EmblemHealth August Broker News

Essential Plan News

Watch Party: Check Out the Latest Videos

Hit a Home Run in 2025: Essential Plan* commissions threw us all a curveball. But there’s still time to knock it out of the park this year. Watch the latest video on stepping up to the plate to maximize your income.

Keep the Fireworks Going: Independence Day may be over, but Essential Plan commissions and bonuses are still lighting up 2025. Watch the video to learn how you can earn more.

*EmblemHealth Essential Plans are provided by Health Insurance Plan of Greater New York (HIP), an EmblemHealth company.

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New Essential Plan Retention Bonus

How’s your Essential Plan book of business? Don’t forget to take advantage of the new Essential Plan retention bonus.** Check out the new flyer for all the details.

** Restrictions apply. Download commissions flyer for details.

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Prime Therapeutics™: New Pharmacy Benefits Manager (PBM) Partner

New for 2026! EmblemHealth is teaming up with Prime Therapeutics to deliver pharmacy benefits with advanced claims technology and fast, reliable home delivery via Amazon Pharmacy. Stay tuned for more details.

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DentaQuest: A New Reason To Smile

Starting Sept. 1, 2025, EmblemHealth will be transitioning to DentaQuest to better serve members with embedded dental coverage, including Essential Plan, Medicaid, and small group members (pediatric only). Most current dentists will remain in-network and plan benefits will not change.

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Large Group 2026 Rate Increase

As a reminder, EmblemHealth has submitted their proposed rate changes for large group plans renewing in 2026. If approved, these changes will apply to large group community-rated plans.

The new rates will become effective on your large groups’ 2026 renewal date. Please note, written notices have been sent to affected groups and their subscribers to notify them of the proposed increases.

For more information, please refer to thsis recent SalesFlash.

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DentaQuest Pediatric Dental

As a reminder, starting Sept. 1, 2025, EmblemHealth will be changing their dental partner to DentaQuest for pediatric dental coverage for small group plans. Stay tuned for more information on this great change!

Plus, don’t forget they also offer your small group clients standalone EmblemHealth dental plans with adult dental coverage. Reach out to your EmblemHealth representative to learn more.

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New Small Group Size Verification Requirement

Beginning this month for October 2025 renewals, small groups must verify group size prior to renewal every year. Please work with your clients to ensure they complete this new requirement. Check your inbox for upcoming details.

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