Category Archives: Highmark Blue Cross Blue Shield

Highmark Billing Issues Causing Delays in Some Commission Payouts

As many of you are aware, Highmark is experiencing billing delays for some group and individual clients for December, January and February, due to the large volume of enrollment activity. Commission is generated when premium is received, so billing issues can directly impact commission payout accuracy. We apologize for the inconvenience to you and your clients.

A SWAT team has been organized to fast track the fixes for the delays. In the meantime, please assure your clients Highmark is focused on getting this resolved as soon as possible. While it is currently challenging to investigate each issue, we ask for your patience as we resolve this problem globally and pledge to keep you informed with updates as soon as they become available.

When the issues are resolved and Highmark receives premium, your full commission will be paid. Again, we apologize for this inconvenience and ask for your patience.

Carriers Announce Fall Kick Off Seminars

Three of the area’s major carriers have announced dates and times of their Fall Sales and Strategy Sessions for the Broker Community.  Use the links below to register for the appropriate carrier’s session.

Highmark Fall Agency Strategy Session

October 14, 2014
8:00 AM to 9:00 AM Breakfast and Trade Show
9:00 AM Strategy Session

Pittsburgh Marriott North
100 Cranberry Woods Drive
Cranberry Township, PA 1606
REGISTER HERE

UPMC Healthplan Fall Producer Kick Off

October 2, 2014
8:30 AM Registration and Continental Breakfast
9:00 AM – 12:00 PM Presentations

Marriott City Center
112 Washington Place
Pittsburgh, PA 15219
REGISTER HERE

UnitedHealthcare

October 1, 2014
8:30 AM Registration & Breakfast
9:00 Presentation

Pittsburgh Marriott North
100 Cranberry Woods Drive
Cranberry Township, PA
REGISTER HERE

Updated Submission Process for POR Letter

highmark logo

Distribution Administration has revised the submission process for the Producer-of-Record (POR) letter to improve efficiency. Effective Sept. 1, 2014, producers will need to submit POR letters to their assigned Highmark client manager. 

Your Highmark client manager will be responsible for receiving all POR letters, reviewing them to ensure all of the required elements are accounted for, and submitting them to Distribution Administration for processing. This will help streamline and expedite the submission process.

Distribution Administration should no longer directly receive POR letters. For some, this may be business as usual. For others, this process is new.

When submitting a POR letter, keep the following items in mind. POR letters must:

  1. Be on the client’s letterhead.
  2. Be legibly signed by an authorized company representative (e.g., owner, partner, etc.).
  3. Include the client number or group number (either in the letter or in an attachment).
  4. For group sizes of fewer than 100, indicate that commission is payable.
  5. For group sizes of 100 or more, indicate in the letter the exact commission amount.

Letters that do not meet all of the requirements above will be considered invalid, and as result, cannot be accepted from an audit perspective. For a seamless process, please review these requirements before submitting the letter to your client manager.

Sample POR letter

Upon receipt of a POR letter, Highmark client managers are required to submit the POR letter within 48 hours to Distribution Administration. Highmark client managers have been informed of these changes and the requirements. Below are effective dates for changing producers via receipt of a valid POR letter:

 

por deadlines