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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.Login To Prism
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 to the carrier per the carrier instructions, and retain a copy in their files.
Have a follow-up or benefits administration question?
Contact our small group experts at 800.696.4543 or firstname.lastname@example.org.