Providers|Agents & Brokers
Register
HOME  /  AGENTS  /  INSIGHT  /  OCTOBER 2023  /  COMMERCIAL UPDATES

Commercial updates

Mineral® Human Resources (HR) and Compliance Services

NEW in 2024 for Small Employer groups in Utah and Nevada

Mineral is a platform/website that provides HR and compliance services for companies. We are partnering with them to provide these services to our Small Employer groups in Utah and Nevada. The service will work much like our built-in Intermountain Employee Assistance Program (IEAP). Select Health is contracting with Mineral to cover the cost of the service and groups will contact Mineral directly for help. There will be no system connections. Select Health will only provide Small Employer group details to allow for employer access, not employee information. Employers can choose whether to use the services.

Visit the Mineral website to learn more. For a summary of the services they provide and the employee handbook, visit the following links:

Summary of Mineral services - Mineral Platform and Mineral Intelligence

Employee handbook Resources - Mineral's Smart Employee Handbook

Mineral HR Experts: HR certification through either/both: HR Certification Institute (HRCI); Professional HR (PHR) or Senior Professional HR (SPHR) Society for Human Resources (SHRM); SHRM-Certified Professional (SHRM-CP) or SHRM-Senior Certified Professional (SHRM-SCP).

Mineral Benefits Experts (Health, Welfare, and Retirement): International Foundation of Employee Benefit Plans (IFEBP): Benefit Experts are required to have their GBA (Group Benefits Associate); some also have their RPA (Retirement Plan Associate). When the GBA and RPA are combined, team members have their full Certified Employee Benefits Specialist (CEBS).

2024 Formulary changes

We wanted to give you a heads up about upcoming changes to the Select Health RxCore five-tier formulary (the list of a plan's covered drugs). This change will impact a small percentage of current Individual and Small Employer plan members.

We regularly update our prescription coverage to keep treatments accessible and affordable for our members. This year, we bundled several changes to the RxCore five-tier formulary that will take place on January 1, 2024. Patients and prescribing doctors will be notified of any changes that specifically impact them via letter and through our digital channels. Additionally, the following changes will occur:

Small Employers in Utah and Idaho

New and renewing plans will move from the RxSelect five-tier formulary to the RxCore five-tier formulary on their 2024 effective date.

Small Employers in Nevada

Plans will continue to use the RxCore five-tier formulary.

Grandmothered Small Employer plans

Plans will remain on the RxSelect formulary but will be moving from 3-Tier to 4-Tier formulary.

Grandmothered Individual plans

Plans will remain on the RxCore Formulary.

As we manage health care costs for all our members, we sometimes have to make difficult decisions about the drugs we cover and how we cover them. These changes are guided by evidence-based assessments and receive approval from our Pharmacy & Therapeutics Committee. For additional information, please visit selecthealth.org/rxfaq. To review the 2024 RxCore five-tier drug list for each state, visit selecthealth.org/pharmacy/pharmacy-coverage-2024.

Questions? Call Select Health Pharmacy Services at 800-538-5038 weekdays, from 7:00 a.m. to 8:00 p.m., and Saturdays, from 9:00 a.m. to 2:00 p.m.

Agent seminars

Thank you to those who attended our agent seminars. It was great to see so many of you in person! Highlights of the seminars are listed below by location. Full presentations can be viewed in Select Health Link Agent Resources. Please reach out to your account or sales manager with questions.

Colorado
  • Individual and Family plans will be available January 1, 2024.
  • Plans will be offered on and off the exchange.
  • OmniSalud plans are available through Colorado Connect.
  • Value adds include: $0 cost-share for in-network virtual care services, wellness rewards, nurse Care Management, Rx Savings Solutions, and member discounts.
  • View plan details for Colorado Individual plans and Colorado Option Individual plans.
Idaho
  • For 2024, all Select Health Idaho networks will be available for Individual and Small Employer plans.
    • Select Health SLHP (St. Luke’s Health Partners)
    • Select Health BrightPath
    • Select Health SAHA (Saint Alphonsus Health Alliance)
    • Select Health Med will be available for Individual plans in Eastern Idaho, creating a broad network at a lower cost.
  • There are minimal plan changes for Individual and Small Employer plans.
  • Product and pricing stability:
    • -1% premium adjustment for Individual plans (statewide average)
    • Projected 1.7% quarterly increase for Small Employer
  • View plan details for Individual Plans.
  • View plan details for Small Employer plans.
  • Employee Navigator XML capability.
  • $0 cost virtual care for primary care, urgent care, and mental health.
  • Lower tier-one prescription copays.
  • Lower outpatient rehabilitation copays.
  • Value adds include: $0 cost share for in-network virtual care services, wellness rewards, nurse Care Management, Rx Savings Solutions, and member discounts.
  • Wellness rewards include yoga and acupuncture.
Nevada
  • Pre-deductible copays for labs & x-rays on all non-HDHPs.
  • Addition of Rx family deductible.
  • Behavioral health copay spelled out and showing Rx copay reductions on Nevada Health Link.
  • View plan details for Individual Plans.
  • Small Employers will have access to Mineral, a comprehensive HR resource in 2024.
  • Employee Navigator XML capability.
  • Wellness rewards include yoga and acupuncture.
  • View plan details for Small Employer plans.
  • Value adds include: $0 cost share for in-network virtual care services, wellness rewards, nurse Care Management, Rx Savings Solutions, and member discounts.
Utah
  • Pre-deductible copays for labs and x-rays on all non-HDHPs and addition of Rx family deductible on Individual plans.
  • Easy off-market sales process (Silver HSA and Silver 5500).
  • View plan details for Individual Plans.
  • View plan details for Small Employer plans. 
  • Small Employers will have access to Mineral, a comprehensive HR resource in 2024.
  • Employee Navigator XML capability.
  • Value adds include: $0 cost share for in-network virtual care services, wellness rewards, nurse Care Management, Rx Savings Solutions, and member discounts.
  • Wellness rewards include yoga and acupuncture.

Recurring payment option when making binder payments

When making a binder payment, there is an option to save the payment method for future/recurring payments. Once this is selected, the credit card or e-check is saved and will be used when the next invoice is due. Future date payments are also allowed based on the date indicated on the payment page. Members who are on auto-payments can expect their premium to be deducted on the 1st of each month. To reach our billing department, call 800-442-8083, option 5.