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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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Broker Services & Support

Broker Services Guide

This guide aligns our services to your sales process and client lifecycle. From provider network comparisons and competitive benefit assessments, to enrollment assistance and broker sales strategies, Claremont has everything you need to stay ahead of the competition and grow your business.

Pre-Sale Tools

  • Robust Comprehensive Website
  • Quarterly Market Intelligence Reports
  • Weekly Broker Update Email
  • Sales Materials

Sales Support

  • Dedicated Team of Benefit Experts
  • Provider Match Report
  • Provider Network Comparisons
  • Prescription Formulary Match
  • Employer and Employee Enrollment Kits or eKits
  • Assist with Employer Presentations
  • Ease Orientation and Training

Quoting

  • Detailed Online and Carrier Direct Quoting
  • Carrier Cost and Plan Comparisons
  • Competitive Benefit Assessment
  • Quote Proposal Analysis and Recommendations
  • Final Rate Generation
  • New Hire Employee Contribution Worksheets
  • PRISM Account Set-up and Orientation

Application Processing Service

  • Employer/Employee Eligibility Assessment
  • Underwriting Review and Recommendation
  • Enrollment Solution Evaluation
  • Enrollment Meetings (Bilingual)
  • Group Application Review and Assessment
  • Group Application Submission
  • Member Eligibility Verification

Enrollment Support

  • Plan or Benefit Modification
  • Renewal Strategy and Recommendations
  • Recertification Assistance
  • Employer and Employee Renewal Changes
  • Online Group Administration Tool Training
  • Employer Administrative Packets or eKits
  • New Hire Enrollments, Terminations and Qualifying Event Changes
  • Member ID Card Assistance
  • Access to Care Assistance
  • Claims Assistance
  • Membership and Billing Resolution

Broker Support

  • Carrier Broker Appointment Assistance
  • Broker of Record Transactions
  • Book of Business Reports
  • Broker Orientation; Group Benefits
  • Broker Sales Strategies; New Business or Retention
  • Carrier Promotions and Bonus Programs

Industry Insight/Education

  • Coronavirus (COVID-19) Resources and FAQ
  • Carrier Submission Deadlines
  • ACA/HealthCare Reform FAQs
  • ACA/Play or Pay
  • ACA Compliance
  • Covered California for Small Business Employer Tax Credit
  • San Francisco Healthcare Accountability Ordinance
  • Sponsorship of Industry Associations

Vendor Partner Recommendations

  • Benefit Administration Solutions and Human Resource Information Systems (HRIS)
  • HR Compliance
  • ACA Reporting
  • Broker-Friendly Payroll Solutions
  • Professional Employer Organizations (PEO)
  • Legal Advisors
  • Tax Consultants

 

Questions? Need assistance?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.