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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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Covered California for Small Business

What is the “Premium Deferral Program”?

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Covered California for Small Business has introduced a flexible premium payment plan to employers who have not yet paid their premiums for April or May.

Learn more.

Are there any extensions to new group application deadlines?

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Yes. Check the Carrier Responses section of our COVID-19 resource page for the latest information.

Is there a Special Enrollment Period for individuals who previously waived coverage?

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Yes. CCSB is offering a Special Enrollment Period (SEP) for individuals who previously waived coverage:

Learn more.

Can a group or employee change plans off-anniversary?

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CCSB is not allowing groups to drop or downgrade plan offering off-anniversary. However CCSB has indicated that they will work with an employer on a case by case basis for consideration.

Contact Claremont for more information.

Is there any additional grace period for the payment of premiums?

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Yes, there’s a 60 day grace period for April and May premium payments.

Contact Claremont for more information.

Can employers use credit cards to pay premiums?

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No. The available methods of premium payment have not changed; checks and ACH. No credit card payments.

If employees are required to work a reduced schedule (temporary layoff, furlough, reduction-in-hours, etc) will they remain eligible for coverage?

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If employee’s hours are reduced or if they are temporarily furloughed, but still considered employees, then so long as the monthly premium is paid coverage will stay in place.

Employers must ensure that any changes they make in this area of eligibility are equitable across all employees and employee classes. Employers must not make changes that could be considered discriminatory.

If employees are formally terminated, then COBRA is the only group coverage option.

Are there any extensions to new business submission deadlines?

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Yes. CCSB is extending new business submission deadlines to provide relief to employer groups and their brokers. See here for the updated deadlines, and the New Business Late Submission Acknowledgement form.

What Coronavirus resources is Covered California for Small Business making available for brokers, groups, employees and members?

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You can find Covered California for Small Business’ Coronavirus resources in the Coronavirus Carrier Resources section of our website. You can also stay up-to-date here with carrier actions in response to 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.