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More layoffs coming at Blue Shield of California - 54 additional positions eliminated

For anyone working at Blue Shield of California (or thinking bout joining) - keep an eye on what's happening. Another 54 permanent job cuts have been reported across Oakland, Long Beach, El Dorado Hills, Rancho Cordova, Lodi, Woodland Hills, and San Diego, with an effective date of 1/12/27. This follows multiple rounds of layoffs throughout 2025 and 2026. We're no longer talking about a single reorg event. These reductions have been happening repeatedly... often in small batches that don't attract much attention.

Mgmt continues to describe these moves as adjustments to changing business needs... the pattern is becoming difficult to ignore tho. Given the frequency of recent reductions, employees ARE paying attention. Have you heard anything about which departments or teams are being affected???? Are managers discussing further restructuring, hiring freezes, or positions being eliminated???? It would be useful to consolidate what we know about whats actually happening internally.


Laugher hierarchy

Union employees were given only their contractual number of weeks per year in the recent VBO. It's obvious management wasn't serious about the incentive. Why make the offer, when a similar layoff would also include the ability to apply for unemployment?

Would you leave without insurance?


Sentara situation

Anyone in hampton roads impacted by Sentara leaving Anthem? My home is surrounded by sentara hospitals and We rely on sentara labs, ER and even for any procedure. I dont see any hospitals even around 20mile radius and we need prepare for any emergency situation.

Do we have any alternative?


Classic vs. HSA

I'm surprised the company even publishes the numbers, but they pay $1,160.12 per pay cycle for the Classic plan, and $1,024.71 for the HSA plan.

You choosing the HSA plan saves the company $3,520.66 annually, and they give you $1,000 for choosing that plan.

Isn't it time that lifts a little to account for inflation? Its been stuck at $1,000 for 10+ years. Split in half the savings would at least bump it to ~$1750.

Come on MPC, share the savings and stop pocketing the $2,520 difference.


Mark Cuban said that Cigna is Overcharging Employers

Mark Cuban said that Cigna is Overcharging Employers that Use Cigna. Doesn’t Humana force their employees to get their health insurance through Cigna Health Insurance?

Mark Cuban Says Public Companies Found They Were ‘Ripped Off’ On Healthcare But Won’t Say So On Earnings Calls
https://finance.yahoo.com/healthcare/articles/mark-cuban-says-public-companies-155820186.html


ACA Healthcare Insurance- retirees

The cost for healthcare insurance has gone up each year. In 2027, without subsidies a family of 2 will pay an average monthly premium of $2800 to $3000 per month with high deductible. I am considering not to buy healthcare insurance, pay cash for the service. The other option is to move to another country to live, low cost of living, $2500 a year for healthcare insurance.


Associate to Associate Assistance Network.

Maybe Elevance should just increase merits to account for COL increases instead of asking other associates to help pay other associates bills. The timing of this is suspicious considering the huge increases in Health Insurance premiums. Elevance su-ks. Are they going to be like Amazon where a large portion are getting government assistance because Amazon can’t pay a living wage?


Medical Insurance for Retirees

I just got my WF Retirement Health Plan documents today. The WF Retiree HSA plan dropped dental and vision last year so it's medical only. Here are the prices for 2027 for just yourself:
HSA Plan: $1941/month
Kaiser: $1572
Co-Pay Plan: $2028
Just passing it along so you can plan.......


Medical "Benefits"

HSA HDHP is 22% more money out of my paycheck compared to last year.

HSA HDHP $600 company contribution hasn't increased for at least a decade.

Industry standard is over $700 for HSA HDHP's for anyone....and $600 is what they offer their own employees?

Absolutely disgusting.

I'm shopping around or opting out of coverage. This is ridiculous.


Paying more for less coverage?

Management hyped up getting better health plans this year, which just means a more expensive one. They massively hiked the premiums for the top tiers, and for the basic plan, they quietly raised our deductibles and out-of-pocket limits. Its frustrating to see which direction the company is going


Centene, 760,000 Canceled Coverages, and a Few Questions from Congress

Late night, hot off the press information from your favorite “pompous windbag!” This absolutely could not wait until tomorrow. Here’s some news sure to get some opinions… please share yours!

