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The latest EmployerAccess enhancements streamline Small Group enrollment and maintenance transactions for Anthem Balanced Funding (ABF) plans during the current plan year renewal period. Here's how these improvements will benefit you and your clients: Seamless electronic processing: You can n...
Small Group | CO, CT, ME, NV, WI, CA
We are required to file tax forms 1095-B and 1094-B electronically with the IRS for all Fully Insured plans by March 31, 2026. We are also required to mail tax form 1095-B to our members by March 3, 2026. Fully Insured and Administrative Services Only (ASO) groups, with fifty or more full-time ...
Large Group, Small Group, Individual, National | CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, CA, GA, NY-DOWNSTATE, NY-UPSTATE
CarelonRx, our pharmacy benefit manger, is enhancing the specialty pharmacy home delivery experience for ASO groups, including JAA. Starting January 1, 2026, the standard set up will move from a 30-day to a 90-day supply limit. For those with 4-tier benefit designs, the member cost share will adj...
Large Group, National | CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, CA, GA, NY-DOWNSTATE, NY-UPSTATE
The newest episode of the Anthem Broker and Consultant Webinar Series, How CarelonRx is Driving Value to Anthem Clients, is now available to watch at your convenience. Discover how CarelonRx is redefining pharmacy services for Anthem clients by streamlining healthcare experiences and driving sig...
Large Group, Small Group, National | CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, CA, GA, NY-DOWNSTATE, NY-UPSTATE
The Anthem Broker and Consultant Webinar Series offers a convenient way to learn about our solutions and capabilities as well as industry trends and proven strategies. Visit the library of episodes on the Trends and Insights page of the Broker Hub or select the links below to view these on-demand...
The Affordable Care Act established the Patient-Centered Outcomes Research Institute (PCORI) to explore the effectiveness, risks and benefits of medical treatments, and the ACA mandates that fees be collected annually to fund this research. The updated PCORI fee for 2025 is $3.47 per member, up ...
Large Group, Small Group | CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, CA, GA, NY-DOWNSTATE, NY-UPSTATE
The newest episode of the Anthem Broker and Consultant Webinar Series, Anthem Alternative Health Plans, is now available to watch at your convenience. This episode is presented by Stephanie Klare, a Product Director at Anthem. It introduces Anthem's alternative health solutions, which are design...
Tax season is here. Please remind your clients of the following dates, forms, requirements, and deadlines to ensure they have everything they need for a seamless filing. Fully insured and Administrative Services Only (ASO) groups with 50 or more full-time employees are considered Applicable Lar...
Large Group, Small Group, National | CA
Small Group | CA
The annual mandated fee to fund the Patient-Centered Outcomes Research Institute (PCORI) is increasing as follows: $3.00 per member for plan years ending on or before September 30, 2023, up from $2.79 last year. $3.22 per member for plan years ending on or after October 1, 2023, up from $3.00...
Starting with June 1, effective dates: Small group clients can save up to 2% on their ABF medical rate when adding the following new coverage:1 1.5% savings for dental. 0.5% savings for vision. Large group clients can save up to 4% on their ABF medical rate when adding the following new co...
Large Group, Small Group | CA
Anthem is required to file tax forms 1095-B and 1094-B electronically with the IRS for all fully insured plans, by April 1, 2024. We are also required to mail tax form 1095-B to our members by March 1, 2024. Fully insured and Administrative Services Only (ASO) groups with 50 or more full-time em...
We’re emailing your clients with information about the Consolidated Appropriations Act (CAA) gag clause provision. It prohibits group health plans and health insurance issuers offering group health insurance coverage from entering into an agreement between a plan or issuer and a healthcare provid...
Large Group, Small Group, National | CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, CA, GA
CORRECTION: An article published on February 9, 2023 incorrectly referenced Multiple Employer Welfare Arrangement (MEWA) clients. In fact, PCORI fees are actually included in the premium equivalent rates for these groups. Here is the corrected article. The annual mandated fee to fund the Patien...
The annual mandated fee to fund the Patient-Centered Outcomes Research Institute (PCORI) is increasing to $3.00 per member, up from $2.79 last year. It’s mandated by the Affordable Care Act and due July 31st, 2023. Fees are paid annually with the submission of IRS Form 720. We pay it for fully i...
Anthem is required to file forms 1095-B and 1094-B electronically with the IRS for all fully insured plans. The deadline to file federal tax forms 1095-B and 1095-C is March 2, 2023. The IRS has permanently extended the deadline from January 31. Fully insured and self-insured (Administrative Serv...
Large Group, Small Group, Individual | CA
The annual mandated fee to fund the Patient-Centered Outcomes Research Institute (PCORI) is increasing to $2.79 per member, up from $2.66 last year. It’s mandated by the Affordable Care Act and due August 1, 2022. Fees are paid annually with the submission of IRS Form 720. We pay it for fully in...
Anthem is required to file form 1095-B and 1094-B electronically to the IRS. The deadline to file federal tax forms 1095-B and 1095-C is now March 2, 2022. The IRS permanently extended the original deadline from January 31. Fully insured and self-insured (Administrative Services Only) employers with 50 or more full-time employees are considered Applicable Large Employers (ALE) and required to file
The Employer Resource Center (ERC) is a customized website created for each of your Small Group clients that makes it easy for them to find materials and resources about the products theyve purchased from us. Plan information and resources your clients need to help their employees stay healthy and obtain the most from their benefits are all gathered in one place. Take a tour with this video. Th
Anthem Balanced Funding plans offer your Small Group clients in Northern California predictable monthly costs and potential for money back when their claims are low. ABF plans are available in Regions 1 through 12 and Region 14 for groups with 20 to 100 enrolled members. The plans protect your clients with: Stop-loss risk protection from large claims. No deficit carryforward: They wont have
The Employer Resource Center (ERC) is a personalized website created exclusively for each of your Small Group clients. It replaces the Small Group onboarding site. The ERC makes it easy to find materials and resources about the products theyve purchased from Anthem. It gathers together plan information and resources your clients need to help their employees stay healthy and obtain the most from th
The deadline to file federal tax forms 1095-Band 1095-Cis now March 2, 2021. The IRS extended the original deadline from January 31, 2021. We are required to file form 1095-B. Fully insured and self-insured (Administrative Services Only) employers with 50 or more full-time employees, are considered Applicable Large Employers (ALE) and are required to file form 1095-C. In accordance with a state m
A side-by-side comparison of plans and cost shares.
States:CA
From identifying best fit customers to comparing rates among different carriers, the Broker Playbook is your one stop resource to help you sell Balanced Funding.
Get the most competitive Anthem Balanced Funding (ABF) quotes for your clients by following the easy steps in this guide.
States:CA, NY-UPSTATE
Help your clients quickly and easily understand the benefits of Anthem Balanced Funding (ABF) and how it can help save them money.
Brief overview of how ABF can help your clients find affordable coverage and potentially save money.
This image can be used on your LinkedIn page to promote ABF.
This FAQ is helpful for clients who are new to ASO or Balanced Funding plans, answering common questions about the billing differences versus fully-insured.
Save with Anthem Balanced Funding.
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