Easy management of your company s health benefits online

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1 Easy management of your company s health benefits online Anthem Blue Cross (Anthem) has a website that helps our group customers manage their health benefits. Our goal is to save time, reduce paperwork mistakes and make doing business with us easier than ever before. The website has two pieces: EmployerAccess is a quick, easy-to-access tool on the Web where your company can manage your Anthem health benefits. It makes it easy to enroll members, check eligibility, look at your contract, check on coverage and more in one spot. Online Group Billing is the billing part of EmployerAccess, where you can view, pay and download your bills. Frequently asked questions (FAQ) Q1: What type of computer do I need to use EmployerAccess? A1: You can use EmployerAccess with either a PC or Mac computer that has access to the Web. On a MAC OS X, you ll need Safari 4 (or higher). On a PC, if you re running Microsoft Windows 7, your Web browser can be either, FireFox 22 or higher, Internet Explorer 9 (or higher) or Chrome 28 (or higher). Q2: How do I sign up for EmployerAccess? A2: To register, follow the steps below: 27128CAEENABC Rev. 10/14 1. Go online to anthem.com/ca. 2. Select Employers. 3. Select Groups of 2-50 from the Group Options box to the left. 4. Select Login. 5. From the Login page, select the link under the heading New to Employer Portal? 6. Follow the steps to complete the Employer Self-Registration process. For more information, refer to the EmployerAccess Online Registration guide. Q3: How long does it take before I can use EmployerAccess for my business? A3: Once you follow the Self-Registration process for EmployerAccess, you will be granted immediate access. Q4: On the registration form, what is a User? A4: A User is a person who is authorized at your company to view or enter the member data in EmployerAccess. There can be more than one User in a company. However, every user must have their own log-in information. Sharing access is prohibited. Q5: On the registration form, what is a Site Administrator? A5: The Site Administrator is the person in your company who has overall control over your company s EmployerAccess account. They also manage access for the other Users. Q6: As a Site Administrator, how do I make changes to associates who use EmployerAccess and/or Online Group Billing? A6: To add a new User, select the Admin page. There you will also be able to delete a User, reset passwords, as well as grant your broker access to your group account. Q7: What services can companies get through EmployerAccess? A7: Among the many services available, employers can: Enroll subscribers. Add dependents. Add, change or cancel coverage. Re-enroll or reinstate coverage. Change member personal info. View Summary of Benefits. Sign up for Auto-pay. Request ID cards. View employee roster. View eligibility. View your company s billing information. Pay invoices online. View reports. View and process work pending. Change PCP.

2 Employers that offer life and disability products may also: File life and disability claims online. Calculate imputed income. Access conversion and portability tools. Q8: How long does an online payment take to show up on my account? A8: It may take three to four business days for your group policy to be updated when you make a payment. Q9: What do I do if I m having problems or need my password reset? A9: Call Select option 3 for employer and 9 for all others. Hours of operation are Monday through Friday, 8 a.m. - 8 p.m. EST. Q10: What is the difference between the work-in-progress report and the activity report? A10: The activity report shows transactions that have been successfully submitted to Anthem. The work-in-progress report has activity that has been saved but has not been submitted to Anthem. Q11: What s the difference between re-enroll and reinstate? A11: Re-enroll is when the member is returning to the same group with a break in coverage. Reinstate is when the member is coming back to the same group without a break in coverage. A reinstate will bring the member and dependents back with the same coverage. Q12: What do I do if I find the same employee under two ID numbers? A12: Call Customer Service to have the incorrect policy voided. Q13: If I terminate a dependent and it changes the coverage type on the contract, do I need to do another transaction to change the coverage type? A13: No, the application will correct the coverage type appropriately. Q14: When are ID cards automatically generated? A14: If you are updating your member information, an ID card is automatically generated when you: Add subscriber or dependent. Add coverage. Re-enroll. Change name. Change coverage. Q15: How long does it take for the member updates to get to the prescription drug vendor? A15: It takes two days. Transactions are processed in real time and will be loaded to Anthem s system immediately. An eligibility file is sent to the prescription drug vendor that evening. Q16: Who can I contact with questions on how to process a transaction through EmployerAccess? A16: Call the toll-free number on the bottom of your billing statement. Q17: Can I order ID cards for life and disability benefits? A17: ID cards cannot be ordered for life and disability products. Q18: Can I terminate a member s life and disability coverage online via EmployerAccess when the coverage is administered by Anthem Life Insurance Company (Anthem Life)? A18: To terminate a member s life and disability coverage when administered by Anthem Life, please access Anthem Life Insurance Company s Employer Self-Service on anthem.com/ca. To get access to Anthem Life Employer Self-Service, please us at CompassiCustomerSupport@anthem.com or call Anthem Life Online Administrators at

