Carrier Resources

Pender & Associates is here to help you navigate the evolving legislation related to the COVID-19 pandemic and make educated decisions on how to manage your staff during this time. Please review the below resources highlighting the coverage and procedural changes made by your specific insurance carriers. Contact our brokers or assistants with any questions.

Admin America

Dependent Care FSA Accounts: You may be eligible to change your Dependent Care FSA elections if you have had to pull your child out of daycare or been temporarily laid off. This change must be made between 30 days of the daycare change.

Aetna

  • Offering a Special Enrollment Period from Monday, April 6 – Friday, April 17, 2020
  • Copays for members will be waived for all diagnostic testing related to COVID-19
  • Zero copay on telemedicine visits for any reason until June 18, 2020
  • CVS Pharmacy will waive charges for home delivery of prescription medications, offer 90-day maintenance
    medications, and waive early refill limits on 30-day prescription maintenance medications
  • Special COVID-19 General Questions Mailbox: COVID19_Aetna_Producer_Questions@AETNA.com

Aetna COVID-19 FAQs

Aetna’s Coronavirus Resource Center

Anthem BCBS

  • Offering a Special Enrollment Period until April 15, 2020
  • Out-of-pocket expenses – inclusive of copays, coinsurance, and deductibles – are waived for COVID-19 testing and related visits through May 31, 2020
  • All member telehealth costs will be waived until June 14, 2020, regardless of reason for visit

Anthem COVID-19 FAQs

Anthem’s Coronavirus Resource Center

Basic

  • FSA, HRA, and HAS accounts can now reimburse or pay for over-the-counter drugs and medicines without a note of medical necessity or prescription from a physician
  • Menstrual care products are now considered a qualified medical expense and are eligible for reimbursement. Any expense incurred after 12/31/2019 will qualify
  • Any HDHP plan members with an HSA will be allowed to cover telehealth services prior to an individual reaching their deductible for plans beginning on or before December 31, 2021
  • Dependent Care FSA Accounts: You may be eligible to change your Dependent Care FSA elections if you have had to pull your child out of daycare or been temporarily laid off. This change must be made between 30 days of the daycare change

Basic COVID-19 Resource Center

Beam

  • Although Dental and Vision benefits are not being directly affected by COVID-19, your dentist and eye doctor offices may be closed. Below you will find a link to Beam’s article on dental emergencies
  • Continue to visit Beam’s news blog to find out more ways to adapt to life during the COVID-19 crisis

Beam’s News Blog

What is Considered a Dental Emergency?

Cigna

Please review the below link if you have questions about how Cigna is dealing with the COVID-19 crisis.

Cigna’s COVID-19 Resource Center

Guardian

  • Employees diagnosed or quarantined due to COVID-19 may be eligible for STD benefits. Eligibility will be determined based on medical documentation
  • Guardian will approve teledentistry services through May 21, 2020

Guardian’s COVID-19 FAQ Page

Humana

  • Member copays, deductibles, and coinsurance are all waived for COVID-19 related tests and treatments
  • Waived out-of-pocket costs for all telemedicine visits until June 7, 2020
  • Allowing early refills- extra 30- or 90-day supply- through April 30, 2020
  • Special COVID-19 General Questions Mailbox: COVIDquestions@humana.com

Humana’s COVID-19 Employer & Member Info Hub

Humana’s COVID-19 Resource Center

Inland Bank

Per the IRS, savers now have until July 15 to make 2019 contributions to their HSA accounts. Please send in any 2019 contributions by early July to allow enough time for any updates to process in your account.

Inland Bank COVID-19 Resource Center

Kaiser

  • Waiving all member out-of-pocket costs for services related to COVID-19 testing and treatment from April 1, 2020 – May 31, 2020
  • Telehealth will be conducted through Virtual Medicine and is already at a $0 cost to those on a copay plan

Kaiser COVID-19 Resource Center

Lincoln Financial Group

  • Please review the attached document and below link if you have questions about how the COVID-19 crisis is affecting your benefits with Lincoln
  • For Lincoln Financial EAP Customers: log into COMPSYCH and click on the “alerts” icon or search for Coronavirus for additional information

Lincoln COVID-19 FAQs

Lincoln’s COVID-19 Employer Resource Center

MetLife

Please check the below link to find out more information about how MetLife is working to help its customers during the COVID-19 crisis

MetLife Employer & Broker COVID-19 News Updates

National General

  • Waiving all member cost sharing – deductibles, copays, and co-insurance – for COVID-19 diagnostic tests and testing-related services
  • Waiving all prior authorization requirements as it relates to COVID-19 diagnostic testing
  • Allowing early refills and up to a 90-day supply of members’ prescription drugs in the event of hardship related to COVID-19
  • Any Teledoc consultation fees will be waived for members

National General COVID-19 FAQs

Principal

  • EAP Core has been opened up to all clients at this time, regardless of if you have disability products with Principal
  • Employees must meet the definition of disability outlined in the policy to be considered disabled
  • Employees required to stay home on or after March 1, 2020 may continue coverage until May 31, 2020 as long as premium payments continue

Principal’s COVID-19 FAQ Webpage

Principal EAP Core Flyer

The Standard

  • If an employee loses eligibility due to reduced hours or they are on an unpaid leave of absence, coverages can be continued on or from March 1, 2020 through June 30, 2020
  • Payment grace period extended to 90 days for all policyholders during the COVID-19 crisis

Standard’s COVID-19 Resource Center

Standard COVID-19 FAQs for Employers

Sun Life

  • STD Benefits will not be available to those who test negative for COVID-19, are not ill, and do not meet the applicable policy’s definition of disability (this includes self-isolation)
  • Visit Sun Life’s COVID-19 resource center at the link below to see ongoing contractual updates and benefits information concerning this crisis

Sun Life COVID-19 Resource Center

UMB Bank

  • Any HDHP plan members with an HSA will be allowed to cover telehealth services. This will last until December 31, 2021
  • Certain Over-the-Counter Drugs and Menstrual Care Products can be paid with HSA, FSA, and HRA accounts without a prescription from a physician. This is applied to amounts paid after and for reimbursements of expenses incurred after December 31, 2019

UMB Bank COVID-19 Resource Center

Unum

  • Unum is offering a Work Life Balance and EAP Program: Personal, Professional, Legal, and Financial counseling services for employees and any member of their family, 3 in person sessions, per person, per issue / year.
  • EAP Program also includes unlimited online video and phone counseling and the Medical Bill Saver which helps employees understand medical bills and may help reduce non-reimbursed medical expenses if over $400

Unum Bank COVID-19 Resource Center

UNUM COVID-19 Tips

United Healthcare

  • Offering a Special Enrollment Period until April 13, 2020
  • Waiving all member cost-sharing – deductibles, copayments, and coinsurance – for the testing and treatment of COVID-19 until May 31, 2020
  • Waiving all cost-sharing for telehealth visits until June 18, 2020
  • EAP Program only available on ACA fully insured plans

United Healthcare’s COVID-19 Resource Center

United Healthcare’s COVID-19 FAQs Link Directory

UHC’s EAP Program Flyer