Covered California for Small Business Q1-2023 Updates

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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 Q1-2023 Updates

Oct 3, 2022, 2 Minute Read

To ensure your success in 2023, below are important updates from Covered California for Small Business (CCSB).

Quoting

January 1, 2023 effective dates are available for quoting through PRISM, our free and easy online quoting system.

Plan Updates

Health Net PPO plans will no longer be offered through CCSB beginning January 1, 2023. Existing employer groups and members will keep their CCSB Health Net PPO plan until the end of their plan year in 2023. New groups can continue to enroll through December 2022. At renewal in 2023, employer groups will need to pick a replacement CCSB plan from another carrier.

Bonus Program

‘A Partnership That Pays’ broker bonus program is available for coverage effective through January 1, 2023.

CCSB 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 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 groups will benefit from Covered California for Small Business, contact us for a quote today!

Get a Quote

Questions?
Contact The Claremont Answer Team at 800.696.4543 or info@claremontcompanies.com.

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