BCPA – UHC Rules of Engagement

 

Broome County Purchasing Alliance-UnitedHealthcare Group Medicare Advantage PPO Rules of Engagement

 

  1. Full replacement only- no other carriers offered for Medicare retirees

 

  1. Calendar year effective dates only – next effective date for new groups would be 1/1/23

 

  1. Minimum group size of 25 eligible Medicare retirees

 

  1. Potential Group Medicare Advantage PPO groups cannot be current UnitedHealthcare Group Medicare Advantage clients

 

  1. All potential Broome County Alliance Group Medicare Advantage PPO groups must be reviewed and approved by UHC Group Retiree Underwriting

 

  1. UHC needs current rates, current product and complete plan design for medical/rx for review by UHC Group Retiree Underwriting.

 

  1. UHC Group Retiree Underwriting would like to review potential Broome County Alliance prospects in total as a block for 1/1/23 effective dates; UHC needs current rates, current product and complete plan design for medical/rx for review by UHC Group Retiree Underwriting

 

  1. All approved groups must choose ONE of the UnitedHealthcare Group Medicare Advantage PPO plans (three current plans for Broome County Alliance) on a full replacement basis

 

  1. Each group will continue to have their own contract and their own implementation

 

  1. Commission structure will remain the same and broker arrangements are allowed- as currently structured.  Commissions on all New York State Association endorsed business will be $8.00 PMPM.