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Rx Update - Join Our May Pharmacy Webinar!

May Topic: "Rx Market Insights: Navigating Rising Pharmacy Costs While Facing Expanding Drug Utilization" Date: Tuesday, May 26    Time: 2:00 – 2:30 p.m. Across today’s pharmacy landscape, new drug indications, evolving formulations, and expanding patient...

Rising Cost Support For Small Businesses: How To Get The Most From Your Health Plan

For many businesses, health and wellness benefits are an important employee attraction and retention driver. With the ongoing rising costs of healthcare, small businesses are looking for ways to continue offering comprehensive benefits to their teams. In this blog...

REMINDER: Updated Medical Commercial Community Rated Underwriting Guidelines

The Medical Commercial Community Rated Underwriting Guidelines have been updated to include the newly implemented Out of Area (OOA) and Professional Employer Organization (PEO) rules. You can find the updated guidelines on the employer website by following this path: ...

Understanding Your Wellbeing: April - Upcoming Webinars

Help keep your employees engaged and inspired with our monthly webinars, featuring fresh, practical insights to support members’ health and wellbeing. Webinar flyers and registration links are available below to share with your team. May Topic: "Transforming Stress Into...

Rx Update - Supporting Employees With IBD, With Care That Makes A Difference

Inflammatory bowel disease (IBD) can take a toll on your employees and your business through higher health care costs, missed work and ongoing health challenges. Our latest pharmacy blog takes a closer look at how a more connected, personalized approach to care can help...

Rx Update - Pharmacy Concierge Brochure Updates For 2026

We’ve recently refreshed our Pharmacy Concierge brochure to reflect the latest program updates. Designed to help manage pharmacy costs while supporting clinically appropriate care, Pharmacy Concierge takes a thoughtful, hands-on approach—analyzing claims, identifying...

May Wellbeing Tip: The Power Of Nature For Mental Health

May is National Mental Health Awareness Month, a time to reflect on simple, effective ways to support our mental wellbeing. One of the most powerful—and accessible—ways to do this is by spending time outdoors. Research shows that spending time outdoors can help lower...

Reminder: Please Submit Group Data Using The RxDC Form

As a reminder, Univera Healthcare will complete the required pharmacy benefit and prescription drug cost reporting for all fully insured and self-funded groups that have both our medical and pharmacy coverage. However, you and/or your broker must submit premium...

Quarterly Legislative Update - March

In this quarter’s Legislative Update, we highlight key political, legislative, and regulatory developments that may impact our industry. New York State Proposed New York State Budget The 2026 New York State legislative session began on Jan. 7, and shortly after...

Updated Medical Commercial Community Rated Underwriting Guidelines

The Medical Commercial Community Rated Underwriting Guidelines have been updated to include the newly implemented Out of Area (OOA) and Professional Employer Organization (PEO) rules. You can find the updated guidelines on the employer website by following this path: ...

Building A Workplace Culture That Supports Preventive Care

Paul’s doctor recommended he get a colonoscopy but, even if he could get the time off work, his co-workers would give him a hard time. Maria can’t take time off work to get her mammogram, even though she has a family history of breast cancer.  Carlo has diabetes...

Empower Your Workforce: Join Our Upcoming Understanding Your Wellbeing Webinars

Help your employees stay engaged and inspired—our monthly webinars offer fresh, practical insights to support our members' health and wellbeing. Monthly flyers are available below to share with your team. March Topic: "Eat Well, Live Well: Using Food as Medicine" Date:...

Rx Update - Understanding Shifts In Specialty Drug Use

As specialty medications are approved for more conditions, employees may find themselves prescribed treatments they’ve never considered before. While this can improve access to effective therapies, it also adds complexity to prescription trends and budget planning. This...

Rx Update - Helping Employees Manage Inflammatory Bowel Disease With Confidence

Inflammatory Bowel Disease often requires ongoing, carefully coordinated care—something many employees struggle to manage on their own. Our latest article explores how a connected care model can reduce frustration, improve support and strengthen overall wellbeing for team...

Rx Update - Support That Simplifies The Specialty Medication Journey

Starting a specialty medication can be intimidating. Accredo offers personalized assistance, clinical expertise and convenient delivery options—all designed to help employees manage their treatment with greater comfort and clarity. This flyer highlights how Accredo’s...

April Wellbeing Tip: Sleep Smarter

Sleep is when the body and brain restore energy, strengthen the immune system, and support learning and memory. Regularly getting less sleep than you need increases the risk of chronic conditions such as obesity, diabetes, and heart disease, and slows reaction...

