Prepare for Connecticut open enrollment and member renewals

Window shopping for Individual and Family 2027 open enrollment starts October 1, 2026, on anthem.com. Open enrollment begins earlier this year and runs from October 23, 2026, through January 15, 2027. 

We’re here to help you connect your clients to a health plan that delivers the savings and care they need. Benefits include $0 preventive care, $0 virtual care visits, and prescription drug coverage including convenient home delivery.1,2 Plus, our Sydney Health® app gives members their health information, resources, and well-being support in one convenient place. 

Important updates for 2027 

• Key 2027 plan changes 

  • Non-standard HMO and PPO plans will change to EPO plans and use the Pathway Network. 

  • Non-HSA plans will have new out-of-pocket maximums:  

    • $12,000 for individuals and $24,000 for families. 

• Non-standard plans ending December 31, 2026 

  • Off-exchange members will be advised to shop for new 2027 coverage and will receive a 90-day discontinuation notice with instructions for choosing a new plan. 

  • On-exchange members who continue making their monthly payments will automatically move to a similar EPO plan and will receive a 90-day discontinuation notice followed by a 60-day renewal notice with the new EPO plan details. If Access Health CT contacts them, they should follow the instructions provided to complete their renewal. 

• Covered Connecticut Program eligibility 
  • The Covered Connecticut Program is a State of Connecticut program administered by the Connecticut Department of Social Services.3 Connecticut residents ages 19 to 64 may qualify if they meet the following requirements: 
    • Have a household income up to and including 175% of the federal poverty level. 
    • Not qualify for Medicaid due to income. 
    • Be eligible for financial help, including Advance Premium Tax Credits (APTCs) and Cost-Sharing Reductions (CSRs), and use 100% of the financial help available.  
    • Enroll and remain enrolled in a Silver plan for the duration of the plan year. 

2027 Open Enrollment Renewal materials 

Your clients will receive their personalized open enrollment renewal packets by mail. The cover letter includes information on how members can find out if they qualify for financial help or make sure they receive all the savings available to them. Visit Producer Toolbox, select Book of Business, then select Renewals to view the Renewal Letter link for a specific client. After enrollment, your clients can virtually access their ID cards and other plan details through the Sydney Health® app.  

Tips & tools to help you and your clients 

• Members must pay the full amount of their January bill on time to make sure their 2027 coverage begins January 1, 2027.  
• If your clients are staying on their plan, they can maintain their coverage by continuing payments. 
• Use E-Submit for paper applications and maintenance paperwork. 
• Enhanced Direct Enrollment allows you and your client to enroll, renew, or update your information for Affordable Care Act (ACA) plans on the exchange using anthem.com.  
• Generate client reports in Producer Toolbox and view ACA rate sheets. 

We’re here to help you connect your clients to affordable Anthem health plans. If you have questions, please contact Broker Services at 833-864-0133 or IndividualBrokerServices@anthem.com.  

Thank you for your partnership and dedication to your Anthem clients. Visit Anthem Broker Hub for additional online support to help your business and your clients. 

1 Nationally recommended preventive care services received in-network have no copay and no deductible requirement. 

2 Virtual care visits, including video visits using the Sydney Health app are at no cost to members for most plans (however, it may be subject to the deductible depending upon the terms of the plan). Virtual care visits refer to video consultations, as deemed appropriate by a licensed physician. In addition to using a telehealth service, you can receive in-person or virtual care from your own doctor or another healthcare provider in your plan’s network. If you receive care from a doctor or healthcare provider not in your plan’s network, your share of the costs may be higher. You may also receive a bill for any charges not covered by your health plan. Sydney Health is offered through an arrangement with Carelon Digital Platforms, a separate company offering mobile application services on behalf of your health plan. 

3 Covered CT Program is established pursuant to C.G.S. §19a-754c. Visit accesshealthct.com for more information.