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PRISM - Health Net is Now Available Through Claremont!

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Lowest rates in the market – Affordable options without compromising quality.
Robust PPO network – Competes with major carriers like Anthem and Blue Shield.
Flexible HMO options – Networks to fit nearly every group statewide and every budget.
Simplified underwriting – Only 25% participation required for groups with 5+ enrolling. No DE9C or prior carrier bill needed.
Easy-to-sell benefits – $0 deductible HMO plans + four years of rate stability.
Nationwide coverage – Cigna network access for out-of-state employees + state plurality rules for group qualification.

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Blue Shield MLR Employer Survey Due March 31

Blue Shield MLR Employer Survey Due March 31

Blue Shield MLR Employer Survey Due March 31

Mar 2, 2026, < 1 Minute Read

Blue Shield is requesting employer participation in its annual Medical Loss Ratio (MLR) survey for groups under 150 employees.

The Affordable Care Act requires health plans to spend a minimum percentage of premium dollars on medical care and quality improvement. To meet this requirement, carriers must confirm accurate group size data each year.

What brokers should do
Please encourage your Blue Shield small-group clients (under 150 employees) to submit their group size information by March 31, 2026.

How employers can submit

Why it matters
Accurate group size reporting helps Blue Shield meet federal MLR requirements and ensures proper regulatory reporting.

Questions:
Access the MLR FAQs, or contact the Blue Shield MLR team: MLRassist@blueshieldca.com or (800) 352-5166

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