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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.
Login To PrismOscar has partnered with Optum to curate their network of mental health doctors and offer additional resources for members. This partnership provides access to a wide selection of physicians, clinical resources, and mental health support services. In addition to Oscar benefits, members get:
If members or their loved ones need immediate crisis support, please contact the National Suicide Prevention Lifeline free at 800.237.TALK (8255).
Plus, members can always talk to an Oscar Virtual Urgent Care provider from anywhere, at $0 through their Oscar plan**. For questions about mental health benefits, call Oscar at 855.672.2755 or message the Oscar Care Team. Learn more about Oscar’s mental health resources and how to cope with the pandemic.
For members looking for someone to talk to, interested in getting started on an ongoing mental health routine, in need of support during the pandemic, or some combination of all of these, Oscar is here to help.
Navigating the conversation around mental health during the COVID-19 pandemic.
An interview with Alma CEO Dr. Harry Ritter on navigating the conversation around mental health during the COVID-19 pandemic – the first in a series hosted by Oscar CEO Mario Schlosser.
Your Guide to Managing Stress
Faith Aguilar, RN with Oscar’s Virtual Care Team, shares advice on how to manage stress.
With rates comparable to Kaiser, and networks that include UCSF, Stanford, and Sutter, Cigna + Oscar brings together the power of Cigna’s nationwide and local provider networks, and Oscar’s member-focused tech-driven experience, to deliver small group health insurance that understands the unique needs of California small businesses and their employees.
To learn more about Cigna + Oscar, view our recorded webinar and web page.
*Oscar’s Virtual Primary Care offerings are pending regulatory approval in select markets, and are only available for Individual and Family Plan members ages 18 and over. Oscar’s Virtual Urgent Care offerings are not available in US territories or internationally. Prescriptions, visits, and services may be limited per provider discretion. Oscar Virtual Primary Care providers are employed by Oscar Medical Group and are not employed by Oscar Insurance.
**Oscar’s Virtual Urgent Care offerings vary by market and may not be available in your service area. Prescriptions, visits, and services may be limited per provider discretion. Prescriptions, visits, and services may be limited per provider discretion.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
The recent specialty plans update and reminders are listed below.
5% Dental Rate Cap Extended Through July 2021 Effective Dates
The UnitedHealthcare Dental Rate Cap Program guarantees that groups enrolling in a new plan will receive no more than a 5% increase at their first renewal.
Enhanced Dental Plan Options
Off-Cycle Specialty Adds
UnitedHealthcare allows certain specialty products to be added off-cycle without any approvals. The rate guarantee period will be adjusted so the off-cycle products renew at the policy anniversary.
Products that DO NOT require approval to be added off-cycle:
Products that DO require approval to be added off-cycle:
Questions?
Contact your Claremont 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.
Carriers recognize the strain that COVID-19 is placing on employees and their families. Many are expanding access to emotional, behavioral, and mental health services — and in some cases waiving costs.
Download our Carrier Resources Guide to stay up-to-date and advise your employer groups about the available carrier services and benefits available to their employees, either through their existing lines of coverage or through additional lines of coverage they may want to consider.
Carrier Services and Benefits Include:
Get a high-level summary of the services and benefits provided by each carrier by downloading the chart below.
Download The Carrier Resources Guide
To learn more, visit our COVID-19 Broker Resources, and COVID-19 Carrier FAQs and COVID-19 Legislation & Regulations FAQs. If you can’t find an answer to your question, contact our experts at COVID@claremontcompanies.com.
Emotional, behavioral, and mental health resources are also available from government agencies, health systems, and others. Learn more.
Questions?
Contact our small group experts at 800.696.4543 or info@claremontcompanies.com.
Starting this week, Blue Shield is now the state of California’s Third Party Administrator (TPA) in charge of COVID-19 vaccine distribution.
Blue Shield’s goal is to increase doses from 1 million per week in January to 4 million per week by the end of March and fully vaccinating 25 million Californians by this summer. Blue Shield is building a statewide vaccine network to ensure the equitable delivery of current and anticipated supply.
The state’s existing My Turn online system will continue to serve as the central site for all Californians to register for updates and schedule vaccination appointments.
In conjunction with its TPA role, Blue Shield this week is also launching “Get it,” a new TV and radio advertising campaign to encourage all Californians to get vaccinated.
Claremont has partnered with Blue Shield of California for over 20 years. During that time, Blue Shield has consistently put the interests of all consumers of healthcare first and foremost whether it is through community grants, keeping premiums stable, or bringing affordable healthcare to underserved populations. We applaud Blue Shield’s commitment to ensuring that every adult Californian who wants a vaccine, can get one, and in a matter of months. It is a daunting challenge and we strongly support their effort.
Blue Shield is sharing the news with brokers, employers, and members this week. Look out for an email directly from Blue Shield or see below for more information.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
When employees are unable to work due to an injury or illness, they may face unexpected financial strains – disability insurance can help replace lost income and cover essential living expenses. For various reasons, young people especially don’t expect health problems will prevent them from working. Yet, regardless of age, disability insurance can prevent an accident or ailment from becoming a financial catastrophe.
