General

Medical Benefit Change Complete the Renewal Change Form to identify any changes to your coverage elections. (included in your renewal) Change or add specialty coverages using the Specialty product selection part of the form. Complete the Employee Plan Selection From (included in your renewal) to identify any changes to the enrollment elections for your employees. … Read more

Medical Benefit Change ACA Employer Group Application Attestation Form Sold Quote Humana List Enrollment with elections if 2 or more plans Medical Benefit Change ACA to LFP Adobe Sign LFP Contract document Sold Quote Humana List Enrollment with elections Medical Benefit Change LFP (to another LFP) Employer Group Application Sold Quote Humana List Enrollment with … Read more

*The deadline for new group submissions is the last day of the month prior to the groups effective date BUT we highly recommend submitting everything by the 15th of the month prior to the effective date to ensure we are able to look things over and get the group submitted on time.  During 4th quarter we may need … Read more

Medical Benefit Change Signed Rates Admin and Benefit/Change Form – download below If the group will be offering more than one plan, a list of subscribers to be enrolled in each plan should be included with the benefits change. Ancillary Adds Dental/Vision Signed Rates Benefit Modification Form – download below Admin and Benefit Change Form … Read more

If your group would like to move forward with the proposed plan from their renewal, they will not need to do anything.  Anthem will move the group from their current 2022 plan to the proposed 2023 plan automatically. Download documents below. Medical Benefit Change Admin and Benefit Change Form Schedule B premium rate grid If … Read more

Medical Quoting Information – Small Group Fully Insured (ACA)  – ACA Quoting Census AgentLink can quote Anthem, United Healthcare and Humana for fully insured health coverage. Requested Effective Date Groups full name Groups full address (make sure to include zip code) Group SIC Code Writing Agent Information Information for all eligible employees and their dependents to … Read more