3 Q19: If I sign up for Online Group Billing, will I still be allowed to pay my bill in other ways? A19: Yes, contact your Anthem billing representative for other payment methods. Please note credit card payments are not accepted at this time for employer groups, and Electronic Fund Transfer is not compatible with Online Group Billing. Q20: How long does it take for the changes I made in EmployerAccess to show on my bill? A20: Changes made in EmployerAccess will be reflected on a future billing statement. Below is a chart of EmployerAccess error messages along with the reason Your enrollment request cannot be processed online at this time. The Initial/Special Enrollment Period has expired. Please refer to your Group Administrator Manual for Enrollment Guidelines. If you need further assistance, please call our Customer Service department at <XXX-XXX-XXXX>. Thank you. Add subscriber Failed Retro rule 31 Late Enrollee Signature date is greater than 120 days over the effective date. Actor adds a spouse of the same sex as subscriber and Domestic Partner is not covered by the plan. Q21: Can I pay premiums on future invoices? A21: Online payments can only be made on invoices that appear on the Open Invoices page. Q22: Can I pay part of my bill online and pay the balance some other way? A22: Yes, partial payments can be made by Online Group Billing. But until 100% of the payment is received, claims payments could be impacted. Q23: When can I use the Pay Online Now feature? A23: The Pay Online Now feature can be used as long as there is an open invoice. Please select at least one product to continue. Basic Life product must be selected The provider ID (<Provider ID>) entered is not valid. Please validate the ID and try again. The subscriber phone number is required for enrollments in HSA products. (First Name) has a future date of birth. Please enter a valid date of birth. This transaction can only be done during the retro guidelines. online. If you need further assistance, please contact our Customer Service department at <XXX-XXX-XXXX>. Actor selects Continue without selecting any coverage. Actor only chooses STD product and not Basic Life product. Actor only chooses Supplemental Life product and not Basic Life product. Actor only chooses Dependent Life product and not Basic Life product. Actor enters a non-existent/invalid provider ID. Actor selects HSA medical product and has not entered a phone number. Actor enters a future date for date of birth. Failed Retro rule (based on Group-level Retro value). Actor changes existing member relationship to spouse, and gender is same gender as the Subscriber. Actor selects life coverage with a Guaranteed Issue amount equal to 0. Signature date must be prior to or equal to effective date.

4 Only one active dependent can have relation as spouse. The event date must match the date of birth of at least one of the dependents being added. This application cannot be submitted online. Please mail in the application with The dependent (<First Name>) is over-age and not eligible for coverage. The system can either re-enroll canceled dependent(s) or add new dependent(s). Dependent s effective date cannot be before the subscriber s effective date. The dependent (insert dependent first name) is not eligible for coverage. Please delete the dependent to continue. This application cannot be submitted online. Please mail in the application with Only one spouse/domestic partner is eligible for enrollment. This transaction can only be done during the retro guidelines. There are no dependents with active coverage. There are no products available to add. HSA requires a phone number. Please choose Edit Personal Information to add a phone number prior to processing this Add Coverage transaction. All members are currently active in all products. Dependent-level coverage cannot be added without the subscriber enrolled in Medical, Dental, Vision, EAP and/or Life (if offered) coverage. Add dependent Add coverage Actor adds more than one dependent with spouse or domestic partner relationship. Actor added dependents who do not have a date of birth identical to the event date. Actor selects relationship of domestic partner. Actor adds child or student whose age exceeds the maximum over-age dependent limit. Actor selects both new and inactive dependents to be added. Dependent has an effective date prior to that of subscriber. Enrolling a dependent child who is not disabled (age exceeds the maximum over-age dependent limit). Enrolling a dependent as domestic partner with domestic partner s gender different from the subscriber. Actor adds multiple spouses. Failed Retro rule -31 Actor attempts to add dependent-level coverage although he or she does not have any dependents. No coverage available to assign dependents. Product added is HSA and subscriber does not currently have phone number on record. No coverage available to assign to subscriber (they are enrolled in all available coverage). Add dependent-level coverage when only subscriber-level products available. Change Coverage is only available during Open Enrollment. There are no products available for change. Please select at least one coverage to cancel. Please select a Declination Reason. Please check that you have read and understood the contents of this page. Valid reasons for dependent cancellation are Subscriber Request, Death or Divorce. This request requires special handling and cannot be processed online. This ID is currently in Work Pending. Do you wish to Resume or Delete? Information on ID number <XXX-XXX-XXX> cannot be changed at this time. It is currently being worked on by someone else. online. Please mail in the request with Only one spouse/domestic partner is eligible. online. If you need further assistance, please contact our Customer Service department at <XXX-XXX-XXXX>. Change coverage Cancel coverage Search member The Actor attempts to make a change to a non-federal COBRA group (COBRA indicator on LMS (Legacy Mainframe System)) is not = Y (Small Groups in non-open Enrollment mode). Member is enrolled in the only available product. No products are selected. Declination Reason not selected. Legal Disclaimer not selected. Cancel dependent with cancellation reason of Termination of Employment, COBRA Participant Request or Employee Changing to Part-Time. Cancellation date is less than effective date. ID exists in the Actor s Work In Progress. Edit personal information ID exists as Work in Progress, but does not belong to the Actor. Actor changes existing member relationship to domestic partner. Actor changes existing dependent relationship to spouse and there is already an active or future active spouse. Actor changes gender of spouse to same gender as subscriber.

5 The requested <PCP ID><PMG/ IPA><Network ID> code for member <member name> is the same as the current PCP/PMG code. Life must be selected. The cancel date for one or more members is beyond the period for reinstatement. Reinstatement of over-age child is not allowed. Reinstatement is not allowed because one or more of the members is beyond the period for reinstatement or is an over-age child. Change PCP Reinstate Actor enters valid information into all of the fields, but the new PCP is the same as the member s old PCP and selects Submit. Actor only chooses Supplemental Life but not Life when both products are canceled with same cancel date. Actor only chooses Short-Term Disability but not Life when both products are canceled with same cancel date. Cancel date for the dependent is outside the retro period. Child is canceled as over-age dependent. Multiple dependents that have canceled coverage outside the period of reinstatement and canceled as over-age. We hope these questions and answers are helpful. If there is anything that you still have questions about, please call your broker or Anthem representative. Thank you for giving us the chance to provide quality health benefits to you and your team. 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. The Blue Cross name and symbol are registered marks of the Blue Cross Association.

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