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Anthem Plan & Rate Updates Effective July 2020

Anthem announced rate and plan updates for July 1, 2020 effective dates. Rates are available for quoting!



Average Medical Quarterly Rate Change

  • PPO: 2.2%
  • HMO: 2.3%

Average Renewal Rate Change

  • PPO: 5.9%
  • HMO: 7.4%


There are no other Dental, Life, or Vision changes.


New Plans

Anthem is introducing 4 new medical plan designs effective July 1, 2020:

  • Gold HMO 35/500/20%: available in the CaliforniaCare HMO, Select HMO, and Priority Select HMO networks 
  • Gold HMO 35/1250/20%: available in the CaliforniaCare HMO, Select HMO, and Priority Select HMO networks
  • Platinum PPO 5/250/20%: available in the Prudent Buyer PPO and Select PPO networks
  • Gold PPO 5/1400/30%available in the Prudent Buyer PPO and Select PPO networks


Underwriting Promos Extended Through September 15, 2020!

  • Relaxed Participation: 25% participation for groups of 5 or more enrolled subscribers! 65% participation required for 4 or fewer enrolled subscribers.
  • DE9C: Not required with 6 or more subscribers enrolling! Groups with prior coverage must submit prior carrier bill. Excludes virgin groups.
  • Valid Waivers: Individual coverage both on and off of the Exchange will be accepted as a valid waiver
  • Dual HMO Networks (Dual network no longer offered for PPO*): Groups can select Anthem Full HMO and Select HMO or Select HMO and Priority Select HMO!


*Please note that Anthem is running their Dual PPO Network promotion in Regions 1 & 9 through 6/15/20.


Ancillary Updates

  • Unlimited Annual Maximum available on dental plans as of 1/1/20
  • 5% bundling discount available when new dental is purchased with new vision, life, and/or disability
  • 24-month rate guarantee for dental, vision, life, and/or disability
  • Dental & vision participation:
    • 25% for 5+, min 2 enrolled
    • 65% for 2-4, min 2 enrolled
    • Voluntary requires only 5 enrolled


Important July 1, 2020 Dates

  • 4/9/20: rates on Producer Toolbox
  • 4/15/20: rates allowed to go live for bpQuote and other quoting vendors
  • 4/20/20: renewals posted on Producer Toolbox
  • 4/24/20: renewals mailed
  • 4/29/20: renewals available on Employer Access


For questions or help with an Anthem Blue Cross quote, please contact a member of your B&P Sales Team - 888.722.3373.