Underwriting Promotions valid through 12/15/2017 effective dates:

  • A DE9C is NOT required with 6+ enrolled. A prior carrier bill is required, virgin groups are not eligible
  • Only 30% participation required for 5+ enrolled
  • Individual coverage on and off exchange is considered a valid waiver
  • Dual HMO networks available. Groups can elect both HMO networks alongside each other

RATE ACTION

Medical Quarterly Rate Change Average Medical Annual Rate Change Average
HMO: 2.2% HMO: 2.2%
PPO: 3.2% PPO: 4.9%

Updated 2017 Small Group HMO Network Guide:

The updated HMO Guide includes 6 new Sutter Providers added in Northern California effective July 1, 2017, view the updated 2017 Small Group HMO Network Guide

Primary Medical Group County
SEBMF – Diablo Division Contra Costa
Sutter Independent Physicians Sacramento
Sutter Medical Group – Placer Division Sacramento
Sutter Medical Group – Solano Division Solano
Sutter Pacific Medical Foundation Sonoma
Sutter Medical Group – Yolo Division Yolo

HEAL:

On demand doctor house calls for CA SG PPO members in select CA Counties Anthem now provides on-demand doctor house calls as a covered benefit for California members in Small Group full-network PPO plans (as of January 1, 2017) and in all Select PPO plans (as of April 15, 2017). HEAL is available in select counties: Los Angeles, Orange County, San Diego and the San Francisco Bay Area. HEAL should be available statewide by Q4.

To book a visit, members can go online to www.heal.com. They can download an app from the App Store or Google Play, or they can call

1-844.644.4325 (HEAL) to request an appointment. Check out this HEAL flier for more information.

PAY FORWARD:

Beginning June 15, Anthem group members in California can enroll in a unique rewards program available through our partner PayForward. Through PayForward, members can earn up to 15% cash back at more than 12,000 participating retailers both in-store and online. All they have to do is shop! Here are some helpful materials to learn more, and to promote the program with your clients: