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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 PrismFor business effective March 1, 2021, ChoiceBuilder is welcoming big groups (up to 500 employees) to their ancillary program.
Offer your larger groups the only place with the nation’s premier dental, vision, chiropractic/acupuncture, and life insurance benefits in a single easy-to-manage program – with both employer-sponsored and voluntary coverage options. Plus, ChoiceBuilder can be offered alongside any medical plan. Get the facts.
It’s a great way to enhance your clients’ employee benefits package without the high cost of additional benefits or the difficulties of managing different services. There’s one application, one bill, and one point of contact for administration.
With more than 8,000 employers and 130,000 members across the state, ChoiceBuilder offers freedom, simplicity, and affordability with access to the following ancillary carriers:
Download the ChoiceBuilder Program Highlights flyer to learn more.
ChoiceBuilder Program Highlights
Earn a 10% level commission up to 500 lives on both new and renewing business.
Dental
Two new employer-sponsored coverage options are available to groups with January 1, 2021 and later effective dates:
Ameritas (Employer-Sponsored and Voluntary Plans)
MetLife (Employer-Sponsored and Voluntary Plans)
Vision
VSP Vision Care (Employer-Sponsored and Voluntary Plans)
EyeMed Vision Care (Employer-Sponsored and Voluntary Plans Provided by Ameritas)
Life (Employer-Sponsored Plans)
Assurity Life Insurance Company
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
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While there are many advantages to tax-free Health Reimbursement Arrangement (HRA) Voluntary Employee Benefit Accounts (VEBAs), including rolling funds and investing options, you may be surprised to learn about the additional hidden advantages of an HRA VEBA.
While HRA VEBA funds are accessible in retirement, they are not viewed as qualified retirement plans and are not subject to the same rules as other retirement accounts, namely 401(k) and 403(b) plans.
Instead, account members can withdraw funds from their HRA VEBA at any time. The only rule is to use the funds to reimburse an eligible expense.
This means employees have more freedom on withdrawals. They can withdraw money from the account to pay for eligible expenses before the standard deadline (age 59) