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Covered California for Small Business –
New Blue Shield Plans

New Cigna + Oscar (C+O) small group sales and renewals will not be offered in 2025. At C+O’s request, all plans and rates have been removed from the quote engine. However, you can still quote or renew your C+O groups through December 15, 2024 by contacting us at quotes@claremontcompanies.com or 800.696.4543. Please note: the last day of coverage will be December 14, 2025.

For assistance, please contact our Quotes team at quotes@claremontcompanies.com or 800.696.4543.

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ACA/Healthcare Reform

Why are some small business Blue Shield contract holders getting a small rebate relative to the total premium amount they paid in 2015?

In 2015, some groups’ Blue Shield plans were regulated by the California Department of Insurance (CDI) for 11 months and by the Department of Managed Health Care (DMHC) for one month.  Blue Shield only owes rebates in DMHC-regulated plans for 2015.  For these groups, Blue Shield will pay a rebate for the one month their plan was regulated by the DMHC.

 

Qualifying 2015 Blue Shield Small Business plans for a MLR rebate are as follows:

Platinum Full PPO 0 DMHC

Platinum Full PPO 150 DMHC

Gold Full PPO 0 DMHC

Gold Full PPO 750 DMHC

Gold Full PPO 1000 DMHC

Silver Full PPO 1250 DMHC

Silver Full PPO 1700 DMHC

Bronze Full PPO 4500 DMHC

Bronze Full PPO 3000 DMHC

Silver Full PP HSA2000 DMHC

Bronze Full PPO HSA3500 DMHC

Bronze Full PPO HSA5500 DMHC

Platinum Access+HMO $25 DMHC

Platinum Local Access+HMO $25 DMHC

Platinum Trio ACO HMO $25 DMHC

Gold Access+HMO $30 DMHC

Gold Local Access+HMO $30 DMHC

Gold Trio ACO HMO $30 DMHC

Silver Access+HMO $55 DMHC

Silver Local Access+HMO $55 DMHC

Silver Trio ACO HMO $55 DMHC

Bronze 60 PPO Mirror DMHC

Platinum 90 HMO Network 2 Mirror DMHC

Platinum 90 HMO Network 1 Mirror DMHC

Gold 80 HMO Network 2 Mirror DMHC

Gold 80 HMO Network 1 Mirror DMHC

Silver 70 HMO Network 2 Mirror DMHC

Silver 70 HMO Network 1 Mirror DMHC

 

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.