To access the carrier product and rate information provided by PRISM, check the box below indicating you have read and agree to the license agreement. A button will then appear to access PRISM.
This site uses cookies to track your agreement option. If the terms of the license agreement change or if you clear the cookies from your browser, this page will appear once again during the PRISM login process.
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.
Login To PrismEmployee Navigator (EN) is excited to announce early availability of their platform for Ease brokers interested in using EN for the open enrollment season this fall, before the full migration in 2024. While most brokers will continue to add new customers to Ease and will plan to migrate existing customers to the EN platform next summer, Employee Navigator wants to accommodate brokers who would like to begin using the EN platform now.
The training sessions will help you get a firsthand look at some basic highlights of the licensing program. All users will be required to attend an online or in-person training and complete the independent, self-paced lessons prior to these trainings. Additional training sessions will be added as needed. Remote training is anticipated to take approximately 10 hours.
Online Training Dates and Times
In-Person Training Dates and Times
Onsite 2 days (9 classroom hours + optional 4-hour lab). In-person training is limited to 100 attendees. There is a $25 processing fee for each participant. Register.
*Optional time available for individual coaching while building a group.
Employee Navigator has not begun adding Ease features to the EN platform, so some familiar features will not be available to early adopters until 2024. Therefore, it’s recommended that EN be primarily used for new groups. Key features to be added to EN include:
Additional features to be added by next summer include:
Employee Navigator’s robust infrastructure supports over 75,000+ companies and 10+ million members. They are focused on providing training to smoothly onboard brokers. Attending training and completing self-paced lessons is required prior to access.
The Employee Navigator Knowledge Base is available to post questions and view responses.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
Offer your clients huge savings on pre-tax or COBRA services for effective dates through January 1, 2024. To qualify, a service agreement must be signed and submitted by September 29, 2023.
To learn more, download the 2023 BRI Fall Incentive Program flyer.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
With more employees returning to the office, the demand for commuter benefits is increasing as commuting to work becomes a regular part of employees’ routines. Offering commuter benefits can provide a valuable incentive for employees, helping them manage the costs associated with their daily commute while promoting their overall well-being.
Commuter benefits provide tax savings of 30% or more, easing the financial burden of daily commuting. By setting aside pre-tax funds, employees can save significantly (as much as $1,500 annually for both mass transit and parking), enhancing their job satisfaction and productivity.
Eligible expenses covered by commuter benefit programs typically include both pre-tax mass transit and pre-tax parking. The Benefit Resource commuter benefit card provides universal access to transit providers throughout the United States ensuring flexibility for employees with extended commutes or multiple modes of transportation.
Flexibility is crucial as commuting patterns change due to staggered work hours, remote work arrangements, or other factors. Programs allowing adjustments based on their schedule and their needs, and rollover of unused balances reduce stress and ensure employees maximize their benefits.
By offering commuter benefits, your clients can help their employees better manage the increasing demands of commuting to work, alleviate financial strain, and enhance their job satisfaction. Learn more.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
The Internal Revenue Service (IRS) has announced a notable increase in the contribution limits for Health Savings Accounts (HSAs) for 2024, a change that will offer greater flexibility for small businesses, their owners, and their employees.
The annual HSA contribution limit for individuals with self-only High Deductible Health Plan (HDHP) coverage will rise to $4,150, marking a significant increase from the $3,850 limit set in 2023. Similarly, the limit for individuals with family HDHP coverage will increase to $8,300, up from $7,750 in 2023.
In a significant milestone, 2024 marks the first instance where an older married couple, both aged 55 or over, will be allowed to contribute more than $10,000 to their HSAs. This development is made possible by the combination of the increased standard contribution limit and the continuing ability for those aged 55 or older to contribute an extra $1,000 per person. This means that in the last 10 years leading up to retirement, a couple could potentially accumulate more than $100,000 in their HSAs.
The chart below shows a comparison of the 2024 versus the 2023 amounts. Get the details.
