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Covered California for Small Business –
New Blue Shield Plans

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.

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San Francisco HCSO

Covered Employers are only required to make Health Care Expenditures for their Covered Employees. Which employees are Covered Employees?

An employee is covered by the HCSO if s/he works for a Covered Employer and:

  1. Is entitled to be paid the minimum wage;
  2. Has been employed by his or her employer for at least 90 calendar days;
  3. Performs at least 8 hours of work per week within the geographic boundaries of San Francisco (not just full-time and part-time employees who work 20 or more hours per week need to be covered); and
  4. Is not an exempt employee, which includes employees who –
    1. Voluntarily waive their right.
    2. Qualify as managers, supervisors, or confidential employees AND earn more than the applicable salary exemption amount:
      2017 – $95,101 (annual), $45.72 (hourly) (includes commissions and piece rate wages, but does not include overtime wages, gifts, or most bonuses.).
    3. Are covered by Medicare or TRICARE.
    4. Are employed by a non-profit corporation for up to one year as trainees in a bona fide training program consistent with federal law.
    5. Receive health care benefits pursuant to the San Francisco Health Care Accountability Ordinance (HCAO).

In our library, you’ll find carrier forms, applications, enrollment kits, broker bonuses, marketing resources, and more (video tutorial). However, not all carrier forms are available online.

If you don’t find what you are looking for, contact our team for help at 800.696.4543 or materials@claremontcompanies.com.