Health Insurance for MEWA

We know that brokers play a huge role in guiding our members in selecting a plan that is right for them, so we wanted to insure that you have the most current information at your fingertips. Below you will find current news, updates and reminders. Please check back routinely as we will be updating this page with the most current information. 

You must be a certified broker to sell this product. Please contact your Medical Mutual Representative to receive the proper training and certification.

Frequently Used Broker Forms

Broker Updates, News & Reminders

1094 / 1095 
1095B forms are sent to employees on an annual basis by Medical Mutual. They are generally sent in mid-February to the employee’s home address. 
1094B forms are filed with the IRS on behalf on the employer. 

Annual Notice of Health Benefit Reminders
As required by ERISA, the Annual Notice of Health Benefit Reminders was sent to all COSE MEWA participating employers in February. It is the employer’s responsibility to share this information with their employees. You can click the following links for the cover letter and accompanying notice:

Sole Proprietor / Group of One Affidavit
The Group of One Affidavit may not be required in all instances. Use these guidelines as a starting point, if there are questions underwriting may follow-up.

Examples of when Group of One Affidavit may not be required:

  • There are W2 wages for an employee other than the owner (ie: part time employees)
  • There is a quarterly wage and tax report available
  • A husband and wife only business where one of them shows up on quarterly report as W2 employee
  • Tax forms provide evidence of full-time business revenue

Admin Reminders

  • Encourage your groups to enroll in paperless billing through EmployerLink
    • Groups that sign-up for EFT withdrawal also avoid the $25 monthly admin fee
    • EFT is withdrawn the first week of the month
    • Groups can view their invoice on EmployerLink and can sign-up for email notification
  • Once enrolled, enrollment changes should be process through EmployerLink or sent to MemApps@medmutual.com (not sent through FormFire or EasyApps) 

ID Cards

ID cards can be ordered online through MyBrokerLink, MyHealthPlan or viewed on the Medical Mutual mobile app

Medical Mutual Broker Updates:

May 7, 2019

New Counties Available for Quoting in MedFlex™ Network Primary Service Areas

(Applies to: Small Group 1-50, 51-99, 100+ and MEWA)

The following counties have been added as MedFlex™ network primary service areas and are now available for quoting groups beginning with July 1, 2019, effective dates: Delaware, Fairfield, Licking, Pickaway and Madison. 
 
Click here to access the MedFlex Network Map

April

MedFlex Service Area Expands

The MedFlex service area has expanded to include the following counties: Delaware, Fairfield, Licking, Pickaway and Madison. Please use the MedFlex Network Map to identify service areas.

March 13, 2019

Medical Mutual Announces New Partnership with EasyAppsOnline

Applies to: All group business

Medical Mutual is happy to announce a new partnership with EasyAppsOnline, an application system that is being introduced as an option for online employee medical history questionnaires. These electronic applications are available to all group segments, including Council of Smaller Enterprises (COSE) Health and Wellness Trust. For information regarding EasyAppsOnline, please call 1-888-563-4474, ext. 5 or visit EasyAppsOnline.com.

Please note, there will be no changes to Medical Mutual's partnership with FormFire, LLC. 

February 28, 2019

New Sales Tools for Medical Mutual HSA, FSA and HRA products

(Applies to: All Group Business)

We are excited to announce new tools that will assist in selling the following Medical Mutual Consumer-driven Health (CDH) products: 

  • Health Savings Account (HSA)
  • Flexible Spending Account (FSA)
  • Health Reimbursement Arrangement (HRA)
New CDH Product Fliers for Group Officials

Now available on MyBrokerLink, these print-on-demand fliers highlight the features and benefits unique to the Medical Mutual CDH product line. Share these PDFs via email with groups or print and use them for group presentations

These fliers replace the current group fliers on MyBrokerLink in the Producer's Guide under the HSA FSA HRA Products tab. Please remove the previous PDFs from any saved files and destroy any printed copies.

New HSA Group Official flier (Z8460-GHP) replaces HSA Group Official flier (C2958-GHP). 

New FSA Group Official flier (Z8461-GHP) replaces FSA Group Official flier (Z8150-GHP). 

New HRA Group Official flier (Z8462-GHP) replaces HRA Group Official flier (C2955-GHP). 

New HSA Member Experience Video
Also, in response to requests from brokers, we created a new video showing how members can access and manage their HSAs via My Health Plan to My Spending Accounts. The video is available on MyBrokerLink in the Producer's Guide under the HSA FSA HRA Products tab. Please share this video with your groups.


November 13, 2019
ID Card Release Schedule for New National Network Replacement: New Online Provider Link

This month, Medical Mutual will begin mailing redesigned member ID cards to new and existing members.The cards reflect our new national network, the Aetna® Open Choice® PPO Network. All cards will be mailed prior to Jan. 1, 2019. A member letter will be included with the card informing members of the new card and network, along with information about:

  • Selecting a primary care provider (PCP)
  • Staying in network
  • Using preventive care benefits
  • Knowing what services and medications are covered (for groups with prescription drug coverage through Medical Mutual)
  • How to find our member FAQs document

    *Aetna® is a trademark of Aetna Inc. and is protected throughout the world by trademark registrations and treaties.

 
Updated Provider Search
Our provider search tool has been updated with a link to the national network for 2019. 

As a reminder, members should continue to look up providers in the SuperMed® service area regardless of where they reside. 

If you have questions about this Broker Update, please contact your Medical Mutual representative.


May 22, 2018
Consumers Life Renewals
We have exciting news to share regarding Consumers Life renewals. Consumers Life completed a comprehensive review of the Council of Smaller Enterprises (COSE), Toledo Regional Chamber of Commerce (TRCC) and Richland Area Chamber of Commerce (RACC) benefit plans for the upcoming renewal effective July 1, 2018. As a result, current rates will be guaranteed for three (3) additional years. This included an analysis of the incurred loss ratio, demographic information and the overall benefit package.

Participating employers will receive the following communications:

Now – 6/30/2019

  • Participating employers with renewal dates on or after July 1, 2019 will receive a renewal letter within 60 days of their renewal date advising them their rates have been guaranteed for an additional two (2) years.
  • Proposal exhibits prepared for participating employers with effective dates on or after July 1, 2019 will include a two (2) year rate guarantee.

7/1/2019 – Later 

  • Participating employers with renewal dates on or after July 1, 2019 will receive a renewal letter within 60 days of their renewal date advising them their rates have been guaranteed for an additional two (2) years.
  • Proposal exhibits prepared for participating employers with effective dates on or after July 1, 2019 will include a two (2) year rate guarantee.

If you have questions or concerns, please contact your Medical Mutual sales representative. 

March 28, 2018
Medical Mutual Issuing Documents for Autism Spectrum Disorder Treatment 

We are updating our certificate books with updated information for Autism Spectrum Disorder Treatment and notifying affected groups and members.

COSE MEWA Group and Member Notification
We will send a COSE MEWA group official letter which will include the autism spectrum services language contained in the benefit book their employees will receive. Members will receive a letter along with an updated benefit book. The coverage noted became effective January 1, 2018.

As a reminder, this new law is not applicable to all market segments.

COSE MEWA Electronic Funds Transfer (EFT) Form Update 


The COSE MEWA electronic funds transfer (EFT) form has been updated to clarify that a voided check (or deposit slip) is required to verify banking information. The updated EFT form can be accessed HERE.

Thank you for being a great business partner. Please contact your Medical Mutual sales representative if you have questions or concerns about any of these updates.