Feb. 8, 2023
Average Employee Count Data Collection Begins This Week
Applies to groups with 15-250 employees
What you should know: Email solicitation for active and canceled fully insured groups with 15-250 employees will begin this week. A letter will be mailed to groups without a valid email address.
The Affordable Care Act set Medical Loss Ratio (MLR) standards for health insurers. Blue Cross and Blue Shield of Oklahoma (BCBSOK) must report annually on whether the small group or large group market coverage we offer meets MLR standards. These standards require us to report annually whether coverage is in the small or large group market segments of a state. Employers are asked to provide their 2022 Average Employee Count (AEC) so that we can classify their coverage for the 2023 MLR reporting year.
Next steps: The Regulatory Data widget on Blue Access for EmployersSM (BAESM) was made available Feb. 7. Groups can enter their 2022 AEC information via the portal.
BAE is our preferred method of data entry. However, AEC information can also be submitted as a PDF version of the form. A group can call the dedicated phone number below to request the form. The completed form can be emailed, faxed, or mailed to BCBSOK (details are on the form).
The broker (Primary Producer of Record or Delegated Producer with Maintenance Use) can also submit AEC information for their employer groups in BAE.
If a group does not have their account set up in BAE, please encourage them to do so now.
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