Important Information Regarding Annual RxDC Prescription Data Submission

The Consolidated Appropriations Act (CAA) requires group and individual health plans to report annual data about prescription drugs and health care spending to the Centers for Medicare & Medicaid Services (CMS). The last day to submit this data to CMS for the 2025...

Ensure Broker Authorization To Streamline Employee Support

As a reminder, our online tools offer valuable convenience for your employees. To ensure fast, efficient support, it’s important that brokers are authorized to speak with us on the members’ behalf. Completing this authorization saves valuable time and allows our team to...

New AGIF Requirement For Community Rated HMO Groups And Additional Underwriting Updates

Starting in 2026, Community Rated HMO groups will be required to provide an Annual Group Information Form (AGIF) for renewal. Community Rated HMO groups will be included as part of the small group AGIF renewal mailing notifications. Additionally, the AGIF Webtool has...

Tax Form 1095-B

Health insurers—including Univera Healthcare—are no longer mailing tax form 1095-B to members. Because taxpayers are not required to include the form when filing their taxes, the IRS no longer requires us to mail the form. Members can still download the form or request it...

Make Preventive Care Easy For Your Employees

Keeping your team healthy starts with preventive care, and we’re here to help. Our preventive care toolkit (ZIP) gives you simple, ready-to-use materials to encourage employees to take advantage of preventive services that are fully covered under their plan. The toolkit...

Understanding Your Wellbeing: February - Upcoming Webinars

Help your employees stay engaged and inspired—our monthly webinars offer fresh, practical insights to support our members' health and wellbeing. Monthly flyers are available below to share with your employees. February Topic: "Understanding Your Heart Health: Risks,...

Vitalize℠ Toolkits Now Available: Make Employee Engagement Easy

Vitalize℠, in partnership with Personify Health, is a digital wellbeing program dedicated to engaging your team in their health and wellbeing. Vitalize gives your employees the tools and support needed to make small, everyday changes to their wellbeing that are focused on...

March Wellbeing Tip: Food As Medicine

The food you choose every day has a powerful impact on your health, energy, and overall wellbeing. The concept of “food as medicine” highlights how nourishing eating habits—paired with positive lifestyle choices—can help prevent and manage disease, boost your energy, and...

2026 - January - Pharmacy Updates From Mona Chitre

A Message from Mona Chitre As we step into 2026, we’re proud to reflect on the progress we’ve made together - because caring for Western New Yorkers starts with collaboration. We’re looking forward to the exciting developments this year has in store for pharmacy care. ...

Understanding How Premium Dollars Are Used

Small businesses are feeling the pressure of rising health care costs and the impact of those costs on insurance premiums. The health care system is complex and understanding how premium dollars are used can be hard. Read more for a closer look at how premium dollars are...

Expanding Access To Behavioral Health Care: What Employers Need To Know

The rapidly growing need for mental health services and the limited availability of service providers has been well-documented. In addition, those same providers are experiencing burnout at higher levels than ever before and many are leaving or limiting their...

Gag Clause Certificate Of Attestation Now Available

On December 30, 2025, Univera Healthcare completed the Gag Clause Attestation on behalf of our fully insured and minimum premium groups who have our Rx. A Gag Clause Certificate of Attestation is available to groups, upon request. Please reach out to your Broker or...

Understanding Your Wellbeing: January - Join Us For Our Upcoming Wellbeing Webinars

Help your employees stay engaged and inspired—our monthly webinars offer fresh, practical insights to support our members' health and wellbeing. Monthly flyers are available below to share with your employees. January Topic: "Train Your Brain – The Psychology Behind...

Simple Ways Preventive Care Can Support Your Business

Preventive care plays an important role in keeping employees healthy while helping employers manage long-term costs. In this blog, we outline four easy, effective ways to encourage preventive care, such as sharing clear reminders and offering simple incentives. Many...

February Wellbeing Tip: Heart Disease

Heart disease is a broad term for conditions affecting the heart, most commonly Coronary Artery Disease. One of the most serious outcomes of heart disease is a heart attack. A heart attack occurs when the flow of blood to the heart is severely reduced or blocked. Managing...

Happy Holidays – From Our Team to Yours

As the year draws to a close, we want to express our heartfelt appreciation for trusting us with the health and wellbeing of your employees. It’s an honor to partner with you. We wish you and your team a joyous holiday season and look forward to continuing to be right...

Strengthening Our Efforts To Streamline Prior Authorization

In support of our ongoing mission to help members access quality, affordable health care, Univera Healthcare is participating in a joint effort to streamline, simplify and reduce prior authorization. This effort supports the federal government’s efforts to improve the...

Legislative Updates - December 2025

In this quarter’s Legislative Update, we highlight key political, legislative, and regulatory developments that may affect coverage and costs. Including: Federal & New York State Updates, Local Business Relief Coalition information and What We’re Reading. Learn More...

