Agent Agent Agent Agent
Employer Employer Employer Employer
Provider Provider Provider Provider
Agent and Broker Home Contact Regence Site Map Search
Regence Blue Cross Blue Shield of Oregon
Oregon state health insurance For Agents
Secured Site  Agent Center »
Agent Communications

Jan. 1 Brings New Delinquency Policy

December 8, 2010

Effective Jan. 1, 2011, we’re modifying our delinquency process for groups on (Regence Innova®, Regence EngageSM, Regence ActivateSM and Regence HSA Healthplan 2.0SM). Our goal is to provide a consistent and more uniform delinquency policy for all groups.

This process will reduce financial risk, bring us in line with other carriers and meet regulatory requirements, as well as provide more frequent and timely communications regarding  delinquency to your clients. The following outlines the differences between our current process as compared to the new policy.

 

Current Process
New Process

Prior Month


Prior Month

 

5th-10th

Bill Sent Prior to Due Date

5th-10th

Bill Sent Prior to Due Date

Current Month

 

Current Month

 

1st

Premium Due Date

1st

Premium Due Date

10th

Delinquency Notice

7th

Billing Reminder Mailed

20th

Demand Notice

 

 

25th

Phone Calls Placed to Group

15th-20th

Phone Calls Placed to Group

Month Following Due Date

 

20th

Delinquent Notice (cc to Agent/Acct Exec)

5th-10th

Group Termination

25th

Final Notice of Cancellation (cc to Agent/Acct Exec)

 

Final Phone Call to Group (25th - 30th)

30th

Letter of Termination (cc to Agent/Acct Exec)

You’ll notice that the delinquency timeline is 30 days and that our groups will hear from us more often during that 30-day period (including billing reminders, delinquency notices, cancellation notices, termination letters and phone calls). Your clients will also receive a Payment Process Reminder notice as part of our new process.

The process will also be more visible to you. Both account executives and agents will be copied on the delinquency notices and the cancellation notice (although this part of the process may not be in place by Jan. 1).

Terminated groups will be eligible for reinstatement with our approval, subject to the following general conditions:

  • They must request reinstatement within 30 days after termination.
  • The group's premium must be paid in full through the most current month prior to the reinstatement being processed.
  • No more than two reinstatements will be allowed within a rolling 12-month period.

Thank you for your continued support. We hope that this new policy will provide a more streamlined and effective method for you and your groups to work with us in handling past-due accounts.

If you have any questions, please talk to your Regence sales contact.

 

« Back to Communications
 

 
Regence BlueCross BlueShield of Oregon. All rights reserved. Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association.
Regence Ethics  Privacy Policy  Fraud and Abuse  Site Feedback