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PRISM - Stop, Do Not Quote Health Net

Health Net Is Exiting the California Group Market
Health Net will no longer offer small or large group coverage in CA. In-force groups terminate February 28, 2027. Your Claremont team is ready to help find alternatives. Call 800.696.4543 or email quotes@claremontcompanies.com.

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Blue Shield Small Business Group Change Request Q3-Q4 2025 – Spanish

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Blue Shield Small Business Master Group Application Q3-Q4 2025 – Spanish

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Health Net Employee Application for Group Enrollment and Change – Spanish

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ChoiceBuilder Employee Enrollment Form Q1-Q2 2025 – Fillable – Spanish

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Balance By CCHP Employee Decline – Waive Coverage Form Spanish

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ChoiceBuilder Employee Termination Notification Form – Spanish

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ChoiceBuilder Common Ownership Statement – Spanish

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Balance By CCHP New Group Kit 2025

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Balance By CCHP New Group Checklist – Spanish

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Balance By CCHP Master Group Application – Spanish

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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.