Q3 2021 Update Anthem CA Small Group - A look at what is ahead - Word ...
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Anthem CA Small Group
Q3 2021 Update
A look at what is ahead
APRIL 13, 2021
Today’s agenda:
a look at the total picture 2021
1. New Sales Territories Presented by:
2. Q3 2021 Rates ALYSON STONE
RVP CA Small Group Sales and
3. Important Dates Account Management
4. Selling Highlights BRENT TONICK
Manager CA Small Group
5. COVID Updates and Resources Account Management
6. WINFertility
JAN HOLLANDER
7. Live Health Online and Mental Health Specialty Sales Executive
GA Relationships/Key Brokers
8. PayForward West Region
9. Specialty update
2 |
California Small Group Sales Team
Ron Estrada
Rural North, Alameda, Elsa Salguero
Contra Costa Los Angeles - Westside
Lisa Trapani
San Francisco, San Mateo,
Lulie Mancinas
Santa Clara, Monterey
Orange County, Riverside
Blake Billinger
Central Valley, Kern Raquel Ramirez
Orange County - South,
San Diego
Koko Mekari
Central Coast, Coming Soon
San Fernando Valley - West • Los Angeles - East, San Bernardino
• San Fernando Valley
A look at our Q3 2021 Rate Action
Quarterly Rate Change Average:
PPO: 0.8%
HMO: 1.0%
Combined: 0.8%
Annual/Renewal Rate Change Average:
PPO: -3.4%
HMO: -8.4%
new in 2021
Combined: -3.9%
Important Dates • 7/1/21 Rates were posted on Producer Toolbox on 4/2/21 • 7/1/21 rates were released to quoting vendors and go LIVE on 4/14/21 • 7/1/21 Renewals will be released to Producer Toolbox on 4/19/21 • 7/1/21 Renewals will be mailed to Employers on 4/26/21 • 7/1/21 Renewals will be available online for Employers on 4/30/21
A look at our selling highlights
through Q3 2021 Effective Dates…
Statewide Network Flexibility Promotion
Employers can choose one of the following:
❖ 2 PPO Networks alongside 1 HMO Network
❖ 2 HMO Networks alongside 1 PPO Network
DE9C not required with 3 or more subscribers enrolling! (Also, DE9C is not required for Specialty.) This excludes virgin
groups and prior carrier bill is required if DE9C not provided. We reserve the right to request more information.
Relaxed Participation
25% participation for groups of 5 or more enrolled subscribers! 65% participation required for 4 or less subscribers
enrolled
Valid Waivers
Individual coverage both on and off of the Exchange will be accepted as a valid waiver (in addition to employees waiving
due to Medicare, Medi-Cal or military, or covered as a dependent on a spouse’s or parent’s employer sponsored group
plan)
Best in Class Service! new in 2021
We strive to meet best in class turnaround time for new business submissions! If a case is submitted via online census
enrollment and the submission is clean with no clarifications or missing information identified, the processing time will be
24 – 48 hours. *Turnaround times are also subject to change depending on business volume.
We are committed to supporting you as well as employers,
members, and providers through COVID-19
• COVID-19 Response Toolkit
https://www.producerresponse.com/
https://www.producerresponse.com/abc/#abc-vac
• Home Test Kit Flier
Steps to order COVID-19 home test
➢Anthem.com/coronavirus
➢QR Code
• Anthem members will receive the COVID-19
vaccination at no cost. This applies to all members,
regardless of the type of health plan they have, or which
doctor or healthcare professional they choose to visit for
COVID-19 vaccination.
• Extended cost share waivers for in-network audio
only services and all LiveHealth Online visits through
May 31, 2021
MANAGING THE COVID-19 CRISIS, RE-OPENING,
AND RETURNING TO WORK
Find these tools and more information at www.anthem.com/ca/recovery/
Community Support C-19 Vaccine
We've partnered with Aunt Bertha, a social care The C19 Vaccine dashboard aggregates COVID-19
network. Find free and reduced-cost programs for help vaccination data to visualize the percentage of the
with food, transportation, health, housing, job training United States population that has been vaccinated.
and more. https://anthembluecross.auntbertha.com/ Stay up to date on vaccine eligibility and distribution as
workplaces begin to reopen.
https://c19vaccines.io/
Sydney Health and Sydney Care
Biometric Passport, powered by doc.ai, Find out what your symptoms may mean by answering five
An app that empowers employers to minimize risk quick questions. This tool uses guidelines issued by the
and supports safer entry into the workplace by Centers for Disease Control and Prevention (CDC).
verifying their employees’ health status. The app https://www.anthem.com/microsites/covid19-
evaluates possible COVID-19 symptoms through assessment/index.html
daily attestations.
Sydney Health Help your employees put Sydney Health to work Anthem’s new app is ready to change their health care experience. You can show them how. This simple, smart, and personalized app can help your employees:
Fertility Support Help make the struggle to get pregnant a little easier
LiveHealth Online Easy and convenient access to care
Most 2021Medical plans offer the first three LHO visits FREE!
