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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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Is the City of San Francisco providing any relief to employers and employees from Health Care Security Ordinance (HCSO) regulations?

Posted by

Yes.

All other HCSO requirements are still in effect.

 

Helpful Resources

City of San Francisco, OLSE
Health Care Security Ordinance webpage

SF City Option Cash Disbursement Program
Details of allowance for one-time cash disbursements from SF MRAs

 

Claremont Insurance Services and its affiliates do not provide tax, legal or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any transaction.

If a business closes, are terminated employees eligible for COBRA coverage?

Posted by

No. COBRA coverage continues and/or is available only if the employer plan remains in place. Employers should consult their COBRA administrator before making any COBRA determinations.

 

Claremont Insurance Services and its affiliates do not provide tax, legal or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any transaction.

Can HDHPs provide first dollar coverage for telehealth services?

Posted by

Yes, the IRS has advised that high-deductible health plans (HDHPs) can pay for 2019 Covid-19 -related testing and treatment, without jeopardizing their status.

In addition, the CARES Act allows “telehealth and other remote care services” below the deductible to be permitted in an HSA-compatible high deductible health plan (HDHP). This provision is effective immediately and will expire December 31, 2021.

This also means that an individual with an HDHP that covers these costs may continue to contribute to a health savings account (HSA).

 

Helpful Resources

US Internal Revenue Service (IRS)
Coronavirus Tax Relief web page, including information of the refundable tax credits available under the FFCRA.

 

Claremont Insurance Services and its affiliates do not provide tax, legal or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any transaction.

 

Can HDHPs provide first dollar coverage for Covid testing and treatment?

Posted by

Yes, the IRS has advised that high-deductible health plans (HDHPs) can pay for 2019 Covid-19 -related testing and treatment, without jeopardizing their status. This also means that an individual with an HDHP that covers these costs may continue to contribute to a health savings account (HSA).

 

Helpful Resources

US Internal Revenue Service (IRS)
Coronavirus Tax Relief web page, including the news release and guidance relating to HDHP coverage of Covid-19 testing and treatment.

 

Claremont Insurance Services and its affiliates do not provide tax, legal or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any transaction.

For Applicable Large Employers under the ACA, how is employee eligibility determined in the event of a reduction in hours, furlough or similar?

Posted by

There are numerous issues that Applicable Large Employers will need to consider regarding employee eligibility, including appropriate administration of measurement and stability periods, affordability, and more. Employers should consult an ACA advisor.

Helpful Resources

Claremont has several HR Compliance and ACA Reporting trusted partners that can help brokers and employers navigate Affordable Care Act requirements. See the Trusted Partners section of our website for more information.

 

Claremont Insurance Services and its affiliates do not provide tax, legal or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any transaction.

Is there any filing relief for Applicable Large Employers under the Affordable Care Act (ACA)?

Posted by

Not currently.

Claremont Insurance Services and its affiliates do not provide tax, legal or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any transaction.

Are furloughed employees eligible for COBRA coverage?

Posted by

Some carriers are temporarily permitting employees to remain eligible for employer coverage during a furlough. Employers should check their carrier’s furlough policy, and then consult their COBRA administrator before making any COBRA determinations. In general, loss of employer coverage because of termination of employment or reduction in hours is a COBRA qualifying event.

 

Claremont Insurance Services and its affiliates do not provide tax, legal or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any transaction.

What OSHA responsibilities do employers have related to the Coronavirus?

Posted by

OSHA regulations stipulate that employers have a responsibility to provide a safe workplace. The US DOL, Occupational Safety and Health Administration has a web page dedicated to OSHA-related Coronavirus issues, including an outline of OSHA standards that apply to to Covid-19.

 

Claremont Insurance Services and its affiliates do not provide tax, legal or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any transaction.

 

 

What is the Emergency Family and Medical Leave Expansion Act (Expanded FMLA or EFMLA)?

Posted by

The Emergency Family and Medical Leave Expansion Act (Expanded FMLA or EFMLA) is the formal name for the part of the FFCRA legislation that provides a temporary expansion of the Family and Medical Leave Act (FMLA) to cover a new category of leave related to the Coronavirus.

What is the Emergency Paid Sick Leave Act (EPSLA)

Posted by

The Emergency Paid Sick Leave Act (EPSLA) is the formal name for the part of the FFCRA legislation that provides emergency paid sick leave for employees affected by the Coronavirus.

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.