Health Alliance blames enrollment criteria for denied retiree plans
“State Farm and Caterpillar put their retirees into a benefit exchange, so they can choose a number of Medicare Advantage plans, but their employers don’t choose for them. So it’s sort of an endorsement. State Farm and Caterpillar endorse Health Alliance as a Medicare Advantage offering for their employees, but they don’t pay for it."
Hayes says because the Health Alliance bid was rejected based on the enrollment requirement, its pricing was never reviewed.
She says the company has submitted a Freedom of Information Act request to see the winning bids for Medicare Advantage plans from Aetna Life, Humana Health, Humana Benefit, and United Healthcare, to see if the options are in the best interest of the state and its retirees. Hayes says Health Alliance will also seek an extension of the time it has to dispute the state’s decision. She says it’s hearing from a lot of retirees who are upset over the prospect of changing providers.