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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 enrollment counselors refer leads directly to CIAs?

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Certified enrollment counselors can refer business to certified insurance agents, but certified insurance agents cannot share commissions with the certified enrollment counselors.

Are there bilingual marketing materials available now?

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Yes, marketing materials are available now in English, Spanish, Chinese, and Vietnamese.

What is the role of your company (Claremont) to an agent like me?

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As a General Agent, we provide product information regarding our carriers; assist with running proposals; provide market information; and assist with enrollment, post-sales support, and claims issues.

Will there be an agent link to the portal so agents get credit for the sale?

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There is no current ability to link an agent’s website with Covered California’s website.  However, agents can create a profile on the Covered California website and there will be a field on the enrollment form that allows consumers to select/designate their agent.

Can individual/family plan transfer from one agent to another using agent of record?

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Yes.

How are Certified Enrollment Counselors paid?

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Certified Enrollment Counselors have to be affiliated with a Certified Enrollment Entity and the Certified Enrollment Entity is paid $58 for each initial application during open or special enrollment; $58 for each re-enrollment application; and $25 for each annual renewal application.

What is the status of the Navigator program?

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A request for applications was released on June 30, 2014.

Can Certified Insurance Agents take a paper application, then process it online for our clients?

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Online applications have been delayed until Fall 2014.

Can we use the Covered California logo on our business cards?

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Covered California has developed a Certified Insurance Agent logo to designate insurance agents who have met the requirements established by Covered California.  The logo is available to Certified Insurance Agents to use on their websites, business cards, letterhead and other communications materials.

See agent tools: http://hbex.coveredca.com/agents/tools

Is there a reciprocal agent certification agreement with out-of-state Exchanges?

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Currently there is no reciprocal agent certification agreement with out-of-state Exchanges.

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.