Amerihealth New Jersey Broker Alert
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March 23, 2020
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Broker Alert
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News for All Segments
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Employee Eligibility Exception for furloughed or temporarily laid off employees
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As a result of the COVID‑19 outbreak, AmeriHealth New Jersey will honor employer requests to continue coverage for employees furloughed or temporarily laid off as a result of impacts of COVID‑19.
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This exception applies to fully insured and self‑funded business, and is contingent upon the following:
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- Full premium payments continue to be made by the employer.
- Self‑funded employers must continue to remit invoiced amounts in full.
- The employer is responsible for collecting employee contributions, if applicable.
- No reductions to employer contributions will be allowed.
- Only actively at work employees can be added to the plan as new enrollees.
- Our preferred Stop Loss partner, HM Insurance Group (HMIG), will honor coverage in accordance with the above conditions.
- Self‑funded employers who do NOT contract with HMIG for Stop Loss/Reinsurance should contact their Stop Loss carrier or broker/consultant for information on how these benefits will be covered under their policy related to the specific Stop Loss contract terms and Plan documents.
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This Underwriting Guideline exception is in effect until June 30, 2020. This exception will not be valid on or after July 1, 2020.
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Please note: Employers should consult with their legal counsel and/or tax advisor to determine if their benefit offerings meet applicable state and federal requirements.
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If you have any questions, please contact your AmeriHealth New Jersey broker representative.
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