Your goal is winning new clients and keeping them. Part of keeping them is ensuring their benefits are administered smoothly. In this occasional series, we will review issues we hope will help with your groups’ benefits administration.
How Covered California for Small Business (CCSB) Administers Group Service Agreements
As you know, when a carrier group health plan is installed, the group enters into a contract for coverage with the carrier. This contract is typically referred to as the group contract but it can be called the group health plan contract, group service contract or group service agreement.
So, how do these group contracts work with the CCSB exchange when more than one carrier is providing coverage to the group?
CCSB does not issue group contracts. Rather, shortly after the group is installed, each carrier with enrollment will send a Group Service Agreement to the group. On receipt, the group should sign the Group Service Agreement and return it to the carrier per the carrier instructions, and retain a copy in their files.
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