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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.
Following Health Net’s announcement that it is exiting the California commercial group market, CaliforniaChoice has confirmed how the change affects its groups. The short version: CalChoice groups have more time, and Health Net direct groups have a simpler way in.
Health Net is no longer accepting new groups directly, for any effective date. CalChoice will continue accepting new small group business that includes Health Net membership through January 1, 2027 effective dates, which makes it the only remaining way to write a new small group with Health Net.
Anthem Blue Cross, Kaiser Permanente, Sharp Health Plan, Sutter Health Plan, UnitedHealthcare, and Western Health Advantage. Because many providers participate in more than one of these networks, most members will have a path to keep their current doctors when they move.
To make it easier to move a Health Net direct group into CalChoice, CalChoice is offering a special underwriting promotion for new business with effective dates from September 1, 2026 through January 1, 2027. Groups with one or more medically enrolled subscribers can submit their most recent Health Net invoice in place of a DE 9C, provided:
All standard CalChoice eligibility criteria apply.
Whether your Health Net groups are direct or through CalChoice, we can help you map out the timing, compare CalChoice against direct-carrier options, and pull census and invoice information for any group where Claremont is the GA of record. Contact your Regional Sales Manager or the Claremont Answer Team at 800.696.4543 or info@claremontcompanies.com for assistance.
CaliforniaChoice is the only small group (1-100 employees) private exchange for employee benefits in California. Partnering with seven top health plans and 18 provider networks, CaliforniaChoice offers a variety of full and limited network HMOs, PPOs, and other benefit options to choose from – all at different price points so you can help your clients control costs and offer their employees choices. Learn more.
With CaliforniaChoice, you can offer multiple health plans side-by-side in a single employee benefits package. That means you only have to learn one product and run one quote, while still giving your clients the value of choice.
Health Net announced today that it will exit the commercial group health market in California to focus on Medi-Cal, Medicare, and IFP/Covered California. This affects all small group and large group medical plans. Dental, vision, and EGWP plans are also included, and Health Net will send separate communications on those.
Below are examples of the notices and FAQs being sent by Health Net:
We are standing by to help you move every affected group to a new carrier with as little disruption to networks and benefits as possible. We can identify replacement plans that best match your client’s current network and benefit design, quote across our carrier portfolio for 10/1 and later effective dates, and pull census and invoice information for any group where Claremont is the GA of record.
Contact your Regional Sales Manager or reach us at 800.696.4543 or info@claremontcompanies.com to get started. We will share more from Health Net as we receive it.
The Census Enrollment spreadsheet is now available for in force group to request member-level changes. This may be especially helpful during open enrollment or for larger groups with many changes. Here are the forms needed for Census Enrollent for new and in-force groups:
Employer-level changes cannot be made using the census enrollment spreadsheet, as those will continue to be made by using the Employer Change Request Form.
Contact your Claremont Answer Team at 800.696.4543 or info@claremontcompanies.com for assistance.
CaliforniaChoice is the only small group (1-100 employees) private exchange for employee benefits in California. Partnering with seven top health plans and 18 provider networks, CaliforniaChoice offers a variety of full and limited network HMOs, PPOs, and other benefit options to choose from – all at different price points so you can help your clients control costs and offer their employees choices. Learn more.
With CaliforniaChoice, you can offer multiple health plans side-by-side in a single employee benefits package. That means you only have to learn one product and run one quote, while still giving your clients the value of choice.
Humana has launched a new online Dental Wellness Center where members can access dental benefit and network information, educational resources, claims support, oral-health assessments, an Ask-a-Dentist feature, and a Dental Cost Estimator.
Humana will host The Importance of Dental and Vision Benefits for Children’s Well-Being on Tuesday, September 1 at 2:00 p.m. ET. The webinar will cover how dental and vision health can affect children’s overall well-being and how benefit coverage can support preventive care and treatment.
Humana’s Benefits That Matter: The Strategic Role of Life and Disability Benefits explores employee perspectives on life and disability coverage and offers research-based insights brokers can use in client conversations. Watch on demand
Humana’s Employee Assistance Program, powered by TELUS Health, just got more valuable:
Available 24/7 by phone, app, or online at one.telushealth.com (Username: MyEAP / Password: wellness).
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Join Covered California for Small Business’s Dan Tyler and Shawn Rutledge for a webinar highlighting some exciting developments for 2027 including:
When: Tuesday September 22, 11:00 a.m.
