Covered California for Small Business Advantages for Small Employers

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Blue Shield - New Virtual Blue Plans

The Virtual Blue plans give members (small and large groups) the choice of virtual or in-person care. Virtual care includes $0 unlimited visits to primary care, behavioral health and specialty care through a new partnership with AccoladeCare. In-person care is available through the Tandem PPO network in California and via BlueCard when outside of the state.

The two Virtual Blue small group plans available in PRISM are the Virtual Blue Gold Tandem PPO 1500/45 and Virtual Blue Bronze Tandem PPO 7500/75. These can be identified by ‘Virtual Blue’ in the plan name.

When using the PRISM filter options for Narrow or Broad networks, select ‘All’ networks instead of ‘Broad’ only networks to generate plans for Blue Shield’s Virtual Blue, Trio HMO, and Tandem PPO plans.

If you need assistance, please contact our Quotes team at quotes@claremontcompanies.com or 800.696.4543.

Covered California for Small Business Advantages for Small Employers

May 3, 2021, 2 Minute Read

Covered California for Small Business (CCSB) offers small businesses (1-100 employees) a choice of quality, affordable HMO and PPO health plans from Blue Shield of California, Health Net, Kaiser Permanente, Oscar, and Sharp Health Plan. What’s more, CCSB provides access to the broadest network of physicians and hospitals in California.

The Small Business Health Care Tax Credit, available only with coverage purchased through CCSB, can save employers up to 50% on health care premiums and generate new business opportunities for agents. To learn more, get our Health Care Tax Credit Solution.

Q3-2021 Rates (Effective July 1, 2021)

Sharp Health Plan will not change rates.
Overall quarterly rate trends, not plan or region specific:
– Blue Shield of CA 1.2%
– Health Net -1.4%
– Kaiser Permanente 3.0%
– Oscar 4.5%

Advantages

Quality, affordable health insurance plans from well-known trusted carriers regionally and statewide.
Greater choice – employees can select any plan from any carrier in their region.
Financial control – employers can define the amount they will contribute toward employees’ premiums.
Exclusive tax credits of up to 50% on employee health care premiums to help pay for the cost of providing health insurance. This tax credit is only available through CCSB and can be applied to their federal tax return. To qualify, small business clients:
- Must have less than 25 full-time equivalent employees (FTEs);
- Pay an average wage of less than $56,000 per year; and
- Pay at least half of their employees’ health insurance premiums.
- Learn more about the tax credit, and download the Employer Tax Credit flyer and How to Apply for The Tax Credit flyer.
- Check out Claremont’s Tax Credit Solution for brokers with tips on how to sell the tax credit to your clients and downloadable resources.
Employee-only coverage that allows eligible dependents to qualify for subsidies.
No pediatric dental requirement.
Price protection – Covered California will always have the lowest cost plans.
Discounts and free programs to help members reach their fitness and health goals are available from certain CCSB carriers. Download the Added Values flyer for details.
Simplified administration and online tools.
Lead generating marketing and promotions for agents.

Resources

CCSB Health and Dental Plan Offerings for 2021. A visual map of the California counties where the carriers are available, including full and partial coverage for the 19 pricing regions.
CCSB 2021 Plan Summaries – All Tiers. – A chart of plan benefits (in-network and out-of-network) offered by tier.
CCSB Advantages for Agents Sales Guide. – Why sell it and how you benefit. Ten advantages and broker benefits, plus comparisons of CCSB, private exchange, and carrier direct features.
CCSB Advantages for Employers Sales Guide. – Nine reasons why a CCSB plan delivers value to employers, plus comparisons of CCSB, private exchange, and carrier direct features. (Distribute to your prospects and clients.)
CCSB FAQs.
CCSB overview, new business submission deadlines and instructions.

To learn how you and your employer groups will benefit from Covered California for Small Business, get a quote now!

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

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