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1-100: New Underwriting Promotions through September 2016
Jun 08, 2016
Announcing a Dual Network HMO Promotional option* for new Small Groups!
As of June 1, 2016 Anthem will allow their clients to offer Dual HMO Networks (up to 2 HMO networks, in any combination). Please note: the promotion does not include PPO plans which are still limited to 1 network offering.
For new groups, simply indicate network option on the existing Employer Application.
For June through September renewing groups – your clients can request the HMO dual network option by:
Requesting on the Affordable Care Act (ACA) Health Plan Change Request form in their renewal package
Submit a Plan Change Request Form.
Submit a letter signed by the owner/officer
For groups that have already renewed, or will renew after September, your clients can submit an Anniversary Month Change Form. Please note: any applicable rate changes will be applied to their request to change their anniversary month. (i.e. age rated for birthday, any address changes, etc.)
*promotional period of: June 1 – September 15, 2016 effective dates
DE-9C not required for new group submission with 6 or more enrolled
Effective immediately, Anthem is making it easier for you to do business with them, by continuing to simplify enrollment for Small Groups. You will no longer be required to submit a Quarterly State Tax Withholding Report (DE-9C)** for groups with 6 or more enrolled employees, through September 15, 2016 effective dates.
New business submissions will need to include an agent quote, Employer Application, employee applications, waivers from all employees not electing coverage, legal documentation, Statement of Understanding, Electronic Debit Payment Form, and a copy of last month’s prior carrier group premium statement for all products elected.
If employees are not listed on the prior carrier bill, the group will need to submit payroll records.
If the group is a startup company, they will need to submit a Conditions Enrollment/Start-up Companies form
If a new group does not have prior coverage, they will need to submit a DE-9C or payroll records.
**Please note, while DE-9C’s are not required for groups of 6 or more enrolled through this promotion, Anthem does reserve the right to request a DE-9C to validate eligibility upon our discretion (e.g. variations in prior carrier bill and actual enrollment, future audits, etc.)
Relaxed Participation Has Been Extended
Reminder! Now through September 15, 2016 effective dates: 30% participation for five (5) or more enrolled Medical OR Specialty (Dental & Vision).
Reminder! Anthem will accept Individual enrollment ON and OFF Exchange as a valid waiver.
Group must meet group eligibility requirements.
For questions, please contact
a member of your b&p Sales Team - 888.722.3373.