Yes. The SOCA BP is a self-funded option allowed under the ACA.
Unlike the current ACA structure, the SOCA BP:
- 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
Anthem Champion and Elite brokers will help you understand all of your options and help you choose the best benefit option for your company’s unique needs.
Yes, you need to be a chamber member in good standing to participate in the SOCA BP.
The SOCA BP uses Anthem Blue Cross and Blue Shield’s health care provider network – one of the largest provider networks in the state. You should, however, always check to make sure doctors are in-network prior to any service using the “Find a Doctor” tool (to which you’ll find a link under the “Useful Tools” section at that right) on anthem.com (https://www.anthem.com/health-insurance/provider-directory/searchcriteria).
Each group will have a monthly contribution based on a variety of factors including but not limited to your members’:
- Medical History
Due to the constant evolution of the ACA and the uncertainty of future premiums, many groups will be able to experience a competitive rate that may not be available through Ohio’s ACA Marketplace. Anthem Champion and Elite brokers will provide you an easy-to-Understand comparison between the ACA plans and the SOCA BP.
No. There are no pre-existing condition limitations.
Members may elect to withdraw from participation in the plan at the end of a calendar month by giving written notice to the plan at least thirty (30) days prior to the end of that month.
Yes. We provide each employer with an SPD for the SOCA BP that meets ERISA compliance regulations. (All employers are responsible for providing SPDs for all of their health and welfare benefits.)
The SOCA BP is technically known as a multiple employer welfare arrangement (MEWA). A MEWA provides health and welfare benefits to employees of two or more employers who pool their contributions, enabling them to offer contribution rates and benefits that are typically available only to larger groups
The Ohio Department of Insurance and several federal government agencies coordinate the oversight and regulation of the SOCA BP.The multi-jurisdiction gives the State of Ohio’s Department of Insurance primary responsibility for overseeing the financial soundness of the SOCA BP, while the U.S. Department of Labor provides oversight for employee benefit plans, and the Internal Revenue Service ensure the nonprofit status of the SOCA BP.