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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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Agent Concerns

Can an agent take the Covered California 8-hour certification class only and receive CE credit?

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Yes. The agent will get CE credit after having taken the 8-hour class. The agent does not need to complete any other steps towards certification in order to receive CE credit for having taken the 8-hour class. The agent will need to follow the usual process: create an account with Covered California and then log into the Learning Management System to sign up for a class.

Are there Certified Enrollment Counselors in the private individual marketplace or only in Covered California’s Individual Marketplace?

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Certified Enrollment Counselors only assist consumers in Covered California’s Individual Marketplace.

What is CalHEERS?

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CalHEERS is the California Healthcare Eligibility, Enrollment and Retention System. It is a web-based system that streamlines the eligibility and enrollment process for all products and programs available through Covered California.

Can agents use translators that are not Certified Insurance Agents?

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If the translator is using the CALHEERs system to enroll and maintain groups, the translator will need to be a Certified Insurance Agent.

Why would consumers need an agent if they can go online and sign-up?

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Certified Insurance Agents bring a depth of experience to consumers by:

I share a house with other housemates and I operate my business in my home office. I keep my records in my bedroom. What kind of locking/security measures are required?

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It is best to check with your Errors and Omissions provider for guidance.

Can a Certified Insurance Agent conduct seminars/workshops to provide Covered CA information to groups of people or individuals without becoming a certified educator?

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Yes.

What is the impact of the ACA on the San Francisco Health Care Security Ordinance (SF HCSO)

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The City and County of San Francisco recently published FAQs on the HCSO and the Affordable Care Act. Click here:

http://sfgsa.org/index.aspx?page=6306

Will agents be able to make changes to their Covered California account?

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If agents would like to make changes to their Covered California account (the one first established when registering for training), they will be able to so do once all steps in their certification process have been completed.  At that time they will be able to modify their agent profile and payment information (to direct payments to their agency rather than themselves).

How much information will Certified Enrollment Counselors need and have access to?

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Certified Enrollment Counselors will have information about consumers, health insurance, affordability programs, and Covered California health plans in order to provide in-person assistance to consumers and successfully enroll them in coverage.

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.