KBenefits Insurance Services
Changing Plans & Carriers

Changing Health Plans & Changing Carriers

What To Expect When Changing Plans:

Prepare you and your employees for a seamless transition to the new insurance plan.  These steps will help establish timelines & deadlines and set expectations when changing plans or moving to another carrier.   A seamless transition with no surprises is the goal.

Changing Your Health Plan Upon Renewal:

  • Plan change requests should be sent in 3-4 weeks prior to Renewal

  • Requests usually takes the carrier 2-5 days to Approve your request

  • Notify your employees of the new health plan and the effective date
  • Provide your employees with the new health plan information
    (Carrier, SBC plan benefits & network information)
  • Use your current ID cards until the new ones arrive
  • ID cards will be mailed, expect 7-10 days
  • Download Member ID cards from the employee's Member Portal
  • Billing is the last to be updated.

    Billing payment options:

    1) Pay as billed and the carrier will reconcile next month, or
    2) Contact the carrier's Billing Department to request your invoice be updated once the plan changes have been approved and updated in the carrier's system.

What To Expect When Changing Carriers:

  • Carrier change requests should be sent in 3-6 weeks prior to the new effective date

  • Carrier change requests can take from 2 days to 14 days

  • Once approved, the carrier will mail out your ID cards, expect 10-14 days.

  • Notify your employees of the new carrier health plan and the effective date.

  • Provide your employees with the new carrier and health plan information. 
    (Carrier, SBC plan benefits & network information)

  • Employees should fill prescriptions for the upcoming next month

  • Employees should inform their doctors of the insurance carrier and plan change

  • Employees will need to get pre-authorizations from the new carrier

 

YouTube version:  https://youtu.be/odpGdYARGo4

Contact us for advice, navigation, plan options & free enrollment assistance.

Christopher S. Kudryk
chris@kbenefits.com
732-333-1976

KBenefits Insurance Services
Employee Benefits

Individual Health Insurance
Medicare Plan Options

 

Christopher S. Kudryk
Insurance Specialist
chris@kbenefits.com
732-333-1976

KBenefits specializes in health, dental, vision, life and medicare insurance for employers and individuals in NJ & NY.

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