Employer Information for COVID-19

Optima Health is working hard to respond to the impacts of COVID-19 on your business and employees. We are committed to providing you with important updates, while ensuring that your employees get the care they need during this unprecedented time.

Resources for Employers

Learn about employee coverage, workforce changes, pharmacy benefit changes, and more:

The Coronavirus Aid, Relief, and Economic Security (CARES) Act

The Coronavirus Aid, Relief, and Economic Security (CARES) Act allocated $350 billion to help small businesses keep workers employed amid the pandemic and economic downturn. Known as the Paycheck Protection Program, the initiative provides 100% federally guaranteed loans to small businesses. Learn more about how these programs can assist you at the links below.

As part of the CARES application, employers must provide copies of invoices showing paid health insurance premiums. Optima Health employer groups with access to our secure Employer Portal can view and download current and historical billing statements.

Employers who do not currently have access should complete and submit our Confidentiality Agreement and Portal User Profile Form to request an account. Be sure to check the box at the top of the form to “View Billing Statements.”

Once the account has been established, employers can sign in and select Billing Statements on the left-hand navigation pane under “Payments and Billing” to view their statements.

Note: Optima Health is providing this to brokers and employers for informational purposes only. The information posted on our website is not intended to provide compliance, tax, or legal advice, or to be relied upon for these purposes. Brokers and employers should be advised to consult with legal and tax experts to understand how the Act will affect their individual or business circumstances.

COBRA Relief and Guidance Deadlines Extended

The U.S. Department of Labor (DOL) and IRS have extended election timeframes for special enrollment periods and the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) plans. This includes an extension for plan participants to elect to receive coverage under COBRA and the timeframe participants have to file claims or submit appeals. Until the end of the COVID-19 national emergency, the typical deadlines and timeframes will be disregarded for the following:

  • The 30-day period to request special enrollment for loss of coverage, or adding a new dependent
  • The date for employers to provide COBRA election notices
  • The 60-day election period for COBRA
  • The Premium due date, usually 45 days after election, for COBRA
  • Timely filing dates for claims for covered services under group health plans
  • The date within which claimants may file and complete internal and external appeals

For more information, please visit the U.S. Department of Labor website.


News


COVID-19 Extended Coverage

In order to help remove barriers to care and provide safe options for our members during the COVID-19 crisis, Optima Health committed to expanded coverage. All out-of-pocket member costs associated with COVID-19 diagnostic testing will be covered through the duration of the pandemic.

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Health Plan Options

As we all navigate through the different circumstances we find ourselves in due to COVID-19, we want you to know Optima Health is here for you and your employees.

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