In fact, a majority of employees, 70%, agree that having enough money to pay their bills if someone in their household is no longer able to work is important, according to MetLife’s 13th annual U.S. Employee Benefit Trends Study.
Why Disability Insurance is Essential
In addition to offering a safety net if an accident or illness keeps employees from working, disability insurance can also help attract and retain valuable employees while simultaneously reducing turnover and improving your client’s bottom line.
To provide guidance and answers to common disability insurance questions, download the ’10 Simple Tips: The Essentials of Disability Insurance’ flyer and visit MetLife.
10 Simple Tips: The Essentials of Disability Insurance
MetLife’s broad range of products and service solutions help provide income protection, maximize productivity, and minimize administration for employers of all sizes.
Questions?
Contact your Claremont 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.
Please join us in congratulating Kim Dantono on her recent promotion to the most senior level Broker Service Representative at Claremont. Kim joined us five years ago with a focus on quoting. We are sure that many of you have worked with Kim to design proposals for your clients and prospects that have helped win new business for us all. She has an encyclopedic knowledge of small group products and the quoting services that support them.
Kim quickly began assisting in other areas of the service department, building knowledge and skills in sales support, application processing, enrollment support, broker support, and she’s our resident EASE guru too! We all know Kim as someone who will take on any challenge and find a way to deliver; always with a smile and wonderful attitude. Congratulations Kim!
You can reach Kim at kdantono@claremontcompanies.com or 925.296.8813.
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.
Cigna + Oscar is expanding their small group plans state-wide across CA. Effective April 1, 2021, your clients with 1-100 employees can get C+O in these service areas:
With rates comparable to Kaiser, and networks that include UCSF, Stanford, and Sutter, Cigna + Oscar brings together the power of Cigna’s nationwide and local provider networks, and Oscar’s member-focused tech-driven experience, to deliver small group health insurance that understands the unique needs of California small businesses and their employees.
To learn more about Cigna + Oscar, view our recorded webinar and web page.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
To quickly and easily compare HMO and PPO networks, Blue Shield has created the new Network Comparison Tool, replacing the PDF network guide that has been available in recent years. Both the Plan Comparison Tool and Network Comparison Tool are located on the same web page.
To use the tool, simply select the preferred network display, then adjust the filters to view the results and export to a PDF. Views can be filtered by HMO, PPO, network, region, hospital, ACO, IPA, PCP, etc. These results can be shared via email or exported as a PDF and sent to brokers and/or employers. For help navigating this new tool, view this 3-minute training video.
Here’s an example of a PDF export of a quick hospital comparison by network for Contra Costa and Alameda Counties.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Join one or all of BASIC’s upcoming webinars and share them with your colleagues.
Recent legislation, the Consolidated Appropriations Act (CAA), 2021, allows employers to let their employees roll over unused funds in their health and dependent care FSAs from 2020 to 2021, and again the following year from 2021 to 2022. While this relief is optional, it’s a welcome sight for participants whose employers choose to adopt these FSA rollover measures.
ERISA Attorney Catherine (Cat) Rische will cover:
The 60-minute webinar will be followed by a Q&A and information regarding BASIC’s CDA Administration (FSA, HRA, HSA, Wellness, and more).
This webinar is approved for 1.0 HRCI and 1.0 SHRM-CP advanced credits for HR professionals worldwide. Credits are for live attendance only. Register now.
Regional Director, Dina Miller, will present an overview of COBRA regulations basics and BASIC COBRA Administration.
BASIC’s proven expertise ensures consistent compliance that satisfies the requirements of all relevant regulations. With penalties up to $100 per day per qualified beneficiary, COBRA non-compliance fines can add up quickly. Additionally, the benefits of outsourcing COBRA administration to BASIC extend far beyond avoiding penalties. After transferring the burden of COBRA to BASIC, HR departments can spend their time on things like employee healthcare and recruiting top talent. BASIC’s easy access COBRA portal makes life easier for HR departments across the country. Register now.
This presentation will provide valuable information on OSHA’s regulations related to COVID-19. On January 21, 2021, President Joe Biden signed an executive order on protecting worker health and safety that directed the Occupational Health and Safety Administration (OSHA) to issue revised guidance to employers on workplace safety during the COVID-19 pandemic by March 15, 2021. This webinar will cover the current COVID-19 prevention program and any new guidance or regulation if released. The 60-minute webinar will be followed by a Q&A.
This webinar is approved for 1.0 HRCI and 1.0 SHRM-CP credits for advanced professional credentials for HR professionals worldwide. Credits are only available for live attendance. Register now.
To learn more, check out the BASIC website and contact us at 800.696.4543 or info@claremontcompanies.com for assistance when you’re ready to enroll a group in a BASIC plan.
Questions?
Contact your Claremont 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.
America’s largest multi-carrier private health exchange for small business has launched its redesigned website. This is a key milestone in CaliforniaChoice’s digitization strategy, which seeks to improve processes, including enrollment and renewals.
The new calchoice.com site features a customized experience for brokers, employers, and members, streamlined functionality, and a more modern design. Additionally, the new site simplifies access to key information and resources, and increases the ability for customers to manage their benefits online.
Brokers can:
Employers can:
Employees can:
Check out the new calchoice.com site and view this video to learn more.
Questions?
Contact your Claremont 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.