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PRISM - Health Net is Now Available Through Claremont!

Why Choose Health Net?
Lowest rates in the market – Affordable options without compromising quality.
Robust PPO network – Competes with major carriers like Anthem and Blue Shield.
Flexible HMO options – Networks to fit nearly every group statewide and every budget.
Simplified underwriting – Only 25% participation required for groups with 5+ enrolling. No DE9C or prior carrier bill needed.
Easy-to-sell benefits – $0 deductible HMO plans + four years of rate stability.
Nationwide coverage – Cigna network access for out-of-state employees + state plurality rules for group qualification.

Start Including Health Net in Your Quotes Today!
Need guidance on networks, plan designs, or have questions? We’re here to help!

Call us at 800.696.4543 | Email us at info@claremontcompanies.com.

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Agent Concerns

How can Covered CA give rate information without being licensed?

Posted by

Assuming the question pertains to Certified Enrollment Counselors, Certified Enrollment Counselors have been trained and certified to describe available health care options and guide the enrollment process. Certified Enrollment Counselors, however, cannot recommend specific health insurance companies.

As a Certified Insurance Agent, what should we do if we find that Certified Enrollment Counselors are making plan recommendations?

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You should report it to Covered California.

Broker of Record or Agent of Record?

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Covered California uses the term “agent” rather than “broker.”

How is the public going to find their closest agent?

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Consumers can search for agents according to consumer preferences, e.g. location, language.

Is Covered California ready to take appeals?

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Yes.

Do agents assist with annual re-certifications or is that done by Covered California?

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The role of the agent includes promoting and supporting retention efforts, which includes coverage renewals, eligibility redeterminations, etc.

Can an agent’s staff member get certified as an enroller if they are not licensed so they can assist us with sales?

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No.

If an individual applies for a plan through me on October 17th and on December 10th some other agent talks the individual into another plan, who would be the agent of record?

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The first agent will remain the agent-of-record until Covered California receives a notice in writing designating a new agent-of-record.

My sister lives in Hawaii and would like to purchase health insurance from me starting January 1st, 2014. Since all coverage will be purchased online, can she fill out an online application and I receive the credit for this sale as her representative?

Posted by

You would have to abide by the regulatory, Marketplace, and carrier requirements of that state.

The House is talking about defunding ObamaCare and postponing health care reform. Will this affect Covered California or are we moving ahead regardless of what the House decides?

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The funding for the implementation of Covered California is already in place.  Hence, the defunding of the ACA has no short-term impact on California’s implementation.

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 materialsrequest@claremontcompanies.com.