Amwins Benefits is pleased to announce the following updates for Q1 2027 small group fully insured plans.
Bookmark this page! Updates will be added as they become available.
Further details are available year-round on the Forms & Benefits and Quarterly Release Status pages, and be sure you don't miss out on any Broker Bonus programs available!
Contact your Amwins Benefits Regional Sales Manager today for more information about these and all of our exciting opportunities.
Select a state to learn more:
West Region
Arizona
| CARRIER | OVERVIEW |
|---|
| Banner|Aetna | |
| Blue Cross and Blue Shield of Arizona | - Rate Update:
- HMO: 13.3% Full, 16.1% Limited
- PPO: 7.3% Full, 11.4% Limited
- PPO HSA: 12%
- Prosano Update: Now 2 options for Prosano - BlueSignature Prosano PPO and AZ Blue HSA Prosano Saver you
- Network Update: New AllianceConnect network is a combination of the current Alliance and PimaConnect networks
|
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California
| CARRIER | OVERVIEW |
|---|
| Aetna | - Rate Update:
- HMO: 2.3% Full, 2.4% Limited
- PPO: 3.6% Full, 3.4% Limited
- PPO HSA: 2.7%
- Underwriting Update: New business may elect up to 4 plans (previously 10) - renewal groups are not impacted
|
| Anthem | - Rate Update:
- HMO: 2.6% Full, 2.9% Limited
- PPO: 1.6% Full, 1.4% Limited
- PPO HSA: -2.1% Full, -1.5% Limited
- Portfolio Update: Plans have benefit adjustments
- Underwriting Promotions: Simplified Underwriting program remains available, offering reduced participation for groups 5+ enrolled, no DE-9C with form for groups 3+ enrolled, and Mix and Match of networks and plans
- Health Net Transition Promo: Reduced participation down to 2 lives & no DE-9C or waivers with prior bill, special enrollment window for existing Anthem dual carrier groups, and a welcome back program for groups that left Anthem within the last 60 days
|
| Blue Shield | - Rate Update: 3.4%
- Portfolio Updates: Updated naming convention for easier identification, enhanced behavioral health coverage with MHSU moving to no cost-share on some plans, benefit refinements to imaging, OP surgery and ER
- Plan Terminations: Virtual Blue plans are discontinued since virtual blue benefits are now included in PPO plans (existing members will be auto mapped to equivalent PPO plan)
- Pharmacy Updates: Rx Spectrum tiered pharmacy network available for max savings when using Level A pharmacies, virtual first and telehealth enhancements
- Broker Bonus: Small Business Incentive Program runs through January 2027
|
| CaliforniaChoice | - Rate Update: rates changes vary by region and plan
- Portfolio Updates: New UHC and WHA plans, Terminated plans with Health Net, UHC, and WHA.
- Group Promotion: Groups leaving Health Net, enroll down to 1 medical enrollee with Health Net invoice instead of DE-9C - through January 2027 only
- Health Net Transition Broker Bonus: runs through January 2027
|
| Covered California for Small Business | - Rate Update:
- Blue Shield 3.4%
- Kaiser 5.4% No CA, 5.8% So CA
- Sharp 0.9%
- Portfolio Update: WHA is back with 7 new plan offerings,
- Broker Bonus: Partnership that Pays bonus runs through January 2027
|
| Kaiser Permanente | - Rate Update: 5.4% No CA HMO, 5.8% So CA HMO, rate pass PPO
- Portfolio Update: New plan - Silver 70 2000/65 PCP KP Plus + Child Dental Alt
|
| MediExcel Health Plan | |
| Sharp Health Plan | - Rate Update: 0.4% HMO, 2.0% HMO HSA, 0.4% POS
- Portfolio Update: Plans experienced minor benefit changes, some of which resulted in new plan names
- Broker Bonus: Small group bonus program runs through March 2027
|
| Sutter Health Plan | - Rate Update: 3.8% HMO, 4.3% HMO HSA
- Portfolio Update: All plans received a new name (no new or term'd plans), and all plans received some benefit adjustments
|
| UnitedHealthcare | - Rate Update:
- HMO: 2.2% Full, 3.8% Limited
- PPO: 1.2%
- PPO HSA: 2.7%
- EPO: 20.9% (annual increase)
- Portfolio Update: Plans experienced benefit adjustments
- Carrier Exit Broker Bonus: runs through June 2027
|
| Western Health Advantage | - Rate Update:
- Region 1: 4.0% HMO, 1.2% HMO HSA
- Region 2: -2.8% HMO, -3.3% HMO HSA
- Region 3: 3.9% HMO, 3.3% HMO HSA
- Portfolio Update: Plans experienced benefit adjustments to align with AV requirements
- Pharmacy: WHA will partner with CVS Caremark, added Virta GLP-1 management, and added Diabetes Prevention Program
|
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Northeast Region
Connecticut
| CARRIER | OVERVIEW |
|---|
| Anthem | |
| Oxford | |
| UnitedHealthcare | |
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New Hampshire
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New York
| CARRIER | OVERVIEW |
|---|
| Anthem BC (Upstate) | |
| Anthem BC (Downstate) | |
| HealthPass | |
| Oxford | |
| UnitedHealthcare | |
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Southeast Region
Florida
| CARRIER | OVERVIEW |
|---|
| Florida Blue & FHCP | - Portfolio Update: Truli plans will be consolidated and moved to one statewide service area, cervical cancer screenings move to no cost share
- Formulary/Rx Update: HSA and non-HSA plans will now use the same formulary (Care Choices), Tier 2 medications drop to a $4 copay, brand name drugs are now limited to 30-day fills
|
| UnitedHealthcare | |
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Georgia
| CARRIER | OVERVIEW |
|---|
| Anthem | |
| Kaiser Permanente | - Rate Update: 7.0%
- Broker Bonus Program: Runs through January 2027, earn a bonus for new fully insured and level funded groups
|
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North Carolina
| CARRIER | OVERVIEW |
|---|
| UnitedHealthcare | - Rate Update: pending; contact your Amwins Sales Team for a quote
|
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South Carolina
| CARRIER | OVERVIEW |
|---|
| BlueChoice HealthPlan South Carolina | |
| BlueCross BlueShield of South Carolina | |
| UnitedHealthcare | - Rate Update: pending; contact your Amwins Sales Team for a quote
|
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Mid-Atlantic Region
District of Columbia
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Maryland
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Virginia
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