Rx Update - The Future Of Prescription Drugs: 5 Trends Impacting Your Business And Employees

Prescription drugs play a major role in keeping employees healthy, but rising costs continue to challenge businesses across Western New York. As we look ahead to 2026, several important trends are beginning to reshape how pharmacy benefits work. Specialty medications,...

Updated Forms For Commercial Medical and Healthy New York Products

Underwriting has recently updated several forms for our Commercial Medical and Healthy New York (HNY) products. The new group instructions, new group checklist, and new group applications have been updated for our commercial medical and HNY products. HNY recertification...

Understanding Your Wellbeing: December - Join Us For Our Upcoming Wellbeing Webinars

Help your employees stay engaged and inspired—our monthly webinars offer fresh, practical insights to support our members' health and wellbeing. Monthly flyers are available below to share with your employees. January: "Train Your Brain – The Psychology Behind Healthy...

Save the Date: Upcoming Vitalize Webinars for Employees!

Vitalize℠, in partnership with Personify Health, is a digital home base dedicated to engaging our members in their health and wellbeing. Through Vitalize, eligible members have access to a certified health risk assessment, digital health coaching modules, a variety of...

January Wellbeing Tip: Building A Healthier You

A new year brings new opportunities to focus on your health and wellbeing. While resolutions can be exciting, they often feel daunting—and it’s easy to get discouraged if things don’t go to plan. To build sustainable behavior change, start small. Bite-sized goals make...

Manage Rising Health Care Costs: 3 Practical Tips

We understand the pressures small businesses face in today’s economic climate and we continue to be right here for you. As your local, nonprofit Health Plan, we’re committed to helping small businesses find meaningful ways to manage costs while improving the quality of...

Understanding Your Wellbeing: November & December - Join Us For Our Upcoming Wellbeing Webinars

Help your employees stay engaged and inspired—our monthly webinars offer fresh, practical insights to support our members health and wellbeing. Monthly flyers are available below to share with your employees. November: "Demystifying Diabetes" November 20: 12:00...

2026 Wellbeing Resources

Many members are not aware of the programs, resources, and tools available to them through Univera Healthcare. We are right here to help close that gap. Below are two resources that describe many of the programs and benefits available to members through their health plan....

December Wellbeing Tip: Healthy Eating During The Holidays

Navigating food choices during the holiday season can feel overwhelming, especially when you’re trying to maintain balance. If you’ve ever felt guilt or anxiety around holiday eating, you’re not alone. Balancing indulgence with intention can be difficult, but there are...

ACTION REQUIRED: Multi-Factor Authentication Launching In The Coming Days For Employer Web Accounts

To improve account security, multi-factor authentication (MFA) will be enabled in the coming days. What you can do to prepare for this change: Log into your employer web account and go to Account Settings in the upper right corner. Verify that your email address and...

Univera Healthcare Welcomes Dr. Martin Stallone To Executive Leadership Team

We’re thrilled to announce that Martin Stallone, M.D. has been appointed Executive Vice President and Chief Healthcare Services Officer for Univera Healthcare and its parent company, The Lifetime Healthcare Companies. Dr. Stallone currently serves as CEO of Centralus...

2025 Gag Clause Attestation Process & Separate Letter Notification

As part of our ongoing support for the Consolidated Appropriations Act (CAA) gag clause attestation, Univera Healthcare will continue to attest on behalf of our fully insured and minimum premium groups in 2025, unless the group instructs us otherwise. For Self-funded, Rx...

2026 Individual Market Plans

If you have an employee who is not eligible for an Employer Group Plan, Medicare or COBRA, we are here to help connect them with Qualified Health Plans (metal level plans), stand-alone dental plans and NY State sponsored Safety Net coverage, including plans for children. ...

2026 Annual Rate Notices Being Mailed

The New York State Department of Financial Services (DFS) has finalized the 2026 rate adjustments for the following products: Small Group Individual Medicare Supplement Annual Rate Notices (ARNs) will be mailed to groups by the end of October. Medicare Advantage,...

Manage Rising Health Care Costs: 3 Practical Tips

We understand the pressures small businesses face in today’s economic climate and we continue to be right here for you. As your local, nonprofit Health Plan, we’re committed to helping small businesses find meaningful ways to manage costs while improving the quality of...

Donate Life Registry Question Added To Health Plan Applications

A new question regarding the New York State Donate Life Registry has been added to select health plan enrollment forms and online tools. This update is in response to a new state mandate and applies to both paper and digital enrollment processes. This requirement applies...

Showing 1– 50 of 430 Results
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