Get Anthem Blue Cross Summary Plan Description Instructions Form

If the plan is funded by contribution from the employer and employee, it is a self-funded ERISA plan and pre-empts state law. If the plan is funded by purchased insurance coverage, it is a fully insured ERISA plan and is subject to state law.

The bottom line is that most group health plans are subject to ERISA. Other employer-sponsored plans such as dental, vision, life, disability, Health FSAs and HRAs are also subject to ERISA in most instances.

The BlueCard Program is a national program that enables members obtaining healthcare services while traveling or living in another Blue Plan's area to receive all the same benefits of their contracting Blue Plan and access to providers and savings.

The Group acknowledges that it is a fiduciary under ERISA and that Anthem has no fiduciary duties under this Agreement. The Group agrees to complete and execute any and all documents necessary to open and initiate payment for the HRA and/or HIA.

Your 1095-A is available online in your healthcare.gov account. You won't get a 1095-A if you bought a catastrophic or dental-only plan.

Log in to your HealthCare.gov account. Under "Your Existing Applications," select your 2020 application not your 2021 application. Select Tax Forms from the menu on the left. Download all 1095-As shown on the screen.

Mailing Address: Grievances & Appeals Department PO Box 60007 Los Angeles, CA 90060-0007 PDR form is found on www.anthem.com/ca >Provider Home>Answers@ Anthem>Provider Forms.

If you had a BCBSTX plan through the Marketplace, the Marketplace sends you a 1095-A form. If you have not yet received your form, you can find a copy by logging in to your Marketplace online account, or call them at 1-800-318-2596 (TTY: 1-855-889-4325).

Yes, you can obtain a copy of your Form 1095-A through the Health Care Marketplace website https://www.healthcare.gov/ or through the State HealthCare Marketplace you purchased it from.

If you bought your plan through Covered California, you should receive a 1095-A form from Covered California, whether or not you received premium assistance.