You may have received an email from Anthem recently to let you know 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 percent 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 they contacted you.
Continue notifying AEIs as soon as they become eligible.
The employee must complete and sign the the Request for Treatment as an Assistance Eligible Individual form included in the notification and return it to you.
You will need to complete the employer portion of the form and add the group name and number to the top. When you have completed the form, send a copy to SmallGroupE&BSupport@Anthem.com. You do not need to submit an Employee Change Form for Small Groups as they originally told you.
Anthem is working to update our billing processes. They will stop billing for members who’ve submitted their Request for Treatment form as soon as they have a process in place. Continue to pay for any other employees listed on your invoice.
Anthem is responsible for filing the subsidy. As they solidify their billing details, they will credit your account for any premiums paid for eligible employees.
You must also send the Subsidy Expiration Notice to the eligible employees 15 to 45 days before their subsidy expires.
Contact your Cornerstone representative with any questions.