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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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Broker Updates

Archive for the ‘Broker Updates’ Category

Celebrating 30 Years of Industry Service – Claremont President Michael Traynor

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Please join us in celebrating the 30th work anniversary of Claremont President Michael Traynor.

Michael joined Claremont in 1993 as one of our founding employees and has since guided the company – and helped our customers grow and thrive – through many rounds of industry change during the last 30 years.

From company Chairman Bob Traynor: “I founded Claremont back in the early 1990s to help brokers build their health benefits businesses. Michael was one of our first employees, and I might be biased, but he turned out to be one of the best hires we made. Thank you Michael for carrying on the good work!”

From industry veteran Michael Lujan: “I think I speak for the whole industry when I say thank you Michael for your long-term and consistent support of California’s independent brokers and agents. Congratulations Michael on thirty years at Claremont!”

Please join us in wishing Michael a happy 30th work anniversary!

 

 

 


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Blue Shield of California – New Virtual Blue Plans

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Effective January 2023, Blue Shield of California is launching two new Virtual Blue plans, available in both the Small Group and Large Group portfolios.

The new Virtual Blue plans give members 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.

Employer Advantages Include:

Employee Advantages Include:

Learn more about Virtual Blue, including product resources, video explainers and plan summaries.

Additional Resources

Contact us today for a Blue Shield quote.

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Resources

COVID-19 Resources

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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Are You Capitalizing on The Health Care Tax Credit?

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Cost concerns and rising inflation are top healthcare challenges for small businesses. Offer your clients and prospects savings of up to 50% on health care premiums for up to two years with the Health Care Tax Credit – only available through Covered California for Small Business (CCSB). To maximize your clients’ savings, move them into a Covered California for Small Business plan this year.

Use our simple turnkey Health Care Tax Credit Solution to ensure your clients get the most for their health care dollars. Provide us with some basic group information and we’ll estimate the Tax Credit percentage and dollar amount for which your client will qualify.

The tax credit depends on several factors such as:

Results we’ve seen so far:

Example of a tax credits received by a small business:

CCSB Tax Credit Example

Bring the Tax Credit value to your clients.

 


Partner with Claremont for:

Claremont has been a trusted CCSB partner since its 2014 launch, and we are a top producing general agency in our sales territory. From agent certification and quoting to assessing new group eligibility and resolving post-enrollment issues, our CCSB experts will provide guidance and support every step of the way.

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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Humana – 2023 Updates

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In addition to the continuation of the 2-year rate guarantee for new dental business, Humana is offering a Special Discounts Program and an enhanced Specialty Growth Bonus.

Special Discounts Program

To strengthen the personal well-being and enrich the lives of members enrolled in an ancillary line of coverage (excludes waivers), Humana is offering a Special Discounts Program that includes the following.

Dental

Vision

Weight Loss Programs Through Nutrisystem

Health and Wellness

Hearing Aids

Identity Monitoring and Protection Services by CyberScout®

Download the Humana Special Discounts Program flyer to learn more.


Specialty Growth Bonus

Intended for specialty lines of coverage of all sizes, the Humana Specialty Growth Bonus is paid once annually, within 60 days after the January 31, 2024 program end date.

2023 Enhancements

Bonus Program Highlights

Eligible Products

To learn more, download the Humana Specialty Growth Bonus flyer.

Contact us today for a Humana quote and take advantage of the Special Discounts Program and Specialty Growth Bonus.

Get a Quote

 

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


Get The Latest News with Text Messaging!

Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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Blue Shield of California Q2-2023 Updates

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Blue Shield of California continues to provide value to your small group clients. Here’s a summary of the updates to prepare for Q2.

Q2-2023 Rates

Medical Plan Changes
There are minimal changes to Blue Shield’s medical plan portfolio.

More information and plan summaries can be found in Blue Shield’s updated April 1, 2023 Medical Sales Guide and Specialty Sales Guide.

Contact us today for a Blue Shield quote.

Get a Quote


Resources

COVID-19 Resources

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


Get The Latest News with Text Messaging!

Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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Blue Shield – Provider Contract Negotiation Updates

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Choice Medical Group Successful Contract Negotiation

Blue Shield of California has agreed to a multiyear provider contract negotiation with Choice Medical Group Apple Valley and Choice Medical Group Barstow in San Bernardino County.

Members who received contract termination letters will now receive “good news” letters with information on the successful negotiation.

Rady Children’s Health Network and Hospital Successful Contract Negotiation

Blue Shield of California and Blue Shield of California Promise Health have reached contract agreements with Rady Children’s Health Network (RCHN) and Rady Children’s Hospital in San Diego County.

Members who received contract termination letters regarding Rady Children’s Health Network (RCHN) will now receive “good news” letters with information on the successful negotiation.

