Choose the disclosure that applies to your plan.
These disclosure documents describe Innovation Health health benefits and health insurance plans. Find your plan type.
Medical
Affordable Care Act (ACA) Individual and Family Plans
Innovation Health ACA Individual and Family Plans - Pre-Enrollment Disclosure
Affordable Care Act Individual Health Insurance Broker Compensation Information For Policies Sold in Virginia for the 2023 Calendar Year
2023 Broker Commission Schedule
State |
Amount per enrolled member per month* |
|---|---|
Virginia |
$20 |
*Commissions are payable to a maximum of five members per policy.
In addition to direct commissions, your broker may also be eligible for a bonus program. It’s a one-time bonus for new members enrolled with 2023 effective dates according to the schedule below.
Note: The broker bonus program applies only to policies sold in Virginia for the 2023 calendar year. Certain other conditions apply.
- Members must be considered active 90 days after the effective date to be eligible for payment.
- New business qualification tracked by state and quarter; no combining business across states. New business qualification levels will reset at the end of each quarter.
- For the purpose of calculating enrolled member credits, broker shall be subject to a per-policy maximum of five members for both qualification and payment.
- We will pay credits quarterly, within 120 days of the end of the quarter.
New enrolled members |
Earned credit per new enrolled member |
|---|---|
0 - 14 |
N/A |
15 - 29 |
$25 |
30 - 59 |
$50 |
60+ |
$75 |
Plan Sponsor / Employer Plans
How Innovation Health Pays Out-of-Network Benefits
Note about employer-funded plans: State mandates do not apply to self-funded plans governed by ERISA. If you are unsure if your plan is self-funded and/or governed by ERISA, please confer with your benefits administrator. Specific plan documents supersede general disclosures contained within, as applicable.
Managed Plans offered by the HMO entity, Innovation Health Plan, Inc., are: HMO, POS, Open HMO and Open HMO Option
Managed Plans offered by Innovation Health Insurance Company are: PPO, POS Plus, Open Network Only Plus, EPO Plus, Network Only Plus, Open POS II and Open EPO Plus.
Dental
Innovation Health members receive dental benefits from Aetna. Aetna provides certain management services to Innovation Health. Please refer to aetna.com for more information.
Member Rights and Responsibilities
Note about employer-funded plans: State mandates do not apply to self-funded plans governed by ERISA. If you are unsure if your plan is self-funded and/or governed by ERISA, please confer with your benefits administrator. Specific plan documents supersede general disclosures contained within, as applicable.
Dental benefits and dental insurance plans are offered, underwritten or administered by: Aetna Health Inc., Aetna Health of California Inc., Aetna Health Insurance Company of New York, Aetna Health Insurance Company, Aetna Life Insurance Company, Aetna Dental Inc., and/or Aetna Dental of California Inc. (Aetna).
Transparency in coverage
Innovation Health – machine readable files
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Now that’s innovation
Innovation Health is transforming the health care journey. Through innovative programs, coordinated care, and remarkable access, our health plans are personalized to fit our members’ needs. Discover how we are helping members achieve their health ambitions right in their community.
