Employee Resources - SBMA Benefits

Employees

Access to your employee resources, records and the ability to make plan changes such as adding and removing dependents is at the your fingertips.

EMPLOYEE PORTAL

ACA compliant

Comprehensive Benefits Management

Complete ACA compliance

Low Cost for you AND the employee

Fast and reliable service

Worksite Benefits & Telemedicine

Contact SBMA For More Benefits

Employer Mandate 2020

Employers must offer health insurance that is affordable and provides minimum value to 95% of their full-time employees and their children up to age 26, or be subject to penalties. The mandate applies to employers with 50* or more full-time employees, and/or full-time equivalents (FTEs) who work 30+ hours per week. Employers are required to offer coverage that provides “minimum value” and is “affordable,” or be subject to penalties.

Click to View Employer Mandates Infographic

EXEMPTIONS FOR 2019 AND BEYOND

For the 2019 plan year, the Shared Responsibility Payment (“mandate,” “penalty”) no longer applies. You don’t need an exemption for 2019 or beyond.
If you’re 30 or older and want a “Catastrophic” health plan, see details about exemptions and catastrophic coverage.
If you live in Maryland, visit Maryland Health Connection for information on 2017 exemptions and beyond.
If you live in the District of Columbia, visit DC Health Link for information on 2019 exemptions and beyond. For 2018, use this page, and for previous tax years, use the links below

Find health coverage exemptions

Most people who don’t have qualifying health coverage must either pay a fee or qualify for an “exemption.”
Health coverage exemptions are available for a variety of reasons: certain life events, health coverage or financial status, group membership, and more. If you qualify, you don’t have to pay the penalty for the months you were uncovered and the exemption applies.

Health and Benefit Plans

Click to enlarge Instructions

First Health

To find a provider visit https://providerlocator.firsthealth.com and click the “Start Now” button.

Pick a Provider type

Search by State or zip code or choose “more options” to search by provider name, specialty or condition
If you need help, call (800) 226-5116

Met Life

Dental benefits are among the most highly prized employee benefits.

To select a dentist:

Visit https://www.metlife.com/exchange/dental/ and enter your zip code to find dentists in your area.
Call the toll-free customer service number listed on the back of your ID card

If you need interpretation services call 1-800-942-0854. For CA residents, these language assistance services are available to you at no additional cost.

To locate a participating network eye care doctor or location, log in at anthem.com/ca or from the home page menu under Care, select Find a Doctor. You may also call member services for assistance at 1-866-723-0515

Out-of-Network – If you choose to, you may instead receive covered benefits outside of the Blue View Vision network. Just pay in full at the time of service, obtain an itemized receipt, and file a claim for reimbursement up to your maximum out-of-network allowance.

Anthem Blue Cross Vision

You have many choices when it comes to using your benefits. As a Blue View Vision plan member, you have access to one of the nation’s largest vision networks. You may choose from many private practice doctors, local optical stores, and national retail stores including LensCrafters®, Target Optical®, Sears Optical® and JCPenney® Optical. You may also use your in-network benefits to order eyewear online at Glasses.com and ContactsDirect.com.

Anthem Blue Cross Dental

To select a dentist by name or location:

Go to anthem.com/ca or the website listed on the back of your ID card.

Call the toll-free customer service number listed on the back of your ID card.

By phone: call (888) 794-7427

Online: visit www.multiplan.com and click “Find a Provider” located in the top right-hand corner and follow these steps:

After acknowledging you have read the disclaimer at the bottom of the screen, click on the green “Select Network” button
When selecting your network, choose “PHCS,” then “Preventive Services Only”
Enter one of the search criteria suggested in the search box to begin your search
If your browser settings don’t allow your location to be detected, enter a zip code

Employee Resources - PHCS Specific Services

By phone: call (888) 263-7543

Online: visit www.multiplan.com and click “Find a Provider” located in the top right-hand corner and follow these steps:

After acknowledging you have read the disclaimer at the bottom of the screen, click on the green “Select Network” button
When selecting your network, choose “PHCS,” then “Specific Services”
Enter one of the search criteria suggested in the search box to begin your search
If your browser settings don’t allow your location to be detected, enter a zip code

By phone: call (877) 952-7427

Online: visit www.multiplan.com/
phcspracanc and follow these steps:

After acknowledging you have read the disclaimer at the bottom of the screen, click on the green “Select Network” button
When selecting your network, choose “PHCS,” then “Practitioner & Ancillary”
Enter one of the search criteria suggested in the search box to begin your search
If your browser settings don’t allow your location to be detected, enter a zip code

MultiPlan PHCS

Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. Please locate the PHCS logo on your card and follow the corresponding instructions below.