Are customers able to continue employee ancillary benefits if the entire workforce is laid off in response to the COVID-19 crisis?

As long as the group and employee are current on their monthly payments, ChoiceBuilder will allow employees that would otherwise have lost eligibility to remain on the plan. COBRA is available to employees where there is an active employer policy.

Learn more.

If an employer wants to reduce their contribution mid-year to save money will you allow it?

Employers may make a one-time, “mid-plan year” change to their contribution or plan to reduce
their premiums and maintain coverage for the balance of the contract year. Employees may also
make a one-time “mid-plan year” change to downgrade from the current plan they are on to a
lower cost plan as long as they remain with the same Ancillary Carrier.

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Will you waive any rehire waiting period for re-hired employees who were terminated due to COVID-19?

ChoiceBuilder will allow the group to define the waiting period when the employee returns to work.

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What continuation of coverage applies if my plan is fully-insured and one or more employees are terminated as a result of COVID-19?

If an employee loses eligibility and the group will not cover the employer contribution, the employee is encouraged to explore COBRA, their state based individual exchange, or the federally facilitated marketplace, based on a qualifying life event (per existing standard business practices and applicable law).

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If I terminate employees in the middle of the month as a result of COVID-19, will my fully-insured coverage extend for the terminated employees until the end of the month?

If premiums have been remitted for the month, coverage will continue through the end of that month (per existing standard business practices and applicable law).

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If an employer group cannot make their premium payment due to impacts to their business from COVID-19, will the ChoiceBuilder consider extending the current 30-day grace period prior to termination?

ChoiceBuilder realizes these are unprecedented times and want to help and support their customers where possible. If customers are having trouble making payments they should reach out to their account manager or customer service. ChoiceBuilder will evaluate payment extensions on a case-by case basis.

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Is UnitedHealthcare considering off-renewal premium changes for small businesses that may be financially impacted?

Get the answer in UnitedHealthcare’s COVID-19 Business Disruption Support FAQs.

What is Blue Shield doing to make it easier for members to receive their prescriptions?

• Early refill limits have been waived.
• 90-day supplies of maintenance medications are available through mail-service pharmacy CVS Caremark.
• No fee mail service is available through CVS Caremark.
• Free home delivery is also available through several pharmacy chains.

Learn more.

What is Health Net doing to make it easier for members to receive their prescriptions?

• Early refill limits waived have been waived.
• Home and mail delivery restrictions have been relaxed.

Contact Claremont for more information.

What is Kaiser doing to make it easier for members to receive their prescriptions?

• A 3-month supply for most prescriptions is available at 1/3 off regular price.
• Kaiser is recommending mail delivery to members.

Contact Claremont for more information.