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Blue Shield - New Virtual Blue Plans

The Virtual Blue plans give members (small and large groups) the choice of virtual or in-person care. Virtual care includes $0 unlimited visits to primary care, behavioral health and specialty care through a new partnership with AccoladeCare. In-person care is available through the Tandem PPO network in California and via BlueCard when outside of the state.

The two Virtual Blue small group plans available in PRISM are the Virtual Blue Gold Tandem PPO 1500/45 and Virtual Blue Bronze Tandem PPO 7500/75. These can be identified by ‘Virtual Blue’ in the plan name.

When using the PRISM filter options for Narrow or Broad networks, select ‘All’ networks instead of ‘Broad’ only networks to generate plans for Blue Shield’s Virtual Blue, Trio HMO, and Tandem PPO plans.

If you need assistance, please contact our Quotes team at or 800.696.4543.

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ACA-Compliant Small Group Plan Rate Factors

The ACA Premium Rate Factors – What Employers Need to Know

As employers receive their carrier renewal statements, and review their 2016 health benefit packages, they’ll notice only ACA-compliant plans will be offered. The new benefits, cost-sharing, and rating methodology of ACA-compliant plans are expected to substantially impact premiums, in excess of the annual premium changes offered to employers over the past 20 years.

Most carrier renewal statements will include some level of comparison between current and renewal premiums, but they will not explain where or how the changes will affect premiums. Employers will therefore be approaching brokers for explanations about the changes and premium adjustments.

To understand the changes, easily compare plans, and prepare your employers for the financial implications, access our comprehensive easy-to-use guides and videos below.

Successfully Advise and Retain Your Clients with These Essential Resources:

  • Executive Summary
    A one-page overview of the primary factors that impact ACA-compliant plan premiums.
  • The Broker’s Guide
    A detailed review of the factors that impact premiums; distillation of the law, carrier policies and procedures; plus practical examples and valuable analyses.


Watch Videos 2-4

Download the HHS Default Standard Age Curve to learn more.


Contact your Claremont team at 800.696.4543 or