In addition to California’s most comprehensive access to doctors and hospitals, CCSB health plans offer choice and control, with:
As a trusted CCSB partner since its 2014 launch, we are a top-producing general agency in our sales territory. From agent certification and quoting to assessing new group eligibility and resolving post-enrollment issues, our CCSB experts will provide guidance and support every step of the way.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Blue Shield of California has released several updates affecting Small and Large Group business, including new 2027 HSA-compatible plan deductible requirements, its upcoming Small Business Broker Roadshow and an update on the California Managed Care Organization (MCO) tax.
The IRS has increased the minimum deductible requirements for HSA-compatible plans for 2027.Beginning in 2027:
The changes apply to both Small and Large Group HSA-compatible plans.
Effective January 1, 2027, the American Medical Association (AMA) is changing CPT codes used for maternity care services.According to Blue Shield, the updated coding is intended to improve transparency and reporting across a member’s maternity care.
Blue Shield will host its annual Small Business Broker Roadshow on September 22, 2026, at 1 p.m.The webinar will cover Blue Shield’s Q1 2027 Small Business updates. Register for the Small Business Broker Roadshow
Blue Shield also provided an important update regarding California’s Managed Care Organization (MCO) tax.The anticipated $8.85 per member per month MCO tax will be excluded from January 1, 2027, fully insured and flex-funded Large Group renewal and new business rates.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
During the call, Health Net will review the following tools designed to simplify doing business:
When:
Wednesday, August 12th
10:00 a.m. PST
Learn more about Health Net’s versatile health plans, ancillary coverage, wellness programs, and value-added services.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Covered California for Small Business (CCSB) is pleased to announce that Western Health Advantage is rejoining the small business exchange for the 2027 plan year!
The return of Western Health Advantage will bring greater employer and employee choice and affordability to the Greater Sacramento and North Bay regions. By expanding carrier options in these markets, Covered California for Small Business continues to strengthen access to competitive, quality coverage for small businesses and their employees. Western Health Advantage plans will be available for quoting beginning in October for January 1 effective dates.
This announcement comes as CCSB continues to experience steady, incremental growth. CCSB currently serves 9,700 enrolled employer groups and roughly 80,000 total members. With the addition of Western Health Advantage, CCSB now has partnerships with four health carriers: Blue Shield of California, Kaiser Permanente, Sharp Health Plan, and Western Health Advantage.
CCSB is excited about the additional value this returning carrier will bring to brokers and employer groups, and looks forward to sharing more information about 2027 plans and availability in the months ahead. Thank you for your continued partnership and for the important role you play in connecting California small businesses with coverage that meets their needs.
In addition to California’s most comprehensive access to doctors and hospitals, CCSB health plans offer choice and control, with:
As a trusted CCSB partner since its 2014 launch, we are a top-producing general agency in our sales territory. From agent certification and quoting to assessing new group eligibility and resolving post-enrollment issues, our CCSB experts will provide guidance and support every step of the way.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Blue Shield Small Business leadership team invites you to join a webinar session to learn how they are prioritizing ease of doing business in 2027 and beyond. During the webinar, the team will share steps Blue Shield is taking to improve the broker experience and product offerings. Time will be reserved for answering your questions at the end of the session. Hosted by:
When?
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
TriNet has enhanced its 2026 Referral Incentive Program with new earning opportunities for brokers who deliver eligible new business between June and September 2026 — with the potential to earn more by closing multiple deals.
The Base Incentive
For eligible new PEO or OMS clients with a first payroll date between June 1 and September 30, 2026, brokers earn a one-time bonus in addition to their standard referral fee:
Payouts follow a two-part schedule: 50% in October 2026, and the remaining 50% in October 2027, provided the client remains with TriNet at the time of the second payout.
Close More, Earn More
TriNet is rewarding brokers who close multiple eligible deals (10+ WSEs) during the initial June–September window with extended earning periods:
What This Means for You
If you have PEO or OMS prospects in your pipeline, this is a meaningful window to accelerate those conversations — and the multiple-deal structure rewards brokers who can bring more than one qualifying client to the table this year.
Eligibility is limited to broker-referred new PEO/OMS clients with a completed and funded first payroll during the applicable incentive period, subject to verification and TriNet’s eligibility criteria. Terms are subject to change at TriNet’s discretion.
For questions on eligibility or to discuss a prospect that may qualify, contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.