What's New

2023 Rate Information

California
⚬ Anthem Blue Cross Prudent Buyer PPO - Plan 60: Rate increase of 6.5%
⚬ Anthem Blue Cross Prudent Buyer PPO - Plan 80: Rate increase of 9.8%
⚬ Kaiser Permanente (HMO): Rate decrease of -0.27%

National and New York (All States excluding California):
⚬ Anthem Blue Card PPO - Plan 60: Rate increase of 6.5%
⚬ Anthem Blue Card PPO - Plan 80: Rate increase of 9.8%

If you want to receive your Open Enrollment Information early, sign up for email delivery and you will receive the information about 7-10 days earlier, receive a discount on your administrative fees, and help reduce a significant amount of paper waste.

Malicious Email Warning
Click here for more information on suspicious emails.

Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. Click here for more information.

Anyone who is considering or is already covered by an Exchange or Individual Policy should review this information first.
The group insurance rates for plans offered by the Flex Plan are always guaranteed for the calendar year. If you still have an individual or exchange policy, you should compare the benefits and rates of your current plan to the plans offered through the Flex Plan to see which option is best for you.

           ACA Comparison

If you are covered by Exchange or Individual Policy you cannot use employer contributions for the payment of those premiums. In addition, if you or your dependents are not covered by a group insurance contract, the employer monies cannot be used for reimbursement of out-of-pocket medical expenses (unless you have "Grandfathered" monies in your account). Your group insurance may be any group policy, it does not have to be a Flex Plan group policy. For more information please review our Frequently Asked Questions on this topic at ACA Comparison

If you plan to Upload or Fax your Claims
Please send each individual claim form (without instructions) and supporting documentation as a single, multi-page file or fax transmission. Do not include the language pages from the Explanation of Benefits ("EOB") documents from your insurance company.

If you cannot upload a single, multi-page, PDF file, please submit your claim via fax or US Mail.

The Entertainment Flex Plan Office Remains Operational
To maintain a safer workplace, approximately one half of our staff is working remotely. Due to the pandemic, the Flex Plan office is closed to the public and is not accepting visitors or document drop-offs.

Incoming and outgoing mail cannot be processed remotely. As you know the US Postal Service has been affected due to personnel shortages and mail delivery times are delayed.

To ensure you receive timely delivery of your notices, we would appreciate your help by signing up for email delivery.

We also ask that you communicate with us electronically and refrain from using US Mail, if possible.

Checking to see if we have received a document?
If you are trying to verify receipt of a document sent via US Mail or Fax, please allow 5-7 days due to the high volume of documents received. Please retain fax transmission logs. Our new Document Upload page provides you with an immediate confirmation of your successful document upload.

Sign-up for your Telemedicine Benefit before you need it
All of the medical insurance benefits offered through the Flex Plan have telemedicine. This allows you to make a video call (for less than an office visit) without having to go to a doctor's office or emergency room.

You can have a private and secure video visit with a board-certified doctor 24/7 on your smartphone, tablet, or computer with a webcam. It is a quick and easy way to get the care you need with no appointments or long wait times.

When your own doctor is unavailable, use telemedicine if you have pink eye, a cold, the flu, a fever, allergies, a sinus infection, or other common health conditions. A doctor can assess your condition, provide a treatment plan, and even send a prescription to your pharmacy, if needed.

Important: You must register for this service before you can use it. Register now before you need to use it. Consider loading it on your mobile device so it will be with you at all times.

Registration Information:

  Plan 60 and Plan 80
⚬ Copayments $20 and $15 respectively

  Kaiser (California Only)
⚬ Copayment $0

If you don't have Flex Plan coverage, check with your carrier to see if they offer telemedicine benefits. If they do, be sure to register.

Need to make a Self Payment?
You may make a payment after you log-in by clicking on "Self Payment Information". You can also make a payment through our Automated Member Services System, Option 2.