Anthem CA Small Group Q Rate Announcement. Presented by: Alyson Stone Director, CA Small Group Account Management

Transcription

1 Anthem CA Small Group Q Rate Announcement Presented by: Alyson Stone Director, CA Small Group Account Management

2 Agenda Small Group Q Rate Action Details 2018 Portfolio Change Highlights Important Dates Underwriting - Flexibility, convenience and speed, continued! What New with Anthem Specialty Rest Easy Campaign Just a few of Anthem s noteworthy Value Adds! Q & A 22

3 CA Small Group Q Rate Action Quarterly Rate Change Average: HMO: 2.4% PPO: -0.4% Combined: 0%! Annual/Renewal Rate Change Average: HMO: 7.5% PPO: 5.75% Combined: 5.9% 33

4 Quarterly Rate Actions 27 Months Our consistent pricing continues Q Q Q Q Q Q Q Q Q Net Change PPO -0.4% 2.7% -0.4% -1.2% 3.1% 3.2% -0.4% 6.6% HMO -7.2% 2.3% -1.0% -4.6% 2.8% 2.2% 2.4% -3.1% 44

5 2018 Portfolio Change Highlights HMO plans Now include a variety of lower out-of-pocket options and a new Gold HMO $1,000 deductible option PPO plans Benefits (office visit copays, out of pocket maximum and pharmacy) have been updated to offer more affordable options CDHP plans A new Bronze HSA $4,500 option has been added to the portfolio ADDED: Gold HMO 1000/30%/4000 (offered on both Full and Select networks) Bronze PPO 4500/35%/6550 w/hsa (offered on both Full and Select networks) DISCONTINUED: Silver HMO 1750/40%/7150 (Full and Select network options discontinued) 55

6 Important Dates 1/1/18 Rates will be posted on Producer Toolbox 10/1 1/1/18 Rates were released to quoting vendors and will go LIVE on 10/5 1/1/18 Renewals will be posted to Producer Toolbox on 10/20 (producer renewals are no longer mailed) 1/1/18 Group renewals will be mailed on 10/26 1/1/18 Group renewals will be available on Employer Access 10/ Materials to be live on EasyRenew site on 10/ Materials to be live on Producer Tool Box on 10/5 1/1/18 Anniversary date change requests due by 11/15 1/1/18 ACE Broker Program qualification communication targeted for late November 66

7 Underwriting - Flexibility, convenience and speed, continued! Relaxed Participation! Through 3/15/18 effective dates. 30% participation required for 5 or more subscribers enrolled. DE9C not required with 6 or more subscribers enrolling! Through 3/15/18 effective dates. Groups with prior coverage must submit prior carrier bill. Excludes virgin groups. Valid Waiver Through 3/15/18 effective dates. 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) Through 3/15/18 effective dates. Groups can select both of our HMO networks to be offered alongside each other! Same Day Turnaround for New Business Enrollment! If we receive your new business submission by 8 AM Monday through Friday, Anthem will provide same day review and approval, subject to completeness of new business submission*. Case must use census Enrollment Tool for same day turnaround, excluding holidays. *same day review & approval does not include clarifications or missing information identified. 77

8 Anthem Specialty We re working hard to keep it simple. Six exciting things to help you sell more Specialty during the busy season! 1. Simplified Metallic Dental Complete PPO Plans We ve added a new option to the Gold plan, which now includes 90 th percentile out-of-network reimbursement with and without adult/child orthodontia on an employer-paid or voluntary basis. Popular plans (Platinum, Gold, Silver and Bronze) and simple pricing make it easier than ever to sell! 2. New 2017 and 2018 Metallic Dental Complete PPO Rate Cards Now available! (Top Selling Metallic plans will also be included in all group renewals beginning eff. 1/1/18) 3. Additional Premium Savings for groups with 26 to 100 employees Don t let pricing prevent a sale. Let Anthem Connect generate your dental, vision, life and disability quotes for the best pricing available. 4. 5% Bundling Discounts Your small group clients can save 5% on their dental, vision, life and disability premiums when they buy new dental and add vision, life and/or disability coverage New Benemod form to add Specialty We have created a Specialty benefit modification form to add or change dental, life, vision and disability coverage to current Anthem medical groups. 6. Dental Net and Custom Dental Plans DHMO plans and special requests are no problem at Anthem. Just contact your Anthem Connect rep to make it happen. 1 Groups with current specialty coverage are not eligible for this discount. Applies to life plans with a $25,000 minimum benefit. Contact your Anthem representative for details. For more information or to get a quote on dental, vision, life or disability, contact our small group quoting team at anthemsgspecialtyquotes@anthem.com or Anthem Connect at connectca@anthemdentaladmin.com 8

9 New Brand Campaign highlights how we can help our employers Rest Easy We have launched a new brand campaign with fresh, bold new ads that focus on tangible and compelling ways we help our customers overcome their challenges. To help them Rest Easy. Media Channels: Spot TV, Print, Outdoor Prints and Digital screens, Radio, Digital Audio, Digital and Social Campaign period: September 4 th the end of 2017 Markets: Los Angeles and San Francisco You have Anthem, and they have real people to talk to who are empowered to answer any questions you have... For all the things that keep you up at night, Anthem has a solution. Rest Easy 99

10 New Brand Campaign highlights how we can help our employers Rest Easy The right face for Anthem Blue Cross Someone to humanize and bring Anthem Blue Cross to life Reassuring with a little tough love for those who are kept awake at night Charming and no-nonsense THE SPOKESPERSON: TEA LEONI Funny, charismatic and alluring Trustworthy You have Anthem, and they have real people to talk to who are empowered to answer any questions you have... For all the things that keep you up at night, Anthem has a solution. Rest Easy 10 10

11 Just a few of Anthem s noteworthy Value Adds! PayForward, an Anthem exclusive program offering up to 15% cash back! Available to our members for simply shopping with the retailers they do today by enrolling in PayForward, linking their credit card(s) to their account and shopping at over 12,000 participating retailers in store and online such as Target, Best Buy, Nordstrom, and Macy s... A dedicated enrollment and billing representative to support our Top 25 agency partners with urgent requests. Telemedicine through Live Health Online, virtual visits with a licensed physician available 24 hours a day, 7 days a week. At home and on-site care delivered through HEAL, our partner for on-demand house call and on-site care in select counties. Anthem Whole Health Connection, integrated health care to take full advantage of every opportunity to detect, treat and prevent medical conditions sooner. Employer Access, a convenient enrollment and bill payment online tool for employers (and agents) to manage their health plan easily, quickly and securely

12 Thank You! 12 12