Well, this is certainly interesting!

On October 27, thirteen U.S. senators, led by Ron Wyden and Bernie Sanders, launched a formal inquiry into ten major health insurers, including Centene, over their participation in a federal initiative that canceled approximately 315,000 ACA Marketplace enrollments covering more than 760,000 people.

CMS says the enrollments were unauthorized and estimates approximately $2.2 BILLION in recovered premium tax credits.

You might say, “Hey, this sounds like a victory against fraud, right?” But WAIT… Not so fast. According to the senators' inquiry, insurers cooperated with CMS by contacting members and requesting additional personal information, sometimes including Social Security numbers. Members who failed to respond were allegedly included in lists used to terminate coverage.

The senators question whether those actions complied with federal requirements governing midyear eligibility determinations.

And here's the particularly interesting part. CMS didn't update the relevant guidance until October 1. The coverage cancellations were effective August 31. The senators want to know what legal authority the insurers relied upon when they participated.

Now, fraud in the ACA Marketplace is a legitimate concern. Nobody should be defending fraudulent enrollments.

But here's a question:

Since when does not answering an unsolicited communication constitute proof of fraud?

No medical claims? Maybe the person was healthy. Zero-dollar premium? That's how subsidies work. Didn't respond to a request for personal information? Perhaps they thought it was a scam. None of those circumstances, by themselves, establishes that someone fraudulently obtained coverage.

And this is where Centene enters the picture.

Centene operates one of the nation's largest ACA Marketplace businesses.

Its own October 27 earnings release shows Marketplace membership declining from 5.83 million to 3.40 million year over year, a roughly 42% reduction.

To be clear, there's no evidence establishing how many of those departures resulted from this federal initiative. The 760,000 figure covers multiple insurers, not just Centene.

But that makes the next questions even more important.

Congress is asking insurers to explain:

  1. What evidence was used to identify supposedly unauthorized enrollments?

  2. Did insurers consider whether legitimate members might be wrongly terminated?

  3. How many affected members subsequently sought reinstatement or submitted medical claims?

  4. Were children included in the termination lists?

  5. Did the companies evaluate the legal basis for CMS's requests before cooperating?

  6. Are they participating in another round of terminations?

Centene has until November 6 to respond to the inquiry.

And here's what I'd really like to know. Centene requires its employees to complete annual Compliance, Ethics, and Fraud, Waste & Abuse training.

We were taught to recognize suspicious activity, follow established procedures, document decisions, and escalate concerns. So what did Centene's own Compliance and Legal teams conclude about the evidence and procedures behind these cancellations? Did they independently evaluate the risk of terminating legitimate members? Or did they simply rely on CMS's assurances?

We don't know. That's why Congress is asking. And no, a congressional inquiry isn't proof that Centene broke the law. But the distinction between suspected fraud and proven fraud matters enormously when the consequence is losing health insurance… talk about “changing lives” amirite? But hey… margin.

Here's the bottom line.

If an insurer can help remove someone from coverage based on questionable indicators, who is responsible for proving the decision was justified? CMS? The insurance company? The broker? Or does the burden somehow fall on the person who just discovered they no longer have health insurance?

Fraud prevention requires evidence. So does accountability.

And if we're going to terminate someone's healthcare coverage in the name of protecting taxpayers, perhaps demonstrating that the person actually did something wrong shouldn't be an optional step. But hey, at least somebody is asking the questions!

SOURCES:

U.S. Senate — October 27, 2026
Wyden, Sanders and 11 Senate colleagues announce inquiry into ten insurers, including Centene:
https://www.wyden.senate.gov/news/press-releases/wyden-sanders-senate-democrats-call-out-insurance-company-collusion-with-trump-administration-to-kick-thousands-of-americans-off-health-insurance

CMS — September 22, 2026
Federal Marketplace Anti-Fraud Actions:
https://www.cms.gov/newsroom/fact-sheets/federal-marketplace-ffe-sbe-fp-anti-fraud-actions

Centene — October 27, 2026
Q3 2026 earnings and Marketplace membership:
https://investors.centene.com/2026-10-27-CENTENE-CORPORATION-REPORTS-THIRD-QUARTER-2026-RESULTS

