Anthem Blue Cross Plan

Important note: Retiree medical benefits, if available to you, are provided by your former employer. The following information has been provided by the County of Marin. MCERA will continue to update this webpage as the County makes more information available.


County Seeking Replacement for Anthem Blue Cross PPO

The County of Marin is conducting a request for proposal (RFP) to replace the Anthem Blue Cross PPO plan. Because it is still early in this process, the County only has the following information available at this time. In the meantime, you are encouraged to share any questions or concerns by completing a short survey.

Why is the County considering replacing the Anthem Blue Cross PPO plan?

The Anthem Blue Cross PPO medical plan has grown increasingly unaffordable in recent years, with double digit rate increases each year since 2015. In order that Anthem plan participants not suffer such large premium increases, the County has used funds from the Anthem Blue Cross Premium Stabilization Reserve (PSR) to “buy-down” large rate increases and therefore pass along more affordable rate increase to plan participants (plan participants consist of both active employees and retirees). With insufficient funds remaining in the PSR to “buy-down” rates for 2019, annual costs will likely exceed $20,000 for one person under 65 and $9,800 for one person enrolled in Medicare. That equates to a more than $1,800 monthly premium for one person under 65 and an $800 monthly premium for one person enrolled in Medicare.

What are the goals for the new plan?

The County's RFP will pursue:

  • A more affordable non-Kaiser alternative
  • Coverage for out-of-area retirees
  • How to minimize disruption for current enrollees
  • A sustainable and viable plan option for both active employees and retirees long-term

When will the County have a decision?

Here is the anticipated timeline (this could change):

Milestone Timeline
RFP Release Mid-February
Review RFP with Labor Mid-April thru Mid-May
Information About New Plan(s) Summer
Effective Date of New Plan(s) January 1, 2019

What has happened so far?

The County conducted an information session for retirees at the Marin County Employees’ Retirement Association Board Room on Thursday, February 8, 2018. The purpose of the information session was to discuss trends impacting the rising costs and sustainability of the Anthem Blue Cross PPO plan as well as the upcoming medical plan RFP and next steps. Read a summary of the information session.

Does this impact retirees of MCERA-covered employers other than Marin County?

Retirees of the following employers also participate in the County-sponsored medical plans:

  • LAFCO
  • Marin City Community Services District
  • Marin/Sonoma Mosquito & Vector Control District
  • Marin Superior Court
  • Southern Marin Fire Protection District
  • Tamalpais Community Services District