Due to internal system issues at Anthem & Beacon, employee deductibles were applied toward out of pocket maximums in error. As outlined in our healthcare SPD, deductibles are not included in out of pocket max calculation. (see attached)
To remedy this issue, the carriers have audited their systems and made the appropriate re-
calculations for employees who have been affected by the error.
Additionally, Anthem failed to update their systems to reflect the increase in out of pocket max during previous years. This was identified mid-year in 2019. For 2019, the correct amounts have now been updated. Out of pocket max for employees should have increased in 2016, from $1700/$3400 to $2000/$4000. This change has now been implemented and will be in effect for 2019.