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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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ACA/Healthcare Reform

Where do individuals get the IRS forms to show that they had qualifying health care coverage and thus have complied with the Individual Mandate?

If an individual had qualifying health care coverage, also known as minimum essential coverage, the provider of that coverage is required to send the individual a Form 1095‐A, 1095‐B, or 1095‐C (with Part III completed) that includes individuals in the family who were enrolled in the coverage and their months of coverage.

 

  • Individuals enrolled in health care coverage through Covered California will receive a Form 1095‐A from Covered California.
  • Individuals enrolled in individual plans outside of Covered California will receive a Form 1095‐B from the carrier.
  • Individuals enrolled in a government‐sponsored health program will receive a Form 1095‐B from the agency that administers the program or provides the coverage.
  • Individuals enrolled in fully-insured health coverage provided by their employer will receive a Form 1095‐B from the carrier.
  • Individuals enrolled in self-insured health coverage provided by a small employer will receive a Form 1095‐B from their employer.
  • Individuals enrolled in self-insured health coverage provided by an Applicable Large Employer will receive a Form 1095‐C from their employer.

 

These forms must be sent on or before January 31 of the year following the calendar year in which minimum essential coverage is provided.  Even if individuals have not received one of these forms, but had health care coverage, according to the IRS, they can rely on other information they have about their coverage to complete their tax forms.  Consult with a tax advisor to determine what documents are acceptable.

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.