Anthem Union v Non-Union for CA Small Group Coverage
Carrier Updates
Thursday, January 02 2025
Effective immediately Anthem will now be accepting groups where the total number of Union and Non-Union exceed 100, but the Non-Union total employee count is under 100. Anthem will no longer include the Union employees when determining group size and those Union employees will not be considered eligible for Anthem Small Group coverage and therefore will not count towards participation. All other SG UW Guidelines will apply.
Example
XYZ Company has the following.
85 Union employes who are enrolled on the Union health plan
35 Non-Union employes
Total Union and Non-Union count = 120 employees
The 85 Union employes will be considered non eligible and will not count toward the total group size or participation.
Anthem would now see this as 35 life group (35 eligible employees) and would allow them to apply for CA Small Group coverage. (all other UW guidelines will apply)
Additional items
• A copy of the Union Roster or Bargaining Agreement will be required when submitting these groups.
• Compliance form accepted in lieu of DE9C or prior carrier bill for Non-Union
• Attestation form not requiredis
For More Information or Help Quoting Anthem, Please Contact Your Dickerson Sales Rep.
Example
XYZ Company has the following.
85 Union employes who are enrolled on the Union health plan
35 Non-Union employes
Total Union and Non-Union count = 120 employees
The 85 Union employes will be considered non eligible and will not count toward the total group size or participation.
Anthem would now see this as 35 life group (35 eligible employees) and would allow them to apply for CA Small Group coverage. (all other UW guidelines will apply)
Additional items
• A copy of the Union Roster or Bargaining Agreement will be required when submitting these groups.
• Compliance form accepted in lieu of DE9C or prior carrier bill for Non-Union
• Attestation form not requiredis
For More Information or Help Quoting Anthem, Please Contact Your Dickerson Sales Rep.