Two Important Updates from Anthem

SOCA MEWA Renewal Process Guide

Take a moment to look through this step-by-step guide for processing your 5/1 SOCA BP renewals within the FormFire system.

If you have any questions, please contact your Cornerstone Broker Advisor.

Click here to access the guide.

Group and Individual Clients Moving to IngenioRx Effective 7/1

Anthem small group grandmothered and small group SOCA BP/MEWA clients*, along with grandfathered and grandmothered individual clients will move to Ingenio Rx, Anthem’s new pharmacy benefits manager, on July 1, 2019. An email will go out to those clients on March 18 to inform them of the transition.

You can access the IngenioRx website at www.ingenio-rx.com.

Reach out to your Cornerstone representative with any questions.

*This will also include and GF or GM IND clients your agency may have if applicable.

IngenioRx Client Guide and FAQs

IngenioRx Sample Member Letter

Are You Using Anthem’s New Producer Toolbox?

If you are using the old version of Anthem’s Producer Toolbox, now is the time to switch to the re-imagined new design of the site because the old version will be going away at the end of March.

Click here to get started with the new design. Log into the Producer Toolbox like you normally do and choose the new broker website experience.

Producer Toolbox Quick Tour Video

Contact your Cornerstone representative with any questions.

Important Information about Anthem 1095-B Tax Forms

Each year, Anthem sends members of fully insured groups tax form 1095-B, which confirms minimum qualifying health care coverage for IRS purposes. For groups that moved to their new operating system, called WGS, during 2018, members will get two 1095-B tax forms:

  1. One for the period of time the group’s membership was on the past operating system, Facets, and
  2. One for the period of time the group’s membership is on the current operating system, WGS.

Contact your Cornerstone representative for more information.

Anthem’s 2019 Specialty Broker Bonus Program

Take advantage of Anthem’s 2019 Specialty Broker Bonus Program, which runs from February 1, 2019 through January 31, 2020.

This year’s program has been simplified so all fully insured programs are premium-based and premiums are aggregated vs. separate calculations by different products.

Click here to learn more or contact your Cornerstone representative.

Anthem Cost Share Changes for Large Group Copay Plans

Anthem recently made changes to cost shares for copay plans only. These changes are effective upon renewal for Large Groups as they move to their new benefits administration system. These changes do not impact groups who have not yet moved to the new system, and they do not impact consumer-driven health (CDH) plans.

Click here for more information.

Anthem Announces Early Launch of IngenioRx

Anthem recently announced the early release of its new IngenioRx pharmacy benefit manager (PBM). This system was created to restore trust and confidence in pharmacy care by focusing on total health, demystifying the way pharmacy works, and delivering a seamless experience across the continuum of care.

For more information about this new system, contact your Cornerstone representative.

Anthem Updates: Formulary Review Process and myStrength Program

Anthem Drug List Changes Coming April 1

Through Anthem’s quarterly formulary (drug list) review process, they make additions, deletions, and tier changes to drug lists that maintain the highest level of clinical integrity, while delivering cost savings to their members. Medications may move to a higher tier or be removed from our drug lists twice a year. The next update is coming soon, and the updated drugs lists* will be available as of April 1, 2019.

Learn more.

myStrength, a Virtual Gym for Emotional Health 

Anthem’s myStrength program delivers personalized online and mobile resources to help manage symptoms of depression, anxiety, substance use, stress, chronic pain and sleep problems. Members get 24/7 access to stress-management tools, inspirational videos, articles and quotes, as well as step-by-step e-Learning modules to help them feel and stay their emotional best. And it’s completely confidential.

Learn more.

Contact your Cornerstone representative with any questions.

FormFire Has New Requirements For SOCA Sold Case Submissions

Effective immediately, FormFire is enforcing new requirements for Anthem for SOCA BP sold case submissions.

What does this mean?

Brokers will not be able to submit a sold case to Anthem in Send Forms unless the group has completed the following:

  • Employer plan(s) assigned
  • Assigned plan(s) pricing added
  • Each employee has a plan elected (unless waiving coverage)

Why is this being enforced?

This information is required for FormFire to generate files for the continuation vendor, myCOBRAPlan. Failure to include this information when the group is sold creates a delay in the files being generated and sent to myCOBRAPlan in a timely fashion.

Continuation services are embedded in the Anthem SOCA BP product. myCobraPlan is the exclusive continuation provider for participating employers in the Anthem for SOCA BP. Employers must use myCobraPlan, so that continuation can be administered for SOCA participants. myCobraPlan will administer federal and state continuation services for employees enrolled in the Anthem for SOCA BP product, including: general notice distribution, qualifying event administration, premium billing and collection, and COBRA termination processing.

For assistance on adding plans, pricing and employee plan elections, please refer to our help articles below.

How to assign plans to a client

How to select a plan (Employee view)

How to use Group Enroll

Contact your Cornerstone representative with any questions.

Anthem Simplifies Processes to Improve Member Experiences

Anthem AllClear Identity Protection Services Will Expire 12/31

Starting December 21, 2018, Anthem’s AllClear will send email notices to members who were enrolled in AllClear Credit and Identity Theft Monitoring services in 2018. Those members and their dependents who have an active, eligible Anthem medical health plan as of January 1, 2019 can continue with the service at no charge.

Anthem Simplifies the Client Benefit Approval Process 

The approval email that you will receive from Anthem will now be written directly to your groups, so you can easily forward it on to them as is.

Download Anthem’s 2019 Calendar

Anthem put together a 2019 calendar that contains information about their specialty products (dental, vision, life, disability, and voluntary supplemental health plans).

Downloadand print the free 2019 calendar for your use, or feel free to share with clients.

Anthem Releases New Health Guides

Starting January 1, 2019, all members in Anthem’s Small Group Affordable Care Act (ACA) health plans will be connected directly to a Health Guide when they call the Member Services number on the back of their ID card. The Health Guides use smart engagement technology and concierge-quality service to help members receive the best personalized experience.

Anthem Launches New Welcome Experience for Small Groups

Anthem is launching a new welcome experience for new small groups sold off the exchange. Using feedback from research, Anthem updated the welcome kit’s content with more customized information about the group’s plan and how to get the most from it. There’s an overview of the medical, pharmacy and any ancillary plans (dental, vision, life, disability), plus important features exclusive to Anthem plans, like Care & Cost Finder, Find a Doctor, Anthem Anywhere and LiveHealth Online.

Anthem Commission Increase!

Anthem commission increase! The 2019 SOCA BP/MEWA commissions increase from $22 to $26 on business with original effective dates January 1, 2019, and later. Any groups that move in January from GM to MEWA with Anthem’s push this year, will have this new SOCA BP/MEWA commission.