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Covered California for Small Business –
New Blue Shield Plans

Starting July 1, Covered California for Small Business (CCSB) is offering new Blue Shield plans, providing more options for enrollees. These plans include the Access+ HMO Network with Platinum, Gold, and Silver metal tier options, as well as the Bronze Trio HMO 7000/70. The two most popular Blue Shield High Deductible Health Plans (HDHP), Silver Full PPO Savings 2300/25% and Bronze Full PPO Savings 7000 plans, are also now available.

All of these plans offer benefits such as Wellvolution, Teladoc Mental Health, Nurse Help 24/7, LifeReferrals 24/7, and the Blue Card program for when members are outside of California.

For assistance, please contact our Quotes team at quotes@claremontcompanies.com or 800.696.4543.

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Covered CA

What is the waiting period for grandfathered plans?

On Friday, August 15, 2014, the Governor signed into law Senate Bill (SB) 1034, which prohibits a health benefit plan for group or individual coverage from imposing a waiting or affiliation period before coverage becomes effective.

The intent of SB 1034 is to prohibit a health care service plan or health insurer offering group coverage from imposing a separate waiting or affiliation period in addition to any waiting period imposed by an employer for a group health plan on an otherwise eligible employee or dependent. Furthermore, the intent of SB 1034 is to permit a health care service plan or health insurer offering group coverage to administer a waiting period imposed by a plan sponsor in accordance with the provisions of the Affordable Care Act (ACA). Hence, an employer may impose a waiting period, however it must comply with the ACA, which prohibits waiting periods that exceed 90 days.

SB 1034 will be effective January 1, 2015, however, carriers may choose to incorporate this change prior to the effective date. This applies to non-grandfathered and grandfathered plans.

In our library, you’ll find carrier forms, applications, enrollment kits, broker bonuses, marketing resources, and more (video tutorial). However, not all carrier forms are available online.

If you don’t find what you are looking for, contact our team for help at 800.696.4543 or materials@claremontcompanies.com.