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Many of these resources have recently moved to our provider website on point32health.org.

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We want to make it easy for you to work with us, so we’ve brought the training information for Point32Health’s legacy brands — Tufts Health Plan and Harvard Pilgrim Health Care — together in one spot.

Training

We’ve brought provider news information for Point32Health’s legacy brands — Tufts Health Plan and Harvard Pilgrim Health Care — together in one spot. Visit our news resources on point32health.org/provider

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Below are overviews of Tufts Health Plan’s offerings, which include benefit information, authorization requirements, overviews of specific plans and coverage information.

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2023 tax form information

Broker Forms & Documents

2019 FSA Contribution Increase

2019 Medical Loss Ratio Employer Broker FAQ

2019 Medical Loss Ratio Member FAQ

2019 MLR Direct Employer FAQ

2019 MLR Direct Member FAQ

2019 MLR Rebate TAHMO LG Employer Letter

2019 MLR Rebate TAHMO LG Sub Letter

2019 MLR Rebate TAHMO SG Employer Letter

2019 MLR Rebate TAHMO SG Sub Letter

2019 MLR Rebate TICO LG Employer Letter

2019 MLR Rebate TICO LG Sub Letter

2019 MLR Rebate TICO SG Employer Letter

2019 MLR Rebate TICO SG Sub Letter

2020 Annual Benefit Changes

2020 IRS Limits for HSAs and HDHPs

2020 Medical Loss Ratio Employer Broker FAQ

2020 Medical Loss Ratio Member FAQ

2020 MLR Direct Employer FAQ

2020 MLR Direct Member FAQ

2020 MLR Rebate TAHMO LG Employer Letter

2020 MLR Rebate TAHMO LG Sub Letter

2020 MLR Rebate TAHMO SG Employer Letter

2020 MLR Rebate TAHMO SG Sub Letter

2020 MLR Rebate TICO LG Employer Letter

2020 MLR Rebate TICO LG Sub Letter

2020 MLR Rebate TICO SG Employer Letter

2020 MLR Rebate TICO SG Sub Letter

2021 MLR Employer FAQ

2021 MLR Member FAQ

2021 MLR Rebate TAHMO LG Employer Letter

2021 MLR Rebate TAHMO LG Subscriber Letter

2021 MLR Rebate TAHMO SG Employer Letter

2021 MLR Rebate TAHMO SG Subscriber Letter

2021 MLR Rebate TICO LG Employer Letter

2021 MLR Rebate TICO LG Subscriber Letter

2021 MLR Rebate TICO SG Employer Letter

2021 MLR Rebate TICO SG Subscriber Letter

2022 Broker Commission Schedule MA Combined

2022 Broker Commission Schedule RI

Small Employer Group and Individual Benefit Documents

2023 Small Group EOCs

4-16-20 Webinar Whitepaper

5-25-21 Presentation

5-25-21 Q2 SG Plan Comparison

6-3-21 RI Presentation

Benefit Enrollment and Maintenance Transaction

834 5010 Standard Companion Guide

A summary of highlights of new regulations

ACA - Employer Shared Responsibility Provision

Includes a summary of ACA fees, who pays, what the fee is used for, fee amount, and when payment begins

ACA Fees—Information for Employer Groups

Use this form to account for all employees and their dependents

Account Census Form

2023 Summary of Benefits + Coverage - Rhode Island

Advantage HMO 1000

Advantage HMO 1500

Advantage HMO 2000

Advantage HMO 2000 (80%)

Advantage HMO 3000

Advantage HMO 4000 (70%)

Advantage HMO 500

Advantage HMO 5000

Advantage HMO 6000

Advantage HMO Saver 2500

Advantage HMO Saver 3000

Advantage HMO Saver 6000

Advantage PPO 1000

Advantage PPO 1500

Advantage PPO 2000

Advantage PPO 2000 (80%)

Advantage PPO 3000

Advantage PPO 4000 (70%)

Advantage PPO 500

Advantage PPO 5000

Advantage PPO 6000

Advantage PPO Saver 2500

Advantage PPO Saver 3000

Advantage PPO Saver 6000

Standard Broker of Record (BOR) Change Form

Broker of Record Change Form

Broker Portal Authorization Form

BrokerLink Change Access Administrator Form

BrokerLink User Guide

Use this form to designate a new Senior Access Administrator for your Tufts Health Plan website account

Change Senior Access Administrator Form

COB Prescription Co-Pay Reimbursement Form - USFHP

Coordinated Care Model Brochure

Daily Endorphin Brochure

Deductible Carryover - Calendar Year

Deductible Carryover - Plan Year

Disabled Dependent Evaluation Form

This notice is sent to notify an employee that their continuation coverage has terminated or will terminate

Early Termination Notice

EDI Enrollment + Reconciliation Guide

Electronic Funds Transfer (EFT) FAQ

Electronic Funds Transfer (EFT) Flyer

Frequently asked questions with answers about Massachusetts Continuation of Coverage

Employer Group Overview of MA Continuation of Coverage

This form must be completed by an employer group to identify a third-party representative/vendor that is permitted to receive information on their behalf.

Employer Group Vendor Designation Form

Authorization/request for electronic access to information submitted to Tufts Health Plan

Employer Web Authorization Form

Federal MLR FAQs

Includes informative flyer, postcard, and table tent

Flu Kit for Members

Includes Announcement, Reminder, and Final Reminder for on-site flu shots

Flu Shot Email Campaign

To be completed by brokers and employers that are new to Tufts Health Plan

Form W-9 (IRS)

Forms & documents

Essential resources for brokers

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