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PRISM - Stop, Do Not Quote Health Net

Health Net Is Exiting the California Group Market
Health Net will no longer offer small or large group coverage in CA. In-force groups terminate February 28, 2027. Your Claremont team is ready to help find alternatives. Call 800.696.4543 or email quotes@claremontcompanies.com.

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Blue Shield Expands Support for Brokers Moving Groups Off Health Net

Blue Shield Expands Support for Brokers Moving Groups Off Health Net

Blue Shield Expands Support for Brokers Moving Groups Off Health Net

Sep 28, 2026, < 1 Minute Read

With Health Net’s exit from the California group market, Blue Shield is positioning itself as a stable, long-term option for affected groups — and backing that up with new transitional support announced at a broker roadshow this week.

What’s new for Health Net groups applying to Blue Shield  (10/1/26–3/31/27 effective dates):

  • Minimum enrolling subscribers reduced from 5 to 3
  • 25% participation minimum waived for groups coming directly from Health Net
  • Health Net billing statement accepted in lieu of a DE 9C
  • A one-time 2027 renewal date sync for groups splitting carriers (details to follow)

A stronger, tiered broker bonus

The bonus is cumulative across all Health Net members a broker places with Blue Shield — not calculated per group — and it has no cap:

  • Members 1–50: $100 per member
  • Members 51–100: $150 per member
  • Members 101+: $200 per member

For example, a broker placing five groups of 20 members each (100 members total) would earn $100 x 50 + $150 x 50. Paid alongside standard commission and stacking with other bonus programs. Note “Health Net” as the prior carrier on all submissions to ensure eligibility. Download the flyer.

What’s next

Q1 2027 rates go live via e-vendors in early October, alongside new market materials. If you have a Health Net group that fits this window, now’s the time to run the numbers on Blue Shield. We can help, reach out to your Claremont team, or request a quote below.

Missed the Blue Shield Roadshow? Access the replay.

Contact us today for a Blue Shield quote.

Get a Quote

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.

 

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