Capital Blue Cross: 2022 Underwriting Compliance Guideline Updates
- On July 5, 2022
What’s Inside:
Capital Blue Cross offers Medicare plans | COVID-19 vaccines for children | PPO Choice Select update: County availability | 2022 Underwriting Compliance Guidelines updates | See how you can bolster your clients’ benefits packages with our specialty products | COVID-19 and letters of acknowledgement for members traveling overseas | Remember to complete your producer survey
Capital Blue Cross offers Medicare plans
Capital Blue Cross offers Group Medicare Retiree benefits. We also offer Individual Medicare benefits. Depending on your clients’ needs, we are here to help. We offer education about Medicare in virtual and live settings to help your clients’ retirees master the maze of Medicare.
To discuss benefit options or to schedule a Medicare 101 for your group clients, call Maria Laackman at 717.599.8923, or send an email to Maria.Laackman@capbluecross.com.
Members looking for a one-on-one consultation also can reach out to Maria or call our toll free number at 833.201.8283.
COVID-19 vaccines for children
Earlier this month, the Centers for Disease Control and Prevention announced that the Moderna and Pfizer COVID-19 vaccines can be administered to children six months of age and older. We’ve updated our COVID-19 resource page to reflect the change.
PPO Choice Select update: County availability
PPO Choice Select will be available to groups physically located in Cumberland, Dauphin, Perry, and York counties. It has been determined that groups in Adams and Lebanon counties will not be eligible for PPO Choice Select when made available on the following schedule:
- Custom Large ASO groups with effective dates on or after July 1, 2022.
- Small Group ASO, Mid Market, PremierChoice, Custom Large FI, and Small Group PPACA with target effective dates on or after January 1, 2023.
Once PPO Choice Select becomes available to groups in York county, eligible new or renewing groups in York county will no longer have the option to choose PPO Choice as their plan.
PPO Choice will continue to be available to groups in Adams, Berks, and Lancaster counties, as well as to individuals residing in Lancaster county.
Groups in Lebanon county are not eligible for PPO Choice or PPO Choice Select.
2022 Underwriting Compliance Guidelines updates
Underwriting Compliance Guidelines have been clarified for Small Business ASO groups that terminate medical and Rx coverage but keep dental and/or vision products. When this happens, the specialty products must be quoted with an insured financial arrangement in the Small Group PPACA or Mid-Market segments.
Be aware that groups will need to sign new rate pages and submit a new group application.
Reach out to your account executive with any questions.
See how you can bolster your clients’ benefits packages with our specialty products
Summer is the perfect time to start thinking about how you can bring greater value to your clients’ employee benefits package. And Capital Blue Cross is here to help. Our most recent webinar focused on how integrating dental and vision programs can improve member health and enhance their experience. Plus, we provided an overview of how members can be protected abroad with coverage from GeoBlue.
COVID-19 and letters of acknowledgement for members traveling overseas
A member who is planning to travel overseas may require a letter acknowledging they have coverage for the diagnosis and treatment of COVID-19. When submitting a request for a letter on behalf of a member, please include the following information:
- Member name and those of covered dependents if also traveling (a letter will be created for each)
- Employer group name
- Whether the plan is self-funded or fully insured
- Names of destination countries
Remember to complete your producer survey
We recently asked you in an email to complete a survey about your experience with Capital Blue Cross. To be sure we’re including as much feedback as possible from our producer partners, we have extended the deadline to participate in the survey to close of business Tuesday, July 5, 2022.
The survey should take 10 – 15 minutes to complete. Your candid feedback is appreciated, and you can be assured that your responses are anonymous.
Your producer relations team
Capital Blue Cross has adopted a team approach to support you, as we collaborate to enhance business relationships, foster your growth through education and incentives, and actively support the communities we serve. The Producer Relations team thanks you for your commitment and hard work. Reach out whenever you need them.


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