Get Help with HSA Administration
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
BRI is offering a new Health Account Outlook Series which will run from February 2023 through April 2023. Through this series they will tackle a variety of topics affecting health accounts including generational and behavior trends, consumer attitudes, how legislation and rules impact your strategy, and some of the hidden challenges (and opportunities) of health accounts.
The Session Will Cover:
Webinar Details
All registered attendees will receive a recording following the live event. Register now!
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
The IRS has announced the annual plan contribution limits for Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), commuter benefit plans, and adoption assistance programs. For a summary of the 2023 inflation-adjusted amounts and plan limits, check out BRI’s overview by plan type and access the IRS official announcements.
*Includes limited purpose FSAs that are restricted to dental and vision care services, which can be used in tandem with HSAs.
To learn more visit Benefit Resource (BRI) and SHRM.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
Join BRI to explore some of the key legislative and regulatory issues affecting employee benefits including:
Webinar Details
All registered attendees will receive a recording following the live event. Register now!
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
Healthcare is a significant investment for your clients, and it’s important that their employees understand coverage options and see value in their benefits. To ensure employees have the proper health coverage and are protected from unexpected expenses, it’s best if they thoroughly review their budget and healthcare needs. The three questions below will help employees prepare for open enrollment before signing up for pre-tax benefits.
Start with looking at how much was spent on healthcare last year. Reviewing spending habits will provide a foundation for the types of financial choices that might be made in the future and how enrolling in a pre-tax account could help.
It may be helpful to place healthcare costs into three categories:
If a spreadsheet or budgeting app was used, consolidate the medical expenses. Then determine, at a high level, what the healthcare expenses were. Make sure to understand how much was paid out of pocket by reviewing exactly what insurance covers annually, and factor that into the plan for healthcare costs. To be safe, add an extra 10-20% to the estimated costs to account for unexpected expenses.
If last year’s medical expenses are unknown, no worries. Review all of the insurance company and healthcare provider receipts and go through bank and credit card statements to identify healthcare costs paid out of pocket last year. Or contact the insurance and healthcare providers for documentation.
According to a report from the Bureau of Labor Statistics, on average, healthcare costs account for about 8% of annual household spending or nearly 7% of pretax income. Even if health insurance covers an expense, the budget for healthcare costs still needs to include health plan premiums.
To determine pre-tax income, look at a recent pay stub before taxes. To calculate after-tax income, look at a bank statement showing paycheck deposits.
These general guidelines will provide a basic understanding of healthcare expenses from the past year and help guide the decisions for open enrollment.
Next, determine if there will be any changes in expenses for the coming year. Specifically, consider out-of-pocket expenses which pre-tax accounts can help pay for.
An out-of-pocket expense is an amount paid after insurance has covered a service.
Determining out-of-pocket expenses can be more difficult. As a starting point, look at current benefits to determine any co-pay or co-insurance amounts. Also factor in the deductible – the amount needed to pay before insurance begins to cover costs. As a general rule, plans with a lower deductible require a higher premium.
For this reason, high deductible health plans (HDHP), also called low-premium plans, have become more popular. HDHPs can also be paired with a Health Savings Account (HSA), which can be a great savings tool for employees.
An HSA lets the employee put money away on a pre-tax basis for eligible healthcare expenses, including certain dental work, eyeglasses, and prescriptions. Contributions can come from the employee, employer, or a relative—anyone who wants to fund the account. Also, the funds roll over from year to year with an HSA, which makes it a great long-term tool for budgeting for medical expenses. Note there is an annual limit for how much they can contribute.
The employee should log into a benefits portal or ask their HR department for their company’s benefits information to find out what these out-of-pocket expenses are.
To determine a dollar amount for out-of-pocket expenses, multiply the co-pay amount by the number of expected healthcare visits. However, keep in mind that some healthcare visits are covered since they are preventative in nature.
For example, if there’s one physical per year, one dental cleaning, and 12 physical therapy visits, most likely only the physical therapy would require a co-pay. If the co-pay is $20, then multiply 20 by 12 for the out-of-pocket costs.
