Blue Shield - Q4-2022 Rates, Broker Bonuses, and Relaxed Participation Requirements

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Blue Shield - New Virtual Blue Plans

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.

Blue Shield – Q4-2022 Rates, Broker Bonuses, and Relaxed Participation Requirements

Jul 25, 2022, 2 Minute Read

To ensure your success in Q4, below are the updates announced by Blue Shield of California. Make sure to enroll and take advantage of the Small Business Incentive Program and the Renewal Rewards Program.

Q4-2022 Rates

Now available through PRISM, our free and easy online quoting system.
The Q4-2022 rate action is a statewide average of 2.9%. The rate book is now available on the dedicated Rates page on Broker Connection.
Easily find quotes and streamline your Q4 enrollments with the Employer Enrollment Platform.
Group renewal packets include an options census for quick quoting that displays the current and renewing rates, along with several plan options with 2022 rates.

Additional Benefits

LifeReferrals 24/7 – convenient and confidential support to help members meet life’s challenges.
Wellvolution – lifestyle-based tools and support to lose weight, treat diabetes, support mental health, and more.
Suite of virtual care options.
Broker Renewal Rewards Program – earn points for renewing groups with new members into Blue Shield’s Trio HMO Bronze 7000/70 plan and/or upsell specialty plans from June 2022 through December 2022.

Medical Plan Updates

There are minimal changes to Blue Shield’s existing medical portfolio due to decreased out-of-pocket maximums in many plans, no actuarial value calculator changes resulting in minimal cost share changes, and Blue Shield’s focus on providing more valuable plan options for members.

For a list of the 2021 Small Business medical plans that changed names for 2022, download the flyer. And view the Blue Shield 2022 plans at a glance.

Reminders

Earn points for qualified sales with the Small Business Incentive Program (February 2022 to January 2023 effective dates). Groups written through Claremont are eligible for this program.
Relaxed Participation Requirements for small businesses (groups with five or more enrolled employees) have been extended to December 31, 2022.

Contact us today for a Blue Shield quote and start earning rewards!

Resources

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

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