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2-50: All April 2011 Updates for Anthem Small Group

Jan 20, 2011

Anthem Blue Cross 2-50 & 51-99
 April 2011 Benefit & Rate Adjustments
 
Anthem Blue Cross announced their April 2011 quarterly rate adjustments to their 2-50 and 51-99 portfolios, averaging 3.3% statewide for medical. Other news includes:
  • Three new mid-level PPO copay plans
  • Select Network available with ALL HMO plans within the 2-50 and 51-99 portfolios
  • RAF Program extension through June 15, 2011 (includes PEO spin-off groups)
  • Dental Blue 100-80 PPO plans will receive a rate adjustment
  • Anthem will release April 2011 rates for quoting on Monday, January 24th

Other recent news announced by Anthem Small Group includes:

 
NEW MID-LEVEL PPO PLANS
Anthem Blue Cross is adding three new mid-level PPO plans to their 2-50 EmployeeElect and 51-99 portfolios.

PPO 1000/$25
  • $25 Office Copay
  • $1000 Plan Deductible / $5000 OOP Max (2-member max)
  • 30% / 50% Coinsurance
  • $250 Brand Name Rx Deductible 
PPO 1500/$35
  • $35 Office Copay
  • $1500 Plan Deductible /  $5000 OOP Max (2-member max)
  • 40% / 50% Coinsurance
  • $250 Brand Name Rx Deductible
PPO 2000/$45
  • $45 Office Copay
  • $2000 Plan Deductible / $5000 OOP Max (2-member max)
  • 40% / 50% Coinsurance
  • $250 Brand Name Rx Deductible
 
SELECT NETWORK
Beginning with April 1, 2011 effective dates, all Anthem HMO plans can be sold with the Select HMO network. Eligible HMO plans include:
  • 2 100% HMO plans
  • 3 Classic HMO plans
  • 2 Saver HMO plans
  • 2 Select Network HMO plans

IMPORTANT NOTE: The Select HMO network may not be sold alongside Anthem's full HMO network.

 
MEDICAL RATE ADJUSTMENTS
Average statewide rate increases by portfolio and product are provided below. Since increases vary by plan and region, please contact any member of your b&p Sales Team to obtain plan specific rate increases.

EmployeeElect (Grandfathered and Non-Grandfathered plans)
  • 2-50 & 51-99 HMO = 2.0%
  • 2-50 & 51-99 PPO = 2.1%
  • 2-50 & 51-99 CDHP = 8.2%
  • Please note that the 51-99(including 2-50 MHP compliant plans) quarterly increase is the same as 2-50; however, book rates are slightly higher for the 51-99 portfolio. 
EmployeeChoice = 7.3%

BeneFits = 4.4%

Quarterly Rate Adjustments
Anthem Blue Cross Small Group has issued the following quarterly rate adjustments. It should be noted that these rate adjustments are averages and vary by plan and by region.
  • April 2010 = 4.7%
  • July 2010 = 1.9%
  • October 2010 = 2.8%
  • January 2011 = 4.7%
April 2011 Book Rates
Book rates are currently available below, on the b&p website and bpServ (b&p's iPhone app).
 
ANCILLARY CHANGES

Dental Blue 100-80 PPO Plans
  • Rate Increase = 6%
Other Dental PPO & DHMO Plans
  • Rates were increased on the majority of Dental plans.
  • No changes to benefits.
Vision & Life Rates & Benefits
  • No changes to rates or benefits.
Don't Forget the Specialty Discounts
  • 1% RAF Savings (down to .90) - when a group buys at least $25,000 in life coverage. In many cases, the 1% RAF savings will cover the entire cost of the life premium.
  • 6% Premium Savings - when groups purchase both dental and at least $25,000 in life coverage, they may receive 6% off both the dental and the life premiums.
Click here for the Anthem Ancillary Bonus Flyer.
Click here for the Anthem Specialty Cheat Sheet.
 
RAF PROGRAM - PEO GROUPS ELIGIBLE - EXTENDED 
Current RAF Program Extended
The Anthem Blue Cross RAF Program will continue through June 15, 2011 effective dates.

Six (6) or more enrolling are eligible for a .90 RAF*
 
PEO Groups Eligible for RAF Program Extended
PEO spin-off groups are eligible for the RAF Program through June 15, 2011 effective dates, assuming all other eligibility requirements are met.

Ten (10) or more enrolling are eligible for a .90 RAF*

* Click here for the Program Guidelines.
 
IMPORTANT DATES 
 
  • January 13th (approximate): April broker renewals will be mailed. 
  • January 24th: Anthem will release April 2011 Small Group (2-50) and Mid-Market (51-99) rates for quoting.
  • January 27th (approximate): April group renewals will be mailed.
 
Please contact any member of your b&p Sales Team for assistance with quote requests and questions regarding the details above - 888.722.3373.
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