These are expenses for everyday household and personal care items such as adhesive bandages, thermometers, and pain killers.
While these items should be included in the initial review of expenses last year, it’s best to double-check and make sure they’re included.
After accounting for day-to-day healthcare costs, consider unexpected costs for medical emergencies (such as a procedure or medication that is not fully covered by an insurance plan) and create an emergency fund. While the size of the emergency fund will vary depending on lifestyle, monthly costs, income, and dependents, the rule of thumb is to save at least three to six months’ worth of living expenses. A starter emergency fund of $1,000 is recommended.
To budget for healthcare costs effectively, evaluate health insurance options to find the best plan for the employee and their family. For each plan, consider the type of plan (are preferred doctors, hospitals, and pharmacies covered?), as well as the cost of premiums, deductibles, copays, and prescriptions. Health history may also be an important factor when considering different coverage options.
With a healthcare budget in place, employees will be better empowered to make decisions that are good for their health and finances.
To learn more, check out these articles:
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
According to a June 2021 research study from One Medical, 65% of workers would give up bonuses, paid vacation, and flexible hours for better healthcare benefits.
One of the results of the pandemic is that many people now realize the importance of their health and the health of those they’re closest to. Given this shift, it’s no surprise that health and well-being have risen to the top of the priority list for many workers.
However, workers also want more from the companies that are responsible for their benefits. Many aren’t completely satisfied with their healthcare benefits and expect their employers to improve their healthcare options now that well-being is a top priority for them.
While 85% of HR leaders believe their company is invested in the physical and mental health of its workforce, just 32% of employees rate their healthcare benefits as “excellent” and less than two-thirds believe their company is invested in their physical health (64%) and mental health (63%). Other findings reveal that employees are, in fact, desperate for better healthcare. This should be a strong signal to employers that a change is badly needed – and soon.
The vast majority of workers noted the importance of affordability (89%), ease of using their benefits (89%), top quality and trustworthy providers (87%), fast (86%) and convenient (82%) access to in-person care, a focus on preventive health (85%), and seamless specialty care coordination (82%). While more than half (55%) of employees and HR leaders said their healthcare is too costly and thought companies should cover “more” or “all” of employees’ health care costs.
The study revealed 87% of employees agreed that providing a healthcare offering that is a good value, high-quality, and patient-centered increases job satisfaction, engagement, productivity, retention, recruitment, or the likelihood to recommend the company.
Companies that prioritize the health of their workforce and invest in better healthcare benefits will not only be doing what’s right for their employees, they’ll also be more likely to retain their workers and be better positioned for success in an increasingly competitive marketplace. Download the report to learn more.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
While COVID-19 has pushed many companies to offer greater flexibility around where employees work, more adaptation is required to meet the needs of today’s evolving workforce. Companies must consider not just a hybrid or fully remote work model, but also their benefits package.
With home, health, and work stress mounting, employees want more support from their employers to manage the changes and stress from COVID-19. By providing that support and enhancing benefits packages with Specialty Accounts, employers can better meet the employees’ needs, attract and retain talent, and drive business recovery.
Cover Employee Work Essentials
Design an Alternate Commuter Benefit Program
With fewer employees commuting every day, switching to a flexible benefits provider can be beneficial with a hybrid work model. Or use a Specialty Account to cover other commuting-related expenses.
Specialty Account plan options outside the scope of a pre-tax commuter benefits plan:
Wellness/Well-Being
Wellness Accounts are one of the most popular Specialty Account programs, and for a good reason: a healthy workforce = reduced medical costs and higher productivity. Consider expanding beyond the standard gym/fitness reimbursement. Create a general well-being account and cover:
Meal Services
Having everyone in the office makes it easy to treat employees to something delicious. Whether it’s early-morning breakfast, sweet treats, or a full catered lunch, it’s a great way to show employees you care.
With meal delivery services, employees can choose what they want to eat and from whom. Here are some options:
Adapting to the changing workforce can be easy with Specialty Accounts. To learn more, visit Benefit Resource Inc.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.