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PRISM - Stop, Do Not Quote Health Net

Health Net Is Exiting the California Group Market
Health Net will no longer offer small or large group coverage in CA. In-force groups terminate February 28, 2027. Your Claremont team is ready to help find alternatives. Call 800.696.4543 or email quotes@claremontcompanies.com.

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Covered CA

An employee wants a different metal tier than is available to him through his employer’s Covered California for Small Business plan. Can he opt out and buy an individual Covered California plan?

Yes, the employee can decline his employer’s coverage and purchase a Covered California individual plan. Agents should bear in mind:

  • the employee will not be eligible for subsidies if he is eligible for his employer’s plan and it is of minimum value and is affordable
  • employees that decline coverage to go to the individual exchange count against the employer’s participation requirement for Covered California for Small Business coverage.

There may be a more recent answer to this question. Contact Claremont for an update.

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 materialsrequest@claremontcompanies.com.

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