
Anthem CA | Q1 2027 Update
Anthem CA | Q1 2027 Update
9/17/2026
Anthem has announced its small group rate action for Q1 2027, with minimal adjustments that help maintain affordability and stability for clients.
- HMO: Full Network 2.6%, Limited Network 2.9%
- PPO: Full Network 1.6%, Limited Network 1.4%
- PPO HSA: Full Network -2.1% (decrease), Limited Network -1.5% (decrease)
- No rate increase for dental and vision plans.
Portfolio update
Anthem's portfolio includes options across 6 networks including Vivity HMO and Virtual Access Plus PPO plans that enhance member experience.
Vivity features several top-ranked award-winning health systems in Southern California to change the way healthcare is delivered. Vivity network providers are not only accountable to a payer but also to each other.
Virtual Access Plus plans simplify care with $0 virtual PCP and behavioral health visits, no coinsurance surprises and an integrated digital experienced through Sydney.
Simplified Underwriting
- Reduced participation 5+ enrolled: 25% of eligible, 1-4 enrolled: 60% of eligible
- No DE9C 3+ enrolled, submit the California Enrollment Compliance form in lieu of
- Mix and Match all networks and plans
Health Net Transition Group Promos
- Reduced Participation: 25% down to 2 lives (no waiver forms required) and no DE-9C required if prior Health Net bill submitted
- Welcome Home: For existing Anthem groups written alongside Health Net - HN members can enroll with Anthem as a special enrollment
- Welcome Back: Groups can be reinstated if they are within 60 days of leaving Anthem (if they left in good standing); Group must pay back premium to the original termination date
Quoting for Q1 2027 plans is available now.
Meet with your Amwins sales team to discuss Anthem options for your small groups including Anthem ABF plans for groups with 10+ enrolled.