Fierce Healthcare — October 27, 2026
Democratic senators probe insurers' role in canceling ACA coverage for 760K:
https://www.fiercehealthcare.com/payers/democratic-senators-probe-insurers-role-canceling-aca-coverage-760k


FML

I was laid off yesteday as part of this layoff round. I'm pregnant. They were was fully aware of my pregnancy which makes this whole situation even more bad. Does anyone know if these layoffs were limited to FLEX employees, or were other teams and employment types affected as well? Also, if anyone has been through something similar, especially while pregnant... I'd really appreciate any advice on severance, benefits, health insurance (or potential legal paths). I'm still trying to process everything and figure out what to do next.


Open Enrollment for ‘27

Uhhhh I just looked at what the new plans under Aetna will be. Costs for many will increase by 15%. Let’s see? More stress, more hours, more anxiety, more commuting costs, more health, dental and vision costs next to a 1-2% salary increase- if you are lucky.
‘Eliza, why am I getting poorer at BNY while do nothing executives get filthy rich?’


C1 Open Enrollment - Brace Yourselves!!!!

For many of you recently, or not so recently, impacted by Capone's horrid practices and layoffs and are on COBRA - brace yourselves! A mailer came today with the NEW and HIGHER rates for 2027! WOW - The gotcha's keep on comin'... I thought the 2026 rates were bad enough, but 2027's.... well, for those that may still be dependent on COBRA into 2027, ... prayers up!!! Pathetic!


Anthem/Elevance Health Is Pushing Employees Into Marathon Health Where Is the Media Coverage?

The irony of working for one of the largest health insurance companies in America while watching our own healthcare benefits become more restrictive is unbelievable.

With our 2027 medical benefits, Anthem/Elevance Health is directing employees toward Marathon Health. Employees who want to continue seeing their own trusted providers are facing the prospect of significantly higher costs.

Let that sink in. We work for a company whose entire business is health insurance, yet we’re being pushed toward a particular healthcare provider arrangement rather than being given meaningful, affordable choices for our own families.

What happens to employees who have longstanding relationships with specialists? Families whose children have established doctors? People managing ongoing medical conditions who don’t want their care disrupted because of their employer’s benefit decisions?

Healthcare affordability and access are major national issues. Yet who is examining what happens behind the scenes to the employees of the very companies making decisions about healthcare coverage?

This deserves scrutiny beyond an internal HR presentation.

I’d be interested to hear from other Anthem/Elevance employees about how these changes will affect their families.

Perhaps it’s time journalists started asking what healthcare access and affordability actually look like for the employees of America’s largest health insurers.


Health Insurance

Am I crazy or did rates go way up? I know the switch from bi-weekly to semimonthly adds a bit, but I’m seeing the cheapest option for the employee only HSA Plan in the low 90’s. I currently pay just under 50 for my medical premium. Unless I’m reading something wrong, that’s about a 70% increase year over year.

WTF


HR Town Hall

I don’t think the leaders of this organization understand how extremely stressful it is in this job market to be strung along for a year with “HR Elevate”. Heard through the gossip mill that layoffs are finally coming for HR/TA and will be delivered by Thanksgiving. Only 6 more weeks to know if your kids will have health insurance this Christmas!


Sh*tty Health Insurance Choices

Just got my open enrollment brochure emailed today. Premiums going up 20%, deductible going up, MOOP going up. Of course, the amount 3M contributes to the HSA doesn’t increase.

Seems like they are trying to push people into the new “variable co-pay plan”. Bill Brown must be a getting a nice kickback from UHC!


It's official! Starting Monday!

It's official...we are now Skyworks! Be prepared for many changes starting Monday next week. Good Luck everyone! I hope everyone's job is safe. Nobody is talking to us non-salary employees regarding any major shift/hour changes, new health insurance, PTO/FTO changes, etc. So not sure what our future days will look like yet.


Value-Based — Preventive Maintenance?

If health insurance truly cared about “preventative maintenance” like they say, then they would be all for two things, GLP-1s and annual full body MRIs.

If they approved and paid for those two things alone, the percentage of persons reaching in their 90’s or even over 100, would exponentially increase.

But they won’t because “sick” people are more profitable.