Anthem Blue Cross Blue Shield

Healthcare rules and regulations are changing rapidly, and so are the costs associated with providing healthcare as an employer. Dayton Area Chamber of Commerce members could see significant savings on healthcare coverage as well as dental, vision, disability, and life insurance, just for being a chamber member.

Please contact your broker or the chamber for further details as not all options are listed here.

 

SOCA Benefit Plan

Sole Proprietor coverage

Anthem, the Dayton Area Chamber of Commerce, and the Southern Ohio Chamber Alliance (SOCA) are pleased to announce that the SOCA Benefit Plan is making room for sole proprietors. They can enroll in the plan starting July 1, 2020.

An eligible sole proprietor must:

  • Meet underwriting requirements.
  • Work more than 30 hours per week (documentation required).
  • Submit a cover page for Form 1040 with Schedule C or Form 1040 with Schedules F and SE.

Regulations limit sole proprietor membership to 10 percent of total SOCA Benefit Plan membership.

This is limited to sole proprietors. Presently this offer is not intended for non-profit organizations with one employee.

Small employer health coverage

In partnership with the Southern Ohio Chamber Alliance (SOCA) and Anthem, your chamber offers this medical benefit program to businesses with 50 or fewer employees. This health program, called a multiple employer welfare arrangement, or MEWA, enables smaller employers to join together to share in the overall claims risk. By being part of a larger, self-funded pool, employers have financial protection backed by Anthem’s stop loss coverage.

The SOCA BP is designed specifically for Chamber of Commerce members. The SOCA BP presents an innovative alternative to the Affordable Care Act (ACA).

In addition to financial protection, this innovative alternative offers:

  • Competitive rates
  • Fixed, predictable monthly payments
  • A variety of plan designs, including PPO and HSA options
  • Anthem’s broad Blue Access PPO Network and National Pharmacy Network
  • Coverage for claims run-out/terminal liability coverage

Unlike the current ACA structure, the SOCA Benefit Plan:

  • is a self-funded plan.
  • offers a variety of plan designs that meet the minimum essential coverage requirements, including: four PPO and three HSA options, utilizing the Anthem Blue Access PPO Network and National Rx Formulary.
  • is an alternative to comparable options under the ACA.
  • will allow changes in benefits and contribution rates at renewal, without being “locked in” by the grandfathered status.

Add Coverage to Your SOCA Benefit Plan and Save More

The SOCA Benefit Plan also includes expanded wellness offerings and Specialty products at specially discounted rates. In fact, adding coverage can now save you even more. In addition to potential savings of 20% to 25% on your monthly medical costs with the SOCA Benefit Plan, you can also receive a credit to your medical premium equivalent when adding on Anthem dental, vision, and/or life products.

The savings add up when you add on coverage.

SOCA Benefit PlanCredit to medical premium equivalents
Group Size Range:23-56-910-1415-2425-3940-50
Dental$200$400$600$1,000$1,700$2,800$4,000
Vision$100$200$300$500$850$1,400$2,000
Life$100$200$300$500$850$1,400$2,000
Maximum total$400$800$1,200$2,000$3,400$5,600$8,000

In addition to this credit, SOCA Benefit Plan members with Anthem Specialty benefits are connected with Anthem Whole Health Connection®. This helps providers see a complete view of a member’s health. The result is better outcomes, efficiencies, and savings.

NEW! ANTHEM ENHANCED CHOICE: A new kind of coverage for Ohio’s working uninsured.

Anthem Enhanced Choice offers a solution for hardworking Americans who do not qualify for financial assistance created by the Affordable Care Act, or ACA subsidies. Tens of thousands of uninsured individuals in Ohio can finally afford health coverage designed to offer savings and flexibility to meet their needs, and the needs of their family.

Anthem Enhanced Choice is a medically underwritten health plan that provides coverage for 364 days, with the option to apply for additional coverage periods (364 days each). And, unlike traditional health plans, you can apply year-round, not just during open enrollment. Anyone can apply, and pre-existing conditions are covered right from the start for enrolled members.

