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Elevance Health

Public facts

Affiliated-plan Balanced Funding

Elevance Health (NYSE: ELV) parent of Anthem-branded and other affiliated health plans that sell Balanced Funding level-funded medical and MEWA options for small groups.

Visit elevancehealth.com

Overview

Elevance Health is a publicly described health company whose affiliated plans serve over 104 million consumers (Elevance newsroom). It does not underwrite a single national “Elevance Level Funded” policy on elevancehealth.com. The documented alternative-funding products are Balanced Funding (also called Anthem Balanced Funding) and MEWAs offered through affiliated health plans. Balanced Funding uses a fixed monthly payment, stop-loss-style caps, and money back when costs are lower than expected. Anthem small-business pages also mention bundling discounts up to 5% when adding dental, vision, life, or disability. Eligibility and networks vary by state and affiliate brand.

Why it matters Shop the local Elevance affiliate (often Anthem Balanced Funding), not a corporate Elevance SKU. Size bands and surplus rules are state- and document-specific.

Target buyer
Employers and brokers shopping Anthem or other Elevance-affiliated commercial plans for Balanced Funding or a chamber/farm-bureau MEWA—not a buyer of an Elevance-branded national medical policy.
Pricing model
Quoted by the affiliated health plan; no Elevance-wide public PEPM
An Anthem Balanced Funding overview PDF (distributor copy) lists 15–250 enrolled subscribers and 50%/50% surplus in that document’s market. Anthem Broker Hub notes have advertised ABF for 10–50 enrolled employees (Georgia, July 1, 2025) and other small-group bands. Those are regional, not a national price list.
Availability
National
Research
Last researched 2026-08-23
Public facts category

Key features

  • Balanced Funding: fixed monthly payment and surplus/shared-savings when claims are favorable (Elevance and Anthem public pages)
  • MEWA options that pool small employers with chambers or farm bureaus (Elevance newsroom)
  • Anthem small-group medical with 100% in-network preventive care (Anthem employer page)
  • Optional bundle discount up to 5% on Anthem small-group when adding named specialty lines
  • Affiliated-plan commercial networks (state-specific; not listed as one national PPO on elevancehealth.com)

Integrations

  • Anthem / affiliated-plan employer and broker portals (e.g., Anthem Broker Hub for ABF updates)
  • BlueCard and local Blues or Anthem networks where the affiliate is a Blues licensee (varies by state)

Overview

Elevance Health’s public site is a corporate and whole-health brand (purpose: improving the health of humanity). Commercial medical and funding products are sold by affiliated health plans—commonly Anthem-branded in many states.

A June 2026-dated newsroom article states that affiliated plans use Balanced Funding and MEWAs to give small businesses more predictable costs. Morgan Kendrick, EVP and President, Commercial & Specialty Business, is quoted. The same article says Elevance Health companies serve over 104 million consumers.

Anthem’s small-business medical page describes Anthem Balanced Funding as a health plan with a fixed monthly payment that rewards employers when employees are healthier than expected, and MEWAs as smaller employers joining to share claims risk.

Key Capabilities

  • Balanced Funding: level-like monthly payment; surplus/money back when claims are low; safeguards that cap costs (newsroom wording).
  • MEWAs with state or local chambers and farm bureaus (newsroom).
  • Anthem small-group medical catalog plus “alternate funding arrangements.”
  • Up to 5% rate discount when purchasing additional Anthem small-group dental, vision, life, and/or disability with medical (Anthem page).
  • Broker-hub examples (Georgia, 2025): ABF for 10–50 enrolled employees; additional POS/EPO plan options for 20–50 enrolled.

A third-party-hosted Anthem Balanced Funding brochure lists 15–250 enrolled subscribers, 50/50 surplus, pre-funded terminal liability, no deficit carryforward, and rate components (admin, ISL, ASL, pre-funded run-out, maximum claims liability). That PDF is a distributor copy; confirm it matches the local affiliate form.

Integrations & Ecosystem

Employer/broker tools are plan-specific (Anthem Broker Hub, local e-sales). CarelonRx appears in other Elevance community-health stories; it is not documented as a Balanced Funding requirement on the pages used here.

Pricing

Quoted by the affiliate. No elevancehealth.com price list.

Notes & Limitations

  • No complete public national map of Balanced Funding states. Recorded as National because Elevance operates widely, but a given group may have no ABF filing.
  • Do not cite 15–250 vs 10–50 vs 20–50 as one national rule.
  • elevancehealth.com itself is not a quoting site for group medical.
  • 104 million consumers is a company-wide figure, not Balanced Funding membership.

Sources

Tags: level-funded · Elevance Health · Anthem · Balanced Funding · MEWA