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Health Care Reform

Support for your ConventryOne Individual clients who cannot renew their current plan

Starting in early October, we will be reaching out to Coventry Individual members who cannot renew the

Individual plan they have today. In these letters, we will let members know that their current plan will end on December 31, 2014, and share more about the 2015 options that are available to them.

This outreach will include members in pre-ACA plans as well as some members who purchased ACA-compliant plans on or outside of the exchanges in 2014.

Member options for 2015 will vary

In most cases, we are able to automatically enroll members into a new plan for 2015. Their letter will include information about their new plan’s monthly premium and benefits.

If they like the new plan, they don’t need to do anything. Members always have the option to decide not to take the recommended plan and consider a different plan instead.

In some cases, we were not able to re-enroll the member into one of our plans – for example, if we no longer have plans available in that area. Instead, their letter will help them understand their options, including shopping on the public exchange.

We encourage you to work with your clients to help them understand their 2015 options.

Member letters will begin to mail in early October

We will begin contacting members who cannot renew their current plan starting in early October, so they can begin to plan for Open Enrollment. Based on federal and state guidelines, this outreach will continue through early November, depending on where the member is located. Members can begin shopping for a new 2015 plan on November 15, when open enrollment begins. Open enrollment is scheduled to end on February 15, 2015.

Sharing information about your impacted clients

If you have clients who are impacted by this outreach, we will send you copies of the same letters your clients will receive. Those letters will indicate:

  • If we were able to re-enroll them into a new plan for 2015
  • If yes, the information about that 2015 plan, including the plan name and rate
  • If not, what other options are available to them

Outreach for renewing members is coming in November

In November, we will be reaching out to our Coventry members who will be able to automatically renew their current plan for 2015. We will share more information about this outreach as we get closer to that date. Our approach will be similar to how we are supporting our non-renewing membership.

Open enrollment begins November 15

Once open enrollment begins, you can enroll your clients via our secure broker portal. You can also explore our plans via the public exchange in states where we are offering our Coventry plans.

If you have questions about our 2015 offerings, you can also call our broker support team at 1.888.440.5277, Monday - Friday from 7:30 a.m. - 6:00 p.m. CST.

Your clients count on you. We’re here to help.

With so much changing, your clients will need your support to navigate this year’s open enrollment period. We’re here to make sure you have the tools and resources you need to help your clients find the right plan for them.

You’ll find FAQs and sample member communications available on our Individual renewal hub.

If you have any questions, please reach out to our Broker Support Team at 1.888.440.5277.