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The Virtual Blue plans give members (small and large groups) the choice of virtual or in-person care. Virtual care includes $0 unlimited visits to primary care, behavioral health and specialty care through a new partnership with AccoladeCare. In-person care is available through the Tandem PPO network in California and via BlueCard when outside of the state.
The two Virtual Blue small group plans available in PRISM are the Virtual Blue Gold Tandem PPO 1500/45 and Virtual Blue Bronze Tandem PPO 7500/75. These can be identified by ‘Virtual Blue’ in the plan name.
When using the PRISM filter options for Narrow or Broad networks, select ‘All’ networks instead of ‘Broad’ only networks to generate plans for Blue Shield’s Virtual Blue, Trio HMO, and Tandem PPO plans.
If you need assistance, please contact our Quotes team at quotes@claremontcompanies.com or 800.696.4543.
Login To PrismClick on the carriers below to view their commission schedule for 2017:
Blue Shield Specialty Products: 10%
Download the Blue Shield Commission Schedule.
*When annualized premium for a single group reaches $500,001 or more in a contract year, the commission is reduced to 1.0% for amounts over $500,001 for that group.
The sole factor to determine the applicable commission schedule for all groups is the number of enrolled employees in the employer group at the time the employer group enrolls in coverage through Covered California for Small Business.
For Specialty Benefits Commissions download the Schedule.
Please Note:
• The enrolled employee count is re-evaluated at each renewal.
• Existing cases that have effective dates before January 1, 2016, will remain on the commission schedule that is in effect as of their original effective date.
Questions?
Contact the small group experts at 800.696.4543 or info@claremontcompanies.com.
