website <http://www.uhclatino.com/> or on your mobile device at m.uhclatino.com.
Costco Optical Announcement for Vision
UnitedHealthcare Vision is pleased to announce the addition of Costco Optical to our growing network of vision providers effective January 1, 2013. The retail chain adds 420 store locations nationally and over 420 optometrists to our national network of 35,000 access points.
We recognize the importance of choice for our members in selecting a provider for their eye care needs. That’s why we pride ourselves on being able to offer a robust and well-balanced network of both private practice and retail chain locations on a national and regional basis. This addition to our network will be an exciting option for members who enjoy the added value and convenience that Costco offers.
Members will be able to find participating Costco providers by visiting https://www.myuhcvision.com, and searching for participating locations in their area.
Please keep in mind that UnitedHealthcare Vision members must have a valid Costco membership in order to purchase materials at Costco Optical. A Costco membership is not required to receive an exam.
When will this occur?
As of January 1, 2013 Costco Optical will be part of UnitedHealthcare Vision/ Spectera Eyecare Networks, serving all UnitedHealthcare vision members.
How many store locations are included?
The retail chain adds 420 store locations nationally and over 420 optometrists to our network of 35,000 access points.
Are all Costco Optical locations included in our contract?
Yes, all Costco locations with Vision Centers.
How can I locate a participating provider?
Members will be able to find participating Costco providers by visiting https://www.myuhcvision.com<https://www.myuhcvision.com/>, and searching for participating locations in their area.
When will the Costco locations be loaded onto the online Provider Directory?
Costco providers will be available in the directory beginning December 2012
as they are loaded into the system. The load will be complete by January
1, 2013 and will reflect all of the Costco providers at that time.
Does a UnitedHealthcare Vision member need to be a member of Costco in order to utilize their benefit at a Costco Optical location?
UnitedHealthcare Vision members must have a valid Costco membership in order to purchase materials at Costco Optical. A Costco membership is not required to receive an exam.
Thank you for being a valued customer and please let me know if you are having any service issues or concerns.