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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 PrismWe are pleased to welcome Pauline Gonzales to our Service Team as our newest Broker Service Representative. In this role, Pauline will provide invaluable support and guidance to our clients in a variety of areas such as eligibility, enrollment, support, quoting, carrier knowledge, Ease, and more.
With over six years of experience in the small business health insurance sector, Pauline brings a wealth of knowledge and expertise. She most recently served as an Employee Benefits Account Manager at AssuredPartners, where she honed her skills in cultivating long-term broker and client relationships. Pauline is fluent in Spanish and brings exceptional communication skills in supporting brokers throughout the application process.
Pauline holds a Bachelor of Science in Business Administration with an emphasis in Finance. This background gives her a holistic understanding of how to build successful, collaborative partnerships. In her spare time, Pauline enjoys cooking new recipes and spending time with her three children.
You can reach Pauline at pauline@claremontcompanies.com or 925.296.8819.
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The Internal Revenue Service (IRS) has announced the Affordable Care Act’s (ACA) health plan affordability threshold for 2024 at 8.39%, a significant decrease from the 2023 figure of 9.12%.
The threshold is used in determining if Applicable Large Employers (ALE’s) health plans are considered affordable under the ACA employer mandate. This requirement does not apply to non-ALE businesses.
This is a significant reduction in the affordability threshold. Your ALE clients should be aware of the change, and may need to make changes to their health plan’s 2024 employee contribution in order to remain compliant.
For details, visit SHRM and Woodruff Sawyer, and the IRS website.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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.
No one expects an accident to happen, but they occur every day. When the unexpected strikes, the last thing anyone wants is added financial stress. That’s why having accident insurance is so important. With MetLife accident insurance, your clients’ employees can gain peace of mind knowing they and their families have a safety net if an unexpected injury occurs.
Offer your clients MetLife’s flexible, affordable accident insurance to provide their valued employees with financial support to help make their recovery less expensive and less stressful. Learn more.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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 Blue Shield’s Small Business leadership team for their annual Broker Roadshow on September 18th at 10:30 am PT. Learn what’s new for Q1-2024, and hear about market trends, new innovations, enhancements to the broker experience, and more. This is an opportunity to gain strategic insights and connect directly with Blue Shield.
Date and Time: Monday, September 18, 2023, 10:30 am PT
Can’t make it live? Register now and get access to the recording for 30 days after the event.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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.
Blue Shield of California has announced a major revamp in its approach to pharmacy benefits. By 2025, Blue Shield will significantly reduce its ties with CVS Health’s PBM services. Instead, it will partner with Amazon Pharmacy, Mark Cuban’s Cost Plus Drug Company, and other firms to bring about potential massive savings and enhanced services for its customers. Here’s a high-level summary of the news, what it means for you, and some links to additional resources.
We will continue to keep you updated on this development. Contact us with any questions at 800.696.4543 or info@claremontcompanies.com.
Blue Shield of California
Blue Shield’s New Partners
Small Business Incentive Program
Renewal Rewards Program
Blue Shield increased the points earned for every new membership in Tandem PPO and Virtual Blue PPO plans. You can earn:
Bundled Saving Program
The 10% specialty discount is a perpetual program that is applied when a dental and/or vision plan is added to a new or existing small business medical group.
Relaxed Participation Promotion
The Relaxed Participation Promotion was extended through December 31, 2023.
More information and plan summaries can be found in Blue Shield’s Q4-2023 Medical Sales Guide and Specialty Sales Guide.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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.
You can now conveniently access and download digital member ID cards directly through Broker Connection.
To Access Digital ID Cards:
The ID cards are provided as downloadable PDFs for immediate use. This self-service feature is one of many convenient online tools now available on Broker Connection.
Small Business Incentive Program
Renewal Rewards Program
Blue Shield increased the points earned for every new membership in Tandem PPO and Virtual Blue PPO plans. You can earn:
Bundled Saving Program
The 10% specialty discount is a perpetual program that is applied when a dental and/or vision plan is added to a new or existing small business medical group.
Relaxed Participation Promotion
The Relaxed Participation Promotion was extended through December 31, 2023.
More information and plan summaries can be found in Blue Shield’s Q4-2023 Medical Sales Guide and Specialty Sales Guide.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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.
Beam Benefits’ dental plans are even more competitive with two new enhancements to Orthodontia coverage:
The Orthodontia lifetime benefit maximum is now up to $5,000 (the previous maximum was $2,500). The benefit amount can be selected in $50 increments, starting with $2,550 up to a maximum of $5,000
Previously at least 10 employees were required to enroll in order for Adult & Child Orthodontia benefits to be available. Now Adult & Child Orthodontia benefits are available to groups with as few as two employees enrolling.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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.
Employee 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.
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Earn a Kaiser Permanente $100 bonus, per enrolled member when you enroll at least 10 members from a qualified, new small group through CaliforniaChoice, Covered California or Kaiser Small Business. October 1, 2023 – January 31, 2024 effective dates.
Earn a $2,100 bonus when you sell a new group with 30 full-time employees and enroll 21 new members with Kaiser Permanente.
21 enrolled members x $100 = $2,100.
This bonus is on top of your regular commission and standard broker reward programs such as the Total Replacement and Group Production rewards. Download the flyer for details.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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.
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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.