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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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UnitedHealthcare

If an insured customer has multiple plan options and opts into the Special Open Enrollment, can current members change plans?

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No. The Special Open Enrollment period is NOT intended to allow members to change plan options. The Special Open Enrollment is merely waiving policy restrictions on adding new enrollees outside of open enrollment or the normal special enrollment period. The employer-sponsored group health plan will decide if they want to offer the option for new entrants to the plan. Learn more.

If an insured employer has only a single benefit plan, but wants to change the plan mid-year to a leaner plan design to save money will UnitedHealthcare allow it?

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Yes. During the next 90 days, and one time only, if an employer wishes to buy down their benefit plan, UnitedHealthcare will allow it. The group’s effective date will not change. Learn more.

Can an insured employer add an additional leaner plan and have a Special Open Enrollment?

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An employer can add the leaner plan, but only new members can join that plan during the Special Open Enrollment – they will not allow movement across plans mid-year. Learn more.

If a fully insured employer reduces hours for part or their entire workforce in response to the COVID-19 National Emergency can the company continue to cover those employees?

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

Can employers use credit cards to pay premiums?

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

Will UnitedHealthcare waive any rehire waiting period for re-hired employees who were terminated due to Covid 19.

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

Will United Healthcare allow fully-insured clients to continue to offer medical benefits to furloughed or with reduced hours due to COVID-19?

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

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

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

Can a member self-refer for the test?

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Get the answer in UnitedHealthcare’s COVID-19 Testing FAQs.

What is the process if an employer group requests to opt out of covering the test or test related expenses?

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Based on federal legislation passed on March 18, 2020, all plans are required to cover these services without cost-sharing during the emergency period.

Learn more.

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.