Jun 25, 2021

• Small Group

• ME
• NH

New ARP state continuation changes for groups with less than 20 employees

In late May, we told you and your Small Group employers 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% premium subsidy for continuation from April 1 through September 30, 2021.

• Your employer groups are required to send Anthem a list of their qualifying individuals using this spreadsheet. Groups should continue sending the spreadsheet to SmallGroupE&BSupport@Anthem.com through the subsidy period as employees become eligible.
• Anthem will then send the alternative model notice and summary to each Assistance Eligible Individual (AEI).
• The notice includes a Request for Treatment as an Assistance Eligible Individual form that the employee must sign and return to their employer.
• The employer must then complete the employer portion of the form and add the group name and number to the top. The employer must then send a copy of the completed form to SmallGroupE&BSupport@anthem.com. They do not need to submit an Employee Change Form for Small Groups as we originally told you.
• We will stop billing for members once we have received the completed forms. Employers need to continue to pay for any other employees listed on their invoice.
• Anthem is responsible for filing for the subsidy. We will credit the employer’s account for any premiums paid for eligible employees.
• We will notify the employees before their subsidies expire on September 30, 2021.

 

Please contact your sales representative if you have any questions.