Dayton Area Chamber Specialty Product Discounts:

Looking for specialty coverage? Your chamber also offers its members access to discounts on Anthem dental, vision, life, and disability products.

Product Group SizeDiscount
Dental Prime and Dental Complete 2-505%
Dental Prime and Dental Complete 51-994%
Dental Prime and Dental Complete100+2%
Full Service Blue View Vision Plans 2-4995%
Life and Disability2-95%
Life and Disability10+10%

Dental

  • Industry-leading local and national networks with deep discounts, saving members an average of 34% on covered services when they visit an in-network provider
  • No waiting periods for major services with employer-paid plans
  • Flexible plan designs and optional benefits like annual maximum carryover and brush biopsy
  • A dedicated dental service department that provides fast and accurate claims processing that beats the industry average, with the average claim paid in less than 3 days1
  • Expanded care with our clinically integrated program, Anthem Whole Health Connection, is included at no extra cost. This includes additional dental services for members with certain health conditions

Blue View Vision

  • One of the largest vision networks in the nation, with the choice of independent eye doctors or Glasses.com, ContactsDirect, 1-800 CONTACTS, LensCrafters®, Pearle Vision®, Sears Optical®, Target Optical®, or JC Penney® Optical stores
  • Members can buy extra pairs of glasses for 40% off from any network provider. And kids under age 19 get UV-blocking Transitions® lenses at no extra cost while adults get a discount2
  • Access to a dedicated and knowledgeable customer support team 7 days a week
  • Enhanced care with our clinically integrated program call Anthem Whole Health Connection is included at no extra cost. This includes market-leading collaboration between primary care doctors and eye doctors

Life and Disability

  • A broad portfolio of life and disability products and an A.M. Best financial rating of A (Excellent)
  • Value-add programs include at no additional charge provide emotional, financial and legal support, along online will preparation and identity theft recovery services
  • Telephone claim intake is standard in addition to a dedicated call center with calls answered live during business hours
  • Outstanding claims turnaround time and payment accuracy – and we help with Social Security disability filings and approvals
  • Integration of short-term disability and our health benefits may improve employee health and productivity

Employee Assistance Program (EAP)

Your employees’ emotional well-being can have a big impact on their job performance – and that can affect your company’s health. Providing an Employee Assistance Program (EAP) that can help employees and their household members through life’s ups and downs leads to a happier, healthier and more productive workforce.

The EAP is a buy-up program that offers members a wide range of support services for issues such as:

  • Balancing personal life and work
  • Grief and loss
  • Parenting
  • School anxiety in children
  • Elder, child, and pet care
  • Managing legal and financial matters

Want to know more? Download one of the PDFs below for further details about AnthemEAP.

Your Chamber Membership Creates Value For Your Company

The savings alone is great. But consider what also comes with it:

  • Your choice of plans, from industry-leading consumer-driven health plans to point-of-service products
  • Administrative convenience of working with one carrier who offers a complete menu of coverage options: prescription drugs, dental, vision, life insurance, long-term and short-term disability and employee assistance programs
  • Extensive selection of providers and lower in-network costs
  • Strong local service

Find a Broker

We’ve compiled details on what chamber healthcare product our member brokers are offering. Download a PDF summary here.

Learn more:


1
Internal data 2017
2 Except when discounting of non-covered services is prohibited by state law.
Standard broker commissions apply. Offer available to Ohio-headquartered businesses adding new Anthem dental,vision, life and/or disability plans. This discount program can be changed or terminated at any time. Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. An independent licensee of the Blue Cross and Blue Shield Association. ® Anthem is a registered trademark. The Blue Cross and Blue Shield names and symbols are the registered marks of the Blue Cross and Blue Shield Association.

Questions?

Do you have questions about Anthem Blue Cross Blue Shield?  Please call Carla Pennington at 937-226-8220 or contact her by filling out this short form.

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