Employers

hnedirect

Login to our Employer portal, MyHNE,
to enroll, find eligibility and more.

plans

From managed care and high deductible health plans to PPO plans, we will help you find the best options for your clients.
View our plans today!

forms

From group applications and enrollment forms to domestic riders and COBRA coverage, you will find what you need on our Forms page.

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We serve commercial members in Berkshire, Franklin, Hampden and Hampshire Counties in Western Massachusetts and Worcester County. View our list of Fully Funded HMO Service & Eligibility Areas.

Tools and Resources

HNE

Employer Reference Guide 

This is a reference guide for Employer Groups. Please consult the EOC and Employer Group Agreement for all benefit questions and contractual questions.

New Business Submission

Health New England will require all new group submissions to be received ideally, at least five days prior to the effective date. Get started by reading our new business submission guidelines.

Underwriting

From business verification and employer contribution to participation guidelines and enrollment area requirements, our general underwriting guidelines explain everything you need to know.

Enrollment Companion Guide

Health New England has developed the following Companion Guide as a support tool for our Trading Partners when submitting electronic HIPAA 5010 Membership Enrollment.

Enrollment

Learn more about Health New England’s enrollment guidelines, including when a subscriber can enroll, exceptions to the rule, adding dependents and more.

Wellness

You care about your employees’ health, and we’re here to help. As a service to our customers, Health New England offers Healthy Directions, a unique wellness program that focuses on fitness, nutrition and preventive care.

JUSTIFICATION FOR 2018 RATE INCREASES



Health New England is filing rates for Individual and Small Group medical plans in Massachusetts effective January 2018 through December 2018. In accordance with the requirements of Section 1003 of the Patient Protection and Affordable Care Act, below are the justifications for these 2018 rate increases.

 Learn More >

EZ Enroll



At Health New England, we work with you to build the best plan to meet your needs and we make the process of switching over to us seamless with our EZ Enroll program.

Covered Preventive Care Services

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  Health New England covers the following preventive care services at no cost to our members when they seek care from in-network providers. Some of these services are also covered as part of routine physical exams, well visits and annual gynecological exams. For a comprehensive listing of Health New England covered preventive care services:

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EmployerMatters Newsletter

EmployerMatters is our news site for employers on HNEtalk.com. Here, you’ll find the most current news and information as it relates to your relationship with Health New England. Whether it’s updated plan information and guidelines, health-related news or community events – you’ll find it all on HNEtalk!

Health New England Error in Health Connector Small Group Rates

At Health New England, we recently discovered that we made an error impacting the small group rates being charged for coverage obtained through Health Connector for Business. Rates on Health Connector for Business should be the same as coverage off the Exchange.

If you obtained group coverage through Health Connector for Business after Oct. 1, 2017, you may have been impacted by this error. We will contact impacted businesses directly with details about correct premiums and how refunds will be handled.

At Health New England, we are committed to providing the best possible service, which includes informing you of errors such as this. We apologize to you and Health Connector for Business for this error and want you to know that we appreciate your understanding and our continued relationship.

If you have any questions or concerns, please do not hesitate to reach out to your account representative.