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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.

Keeping employees covered

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

Posted April 1, 2020 by David Horn

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

Enrollment period through end of June, 2020
Intended for employees and dependents of employees who previously waived coverage.
Effective Date of the coverage will be first of the month following the date the enrollment was submitted, ending with July 1st effective date for the SEP.
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.

Learn more.

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

Posted April 1, 2020 by David Horn

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.

Terms
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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.

PRISM Login

Covered California for Small Business – New Blue Shield Plans

Keeping employees covered

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

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

Covered California for Small Business –
New Blue Shield Plans