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Employer contribution entered in Dental Contribution under Group Information affects the Delta Dental plans and rates returned. Please be aware that Delta Dental will require groups with 100% employer contribution to have 100% participation.Login To Prism
Starting in April 2016, Out-of-State (OOS) coverage will no longer be available for Health Net plans through Covered California for Small Business. The good news — Covered California will continue to accept new groups with Health Net OOS members through March effective dates; and groups that renew in April or thereafter can take advantage of OOS coverage with Blue Shield of California.
Effective Dates: February and March
Health Net plans that cover OOS employees can be purchased.
Effective Dates: April and Thereafter
Health Net plans in up to two contiguous metal tiers can be purchased, however, OOS employees will enroll in the Blue Shield Bronze PPO plan* and access care through the BlueCard Program.
Renewal Dates: February and March
OOS employees can remain enrolled in their current Health Net plan until the group’s next renewal, at which time they will migrate to the Blue Shield Bronze PPO plan* and access care through the BlueCard Program.
Renewal Dates: April and Thereafter
Groups will receive a notice in their renewal stating Health Net OOS coverage is no longer available. OOS employees will enroll in the Blue Shield Bronze PPO plan* and access care through the BlueCard Program.
Notify your affected groups about the Health Net cut-off and recommend the best options to your clients.
Questions? Need assistance?
Contact the small group experts at 800.696.4543 or firstname.lastname@example.org.
*Enrollment in the Blue Shield of California Bronze plan through Covered California for Small Business is permitted even if the employer has selected Silver, Gold or Platinum plans for their coverage tier.