THC transition to Priority Health: Frequently asked questions for commercial group agents

Last updated 04/21/2021

Throughout 2021 we will be transitioning THC commercial group business to the Priority Health platform. Below are answers to frequently asked questions you may have about the transition. Thank you for your continued partnership as we continue to focus on delivering affordable, accessible care to our members.

What to know about the Total Health Care (THC) commercial group transition

Why is THC transitioning to Priority Health?

Priority Health acquired THC in 2019 and together we have been strategically evaluating the business to maintain long-term sustainability while delivering viable solutions to the market. THC staff has been fully integrated into Priority Health and we're excited to welcome your business as well.

How will this impact renewals?

THC large groups with renewals August – January will transition off THC plans at their upcoming renewal to a similar Priority Health plan. Agents will receive the Priority Health quote approximately 90 days prior to the group's effective date.
THC large groups with renewals February – July will be able to maintain their current THC plans through Dec. 31, 2021. You will need to work with your account team to determine the most appropriate plan design and timing for transitioning your group(s) to Priority Health.
ACA regulations allow THC small groups with August – December renewals to renew; however, they also will need to migrate off THC plans by Dec. 31, 2021. Agents will receive both a THC and Priority Health quote approximately 90 days prior to the group's effective date. We encourage you to consider alternate Priority Health plans in place of THC small group (August – December) renewals to avoid the need to reevaluate and transition coverage at the end of the year.

How will this impact new business?

Any new large and small group quotes will be for Priority Health products instead of THC moving forward.

How long will groups have to make a decision on their renewal?

To ensure timely processing and set up of Priority Health benefits, we highly encourage decisions and paperwork be submitted 45 days prior to the effective date.

When will THC employer groups be notified of the THC product withdrawal?

All THC large groups will receive notice of this change 90 days before their THC renewal date, or by Oct. 1, 2021, whichever comes first. The agent of record will be copied on the notice.
All THC small groups will receive notice of this change by Oct. 1, 2021.

Quoting, enrollment and administration

Will experience for Large Groups be used when quoting Priority Health products for existing THC groups?

Group-specific experience is considered in the development of large group rates and is weighted based on the size of the group.

Will groups moving to Priority Health need to complete new Employer Group Agreement, enrollment, etc.?

Yes, new enrollment materials will be required to ensure current and accurate group information. However, we will attempt to simplify and minimize required information.

What are some things employers can look forward to working with Priority Health?

24/7 access to our Employer Insights reporting tool to help you manage the health of your workforce.
Employer toolkits that provide you with smart resources to educate your employees on Priority Health's solutions.
Option of billing dental and medical together.
Free COBRA administration through iSolved Benefit Services.
Free HSA administration with HealthEquity.
We also don't require referrals for specialists.

Agent appointment and compensation

Will my appointment with THC transfer to Priority Health?

THC agents that are not appointed with Priority Health will need to do so. Click here to get appointed with Priority Health.

Will groups transitioning to Priority Health count as a new group for agent bonus?

Yes. Regardless of Elite agent status, all THC groups that transition to Priority Health will be eligible for the $100/contract new business bonus.
The $100 new business bonus for THC transitioned groups will be paid during our normal Elite Bonus payment which occurs on or before April 1 of each year.

How will commission be affected?

Priority Health small group commission schedule will apply. Please refer to the Agent Center for more details. Please note: Only appointed agents will have access to Priority Health's Agent Center. If you aren't appointed, click here.
Priority Health large group commission schedule is based on a flat rate. Please consult with your sales rep for questions.
All Priority Health agent commissions are paid through direct deposit.
The $100 new business bonus for THC transitioned groups will be paid during our normal Elite Bonus payment which occurs on or before April 1^st of each year.