Contact us today for a Blue Shield quote!

Get a Quote


Resources

COVID-19 Resources

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


Get The Latest News with Text Messaging!

Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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Delta Dental – 2023 Dental Benefits Trends

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Delta Dental 2023 Trends

The impact of COVID-19, rapid technological advancements, inflation, a tightening labor market, and an aging population will affect employee benefits in 2023. Delta Dental anticipates these trends for you and your clients in 2023:

Budgeting and Health Benefits

A recently released KPMG CEO Outlook survey found that firms of all sizes are looking to cut costs in preparation for a possible recession. Eight out of ten CEOs anticipate a recession over the next year.

When it comes to cutting costs, small businesses don’t have to sacrifice benefits. Offering affordable dental benefits is still possible with Delta Dental’s small business dental plans – with three different price points to meet most budgets. Delta Dental PPO™ and DeltaCare® USA plans are available at each price point.

Telehealth Expansion

A wave of technological advances, including a huge increase in telemedicine and teledentistry, in part spurred by the COVID-19 pandemic, will continue to impact and transform dental care in 2023. These technological advances will continue to improve efficiencies, enhance patient care, and broaden accessibility. In fact, about 55% of large employers plan to increase access to virtual health services, according to a November report.

Delta Dental offers two convenient virtual dentistry options:

Attracting Talent with Benefits

In a labor market still recovering from COVID-19, attracting and maintaining a high-quality workforce is more important, and difficult, than ever. As the Great Resignation continues to influence the job market, employers who are looking to expand in 2023 may find job applicants tough to find.

According to a recent survey, almost half of employees said they are currently looking or planning to look for a new job in 2023, up five percent from 2022. And a Forbes survey found that in 2022, eight percent of employees left a job they liked to find better health benefits.

robust dental benefits package can play a key role in your clients’ success and set them apart from the competition. According to the Bureau of Labor Statistics, only 44% of civilian workers have access to dental benefits, so companies who do offer dental benefits have an extra advantage in attracting talent. What’s more, a recent survey showed that 33% say health benefits and services are the most important factor when choosing an employer.

Benefits are Essential

Health care benefits are a big part of an employer’s overall salary package. And having a strong and strategic benefits package is key to recruiting and retaining valuable employees. Plus, having healthy people on the job means a higher level of employee productivity. Make sure your groups have access to the most comprehensive and affordable dental benefits by offering them Delta Dental.

Contact us today for a Delta Dental quote.

Get a Quote


Resources

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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Blue Shield – Choice Medical Group Successful Contract Negotiation

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Blue Shield of California has agreed to a multiyear provider contract negotiation with Choice Medical Group Apple Valley and Choice Medical Group Barstow in San Bernardino County.

Members who received contract termination letters will now receive “good news” letters with information on the successful negotiation.

Contact us today for a Blue Shield quote!

Get a Quote


Resources

COVID-19 Resources

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


Get The Latest News with Text Messaging!

Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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Small Group Special Enrollment Period Ends December 15

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By law, all carriers are required to offer the small group Special Enrollment Period (SEP) one time per year to allow employers to enroll in coverage with a $0 contribution requirement and no minimum participation requirement. The application period is from November 15 to December 15, 2022, for coverage effective January 1, 2023. Carrier administration of the SEP may vary slightly, including recertification at renewal.

The SEP provides several year-end sales opportunities and solutions for employers with unique needs, such as:

Please note: the Special Enrollment Period is different than the relaxed participation promotions. These carrier promotions are usually offered for a specific time period and may be discontinued at any time.

Quickly compare carrier deadlines and details with our Carrier SEP Guide:

Carrier SEP Guide

Contact us to help your clients take advantage of the SEP.

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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Blue Shield Network Update – Rady Children’s and Choice Medical Group

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Blue Shield of California has not yet reached an agreement on rates and terms of contracts with Rady Children’s Health Network (RHCN), Rady Children’s Hospitals in San Diego, and Choice Medical Group. Without an agreement, the terminations will become effective as follows:

Blue Shield is preparing a smooth transition to alternate PCPs and medical groups so members will continue to have uninterrupted access to quality care. If a member’s PCP is part of another in-network medical group, they’ll be assigned that same PCP. Otherwise, members will be assigned a new PCP based on geography and availability. PCP reassignment will not occur until the end of the contract period. Members may change their PCP at any time by using the Blue Shield Find a Doctor tool.

Contact us today for a Blue Shield quote!

Get a Quote


Resources

COVID-19 Resources

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


Get The Latest News with Text Messaging!

Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.

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If you don’t find what you are looking for, contact our team for help at 800.696.4543 or materialsrequest@claremontcompanies.com.