Written by Admin | Apr 18, 2025 7:00:00 AM
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.