Jun 25, 2021

• Small Group

• CA

New ARP state continuation changes for groups with less than 20 employees

In late May, we told you and your Small Group employers about requirements involving individuals who are on state health continuation because they lost group health coverage because of termination of employment or reduction in hours. The American Rescue Plan provides these individuals with a 100% premium subsidy for continuation from April 1 through September 30, 2021.

Some details about these requirements for groups with less than 20 employees have changed since then.

 

• Your employer groups are required to send Anthem a list of their qualifying individuals using this spreadsheet. Groups should continue sending the spreadsheet to Small.Group@anthem.com through the subsidy period as employees become eligible.
• Anthem will then send the alternative model notice and summary to each Assistance Eligible Individual (AEI).
• The employee must complete and sign the Request for Treatment as an Assistance Eligible Individual form included in the summary and return it to Anthem.
• We're working to update our billing processes. We'll stop billing the member when we receive their Request for Treatment form and will file for the member subsidy.
• We will credit the eligible employees for any premiums paid and will notify the employees before their subsidies end on September 30, 2021.

 

Please contact your sales representative if you have any questions.