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News

Anthem Blue Cross of California has announced their Q3 Rate Update and Selling Highlights

Admin
  • April 18, 2025
  • 2 min
Quoting is now available in PRO Quote. 

Statewide Average Rate Change
The following changes take effect July 1, 2025:

QUARTERLY RATE CHANGE
Average
PPO: 1.7%
HMO: 1.8%

ANNUAL/RENEWAL RATE CHARGE
Average
PPO: 9.9%
HMO: 10.2%

SELLING HIGHLIGHTS
  • Plan & Network Offering
    • Through December 2025 effective dates, groups may elect any number and combination of networks. This means a group can now elect all HMO and PPO networks, both full and limited, with no restrictions. 
  • Participation: 60% (from 65%)
  • Out-of-state flexibility for % of employee out of state
  • The CA Enrollment Compliance From can be used in lieu of a Reconciled DE9C/payroll or Reconciled Prior Carrier Billing Statement
  • Union Carve Out Permitted:  For groups with total employees exceeding 100 FTE but have a union population that has coverage, Anthem Blue Cross can offer coverage to the non-union employees.
  • PEO sub/hybrid groups are eligible to enroll with Anthem Blue Cross

Q3 Renewal Release Dates
 
  JULY AUGUST SEPTEMBER
Producer Toolbox April 24 May 23 June 25
Mailed to Groups April 24 May 23 June 25
EmployerAccess May 02 June 02 July 02

DENTAL AND VISION

New Business Rate Action
Dental: 2.2%-4% rate increase based on product in certain regions
Vision: 4-5% rate decrease
Renewal
  • Essential Choice/Metallic: 4% increase
  • Dental Net and Legacy – no change
  • Blue View Vision – rate pass
SELLING HIGHLIGHTS
  • 2-100 eligible – 25% enrolled w/minimum 2
    • No Employer Contribution Required
  • Voluntary Dental & Vision – Required 5 eligible with a minimum 2 enrolled 
    • $20 Adult Visual Exam through Blue View vision on all medical ACA plans.
  • Dental and Vision 24-month rate guarantee
  • Small Group Bundling Discount: Up to 5% savings when you bundle new dental and along with a new vision plan

Contact your Warner Pacific Sales team today to discuss options for your clients. 
 

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