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Anthem Blue Cross Small Group: April 2012 rate changes

April 2012 Rate Change Overview:

EmployeeElectTotal

  • PPO 3.2%
  • HMO 6.9%
  • CDHP 12.8%

EmployeeChoice – 7.9%
BeneFits – 3.5%
Total – 5.0%
(These rates are for Small Group ONLY, the EmployeeElect 51-99 portfolio as well as the Small Group MHP compliant plans have slightly different rates than the Small Group portfolio.)
*These rate adjustments are averages and will vary by plan and region..

HMO Rate Adjustments –April 2012
The HMO plans within the Small Group EmployeeElect Portfolio will see a new business average increase of approximately 6.9%*.   All HMO plan families will receive an approximate 6.9% quarterly increase on average.

Quarterly increases on the HMO plan families will be as follows*:

  • HMO 100% – 7.6%/Select HMO 100% – 3.8%
  • Classic HMO – 7.5%/ Select Classic HMO – 3.8%
  • Saver HMO – 7.5%/ Saver HMO – 3.7%

Renewal” increases are as follows:

  • HMO 100% – 15.2%/Select HMO 100% – 11.1%
  • Classic HMO – 16.3%/ Select Classic HMO – 12.1%
  • Saver HMO – 15.2%/ Saver HMO – 11.4%

*These rate adjustments are averages and will vary by plan and region.

PPO Rate Adjustments –April 2012
The PPO plans within the Small Group EmployeeElect Portfolio will see a new business average increase of approximately 3.2%*.

The PPO Increases will be as follows (quarterly/renewal)*:

  • The PPO Premier Plans will receive an average increase of 3.5%/12.1%
  • The PPO Copay Plans will receive an average increase of 3.5%/12%
  • The Solution PPO Plans will receive an average increase of 3.3%/7%
  • The GenRx PPO Plans will receive an average increase of 2.5%/3.2%
  • The Elements Hospital PPO Plans will receive an average increase of 2.7%/2.9%
  • The EPO Plans will receive an average increase of 3%/10.3%

*These rate adjustments are averages and will vary by plan and region.

RAF Promotion Update
The basic promotion will remain intact, however, Anthem will also now allow for the following:

  • Groups with 6 or more enrolling subscribers, with a minimum of 50% participation in either the Gen Rx PPO plans and/or any of the Select Network HMO plans will receive an automatic .90 RAF –There will be no qualifying renewal RAF required on those groups.
  • Groups with 6 or more enrolling in our BeneFitsplan portfolio will also receive an automatic .90 RAF -There will be no qualifying renewal RAF required on those groups.

Help for your 2011 HSA, FSA or HRA tax filing: Publication 989

Just released by the IRS, this pdf document will answer all of your questions regarding your 2011 tax filing for the following;

  • Health Savings Accounts (HSAs) .
  • Medical Savings Accounts (MSAs)
  • Flexible Spending Arrangements (FSAs) .
  • Health Reimbursement Arrangements (HRAs)

Health Reform – What are Grandfathered Plan and Why Are They Beneficial?

Under the recently enacted Health Reform Legislation, Individual and Group plans that are in existence from March 23, 2010 to January 10, 2014 may be “Grandfathered”, and will not have to meet the premium and benefit requirements that will be implemented in 2014 by the Federal Government. To retain the grandfather status the benefits of the existing plan must not be substantially changed.  The following changes are allowed without impacting the grandfather status:

  • Premiums
  • Benefits to comply with changes in state or federal law or PPACA
  • Changes to provider network or prescription formulary
  • Changes to third party plan administrator
  • Changes to plan structure, i.e. switching from insured to self funded

 Increases in co-insurance percentage, changing insurers, employee contributions by more than 5% or elimination of benefits to treat a particular condition are among the changes that would cancel a plans grandfather status. 

 For a full list please refer to: www.healthcare.gov/news/factsheets/keeping_the_health_plan_you_have_grandfathered.html – 47k – 2010-03-23