(Some Bronze PPO and Priority Select HMO plans offer 12 free! HSA plans excluded)
Therapists &
Doctors
Psychologists
Nutritionists Psychiatrists
Health Lactation
coach consultant
Use the app or go to livehealthonline.com and log in. Or call LiveHealth Online at 1-844-784-8409 from 7 a.m. to 11 p.m.Embedded EAP
Included in our medical plans: Three counseling visits, face-to-face,
by phone or online via LiveHealth Online, per member per issue.
When you’re having a hard time and aren’t sure where to turn,
your Employee Assistance Program (EAP) is here for you.
Get support for various personal
and work-related issues.
Consult with legal, financial, and
crisis counselors.
Reach us by phone (888) 209-7840 and online for 24/7
support for personal, work-related issues; legal, financial
consultations, identify monitoring, child and elder care
resources, and referrals.Shop. Earn. Save. Spend.
PayForward rewards
like no other.
With this unique program, Anthem members can earn
up to 15% cash back at more than 120,000
participating retailers — including Home Depot, The
Gap and Target.com. They can use their cash to:
Spend or save however they want.
Spend it, keep it in their PayForward account,
or transfer it to a bank account.
Pay for health care.
Use it to help pay for health care costs, such
as copays, medications, and more.
Share with others — at no cost.
Send money to family and friends or donate
to any charity, with no fees or surcharges.
The best part? PayForward is free to join!
AND it’s a reward your employees won’t
get from any other health plan.More time for things
that matter
Whether you are using our app or quoting,
enrolling or renewing a client online through
Producer Toolbox, yourtimematters.com/ca
can help.
This easy-to-use site has been recently revamped
to bring you additional features that will help you
get started.
NEW: You can now find your most needed sales
and marketing materials on the sales materials
and resources tab.
The site now includes:
• Online quoting, enrollment, upsell, and
renewal resources
• Producer Toolbox training materials
Visit yourtimematters.com/ca
for more information.Jan Hollander
Specialty Sales Executive
GA Relationships/Key Brokers
West Region
Specialty coverage:
plans for all aspects of total health
15 |Anthem Whole
Health Connection
– at no extra cost 17,000 dental gaps in care
closed monthly1 23% ofreturn
employees
to work
early2
50%
identified with a high- decrease in opioids
144,000 risk health condition
via an Anthem vision
prescribed by
Anthem dental
MEMBERS claim in providers3
a 12-month period1
16 |Did you know?
Enhanced Benefits for Dental Members
Enhanced dental benefits are available for any member diagnosed with the
following conditions:
▪ Cancer with chemotherapy ▪ Diabetes
▪ Head/neck cancer with chemo/radiation ▪ Pregnancy
▪ Solid organ transplant ▪ Kidney failure/dialysis
▪ Heart disease ▪ Suppressed Immune System
▪ Stroke (HIV)
For qualified medical
conditions, plan provides 100%
coverage for qualified benefits
and additional frequencies,
regardless of annual
maximum/deductible.
No waiting periods apply.Q3 Dental and Vision Rate Action & Renewal
NO CHANGE
TO NEW BUSINESS RATES OR RENEWALS
• Metallic Dental PPO Plans
• Essential Choice PPO Plans
• Dental Net
• Legacy renewals
• Blue View VisionAnthem Whole Health
What is different about Anthem Specialty!
Connection
Dental PPO Focus on whole person care
• Unlimited Plans available
• TeleDentistry and Ortho@home
• Embedded benefits - Implants, white fillings, annual
max carryover, accidental dental + more
• Complete PPO Network (National) – Deep discounts
Dental Net DHMO
• Unlimited Cleanings
• 513 Covered Procedures
• Ortho Takeover
Blue View Vision
• Frame allowances up to $200 + 20% off
• 80% Private 20% Retail/Online
• Benefits reset each January 1
Life and Disability
• Employer Sponsored – 2+ employees
• Voluntary options – beginning with 10+
• Grandfathering on all takeover
• Resource Advisor/EAP – LiveHealth
19 |Life and Disability
Here’s a preview of some of the new Product Enhancements that
will be available starting with 7/1 effective dates
Non- Additional
Integrated Flat Life
STD benefits Options
of 20% available
10+ eligible 2-9 lives
Increase to SSNRA for
Accelerated
Death Benefits waiver of
to 80% premiums vs.
(from 75%)
to age 65Promotions + Financial
Incentives
• 5% Bundling Discounts
• Anthem Connect Field Discounts
• 24 month rate guarantees
• No ER contribution required for
Dental /Vision meeting participation
• Relaxed Participation as low as 25%
• No DE-9C
• SG/LG Broker Bonus Program
Anthem Connect Sales & Service Team
877-567-1802
Connect@anthem.comFrom all of us at Anthem, thank you.
In the quest for total wellness, you complete the picture.
Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance
Company are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. 23 |You can also read
