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Open Enrollment
This section explains when and how you complete your Active Plan enrollment.
CVS Caremark Registration
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What happens if I am late with my premium payment?
If your payment is not received by the due date, including the grace period, you may reinstate your coverage by using a late payment waiver. For Earned Eligibility, the Plan allows one late payment waiver per three-year waiver period. The first three-year waiver period begins on January 1, 2023 and is reset every three years thereafter.
The three-year reset period applies to all Participants and is not dependent on when you use a waiver. For example, if you use your one waiver in March 2024, you will again have a waiver available as of January 1, 2026. Senior Performer Dependents and Senior Performer Surviving Dependents are eligible for one late payment waiver per Benefit Period. Participants may use a late payment waiver up to the last day of the quarter for which the payment is due.
Most Recent Newsletter: Spring 2023
What is the Notice of Qualification packet and who will be receiving these?
The Notice of Qualification packet is sent to participants who have met eligibility requirements and qualify for benefits. This packet contains the billing statement, if applicable, as well as certain forms we need you to complete in order for us to administer your benefits.
How to file a claim for services received January 1, 2023 and after
March 16, 2023
It's important to note that you should not send Claim forms to the Plan for services received January 1, 2023 and after.
Typically, your healthcare provider will handle filing Claims for you and your enrolled Dependents. If they don't submit a claim for you, here is how to file.
If you have questions, contact Anthem at (833) 414-5790, or log in to the Sydney Health app or Anthem portal.
When is my premium due?
Your premium is due by the 1st day of each calendar quarter for Earned Eligibility coverage, or by the 1st day of the month for Senior Performers or Surviving Dependent benefits. For example, the payment for the 1st quarter of the calendar year (January through March) is due on January 1. There is a 30-day grace period. Plan coverage will not be extended until your payment is processed. You are encouraged to submit your premium prior to the due date to allow processing time and avoid any interruption in your coverage. The due date applies even when traveling. The grace period is for unforeseen circumstances.