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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 PrismAs cases rise in our communities, so do guidelines and restrictions to help reduce the spread of COVID-19.
Join Joanna Mills, Director of Infection Prevention at John Muir Health, for a webinar on December 17th at 10:00 am to learn ways to stay safe this holiday season. A Q&A session will follow. Register now.
Questions?
Contact your Claremont 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.
Effective November 30, the new COVID-19 regulations, applicable to all California employers with few exceptions, include requirements to develop and implement a written COVID-19 prevention program and provide no-cost COVID-19 tests to employees that are exposed in the workplace.
Learn about the new regulations and access the resources below to familiarize yourself and help your clients maintain a safe, healthy, and motivated workforce.
Broker and Employer Resources
In The News
Law Firm Analysis
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.
To help ease the financial strain on employer groups, Blue Shield is applying a one-time premium credit to their November billing cycle.
The Premium Credit Program will apply a one-time 10% credit on monthly medical premiums and a 30% credit on monthly dental and/or vision premiums. The credit will be calculated based on the customer’s October premium and it’ll be reflected on the November billing statement. Groups through Covered California will have the credit applied to their December bills.
Premium Credits Will Be Applied for:
Premium credits will be applied automatically; no action is required from the customer. Learn more.
Ongoing Blue Shield COVID-19 Support Efforts Include:
COVID-19 Resources
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Even though the pandemic has closed hundreds of thousands of businesses and reshaped the economy, on a positive note, Americans are starting new businesses at the fastest rate in more than a decade, the Wall Street Journal reports.
New business filings among business owners who employ other workers reached 1.1 million through mid-September, a 12% increase over the same period last year and the most since 2007, according to government data. And Axios reports the virus has led to a more sustained shift in behavior and has opened up new markets for upstarts.
Why this is the perfect time to prospect for new small business clients:
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.
To support your efforts as you start gearing up for Q1-2021, Blue Shield of California is launching digital tools, revised underwriting rules to expedite the enrollment process, and new plan offerings and changes. Plus, you’ll see more rewards with their bonus programs.
COVID-19 Resources
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
According to the Prudential Financial survey conducted in August, the value that employees place on workplace benefits has significantly increased amid the pandemic. In fact, 52% of employees would leave their job for another with the right benefits. What’s more, 77% said that benefits are a key part of their compensation (up 10% from last year).
Other Survey Findings:
Given the current uncertainty, it’s more important than ever for employers to offer the right benefits solutions to support their employees’ physical, mental, and financial wellness. To learn more, access the survey and infographic.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Blue Shield recommends employers develop a COVID-19 testing policy and have members seeking a COVID-19 test visit a network provider or testing site. To help you and your clients understand how coverage works for various workplace COVID-19 testing scenarios, and when pre-authorization and/or physician authorization is required, download Blue Shield’s Understanding COVID-19 Testing for Employer Groups guide.
Blue Shield COVID-19 Testing for Employer Groups
The Blue Shield Workplace COVID-19 Testing Guide details the factors that determine coverage:
Additional Resources:
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Because of COVID-19, flu shots are more important than ever this year. Some experts fear a potential “twindemic” from COVID-19 and the seasonal flu — two epidemics happening at the same time. Getting the flu shot is an easy way for employers to help protect the health of their employees and the community.
As you know, vaccines can greatly reduce the chance of employees contracting the flu, or from experiencing complications from the flu. The good news is most fully insured plans provide access to $0 flu shots because it’s a covered preventive care benefit provided by the Affordable Care Act.
It’s best to get the shot early in the season, such as in the fall, for maximum protection, according to the Centers for Disease Control and Prevention (CDC). But you can still get your flu shot while the flu viruses are circulating later in the season. Blue Shield members can receive a flu shot at a variety of locations including doctors’ offices and retail pharmacies such as CVS Pharmacy®, Costco, Vons/Safeway, and more.
Flu Vaccines Resources
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
For employers who have been impacted financially by COVID-19, Blue Shield is continuing its Premium Payment Plan Program for the month of September. This program provides a flexible premium payment plan option for employers whose premium payment is delinquent. Get the details.
Visit Blue Shield’s Broker Connection to learn more.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Findings from the 2021 Large Employers’ Health Care Strategy and Plan Design Survey, conducted by Business Group on Health, reveal employer approaches to health care and benefits in the midst of COVID-19, and ways employers are addressing COVID-19 through their benefit plans, programs, and overall workforce strategies. These insights are valuable to companies of all sizes, including smaller employers, who compete with larger organizations for talent.
Health and Well-Being’s Role in Workforce Strategy
Employers see investments in health and well-being as an integral part of workforce strategy, increasing from 36% in 2019 to 45% in 2020. This is in part due to the COVID-19 pandemic, connecting employee health and well-being and overall business performance.
Virtual Care Ubiquity
Virtual care is here to stay. COVID-19 caused the pace of virtual care implementation to accelerate at an exponential rate with a surge in demand across a range of conditions.
Health Care Costs Are a Moving Target
COVID-19 has triggered delays in preventive and elective care, which could mean that the projected healthcare trend for 2020 (50%) may turn out to be too high. If care resumes in 2021, the projected trend (5.3%) may prove to be too low.
Mental Health Stays in The Spotlight
Employers have doubled down on mental health and emotional well-being. A benefit of this development has been less stigma with, and more acceptance of, mental health issues.
Delivery Reform Efforts Overshadowed Yet Underscored by COVID-19
Many employers continue to pursue efforts to improve outcomes, quality, cost, and the overall health care experience via delivery system reforms, including ACOs, COEs, HPNs, and advanced primary care arrangements. However, the rate of implementation has been impacted and overshadowed due to the prioritization of critical emerging issues due to the pandemic. That said, the pandemic has underscored and magnified foundational flaws with the status quo. Employers will likely resume reform efforts post-pandemic.
High-Cost Drugs Top Pharmacy Concerns
Employers remain focused on cost management strategies for specialty medicines but have been increasingly turning their attention to controlling trends for newer, especially high-cost therapies. For these therapies, in particular, 80% of employers are concerned that strategies to finance high-priced therapies do little to control overall drug prices.
Despite The Pandemic, On-Site Services Will Grow and Play a Critical Role in 2021
On-site services, including clinics and mental health counselors, have proven to be flexible enough to adapt to the current landscape and provide COVID-19 testing and virtual counseling. For most employers, on-site services will continue to be a part of their approach to health care.
To learn more, download the 2021 Large Employers’ Health Care Strategy and Plan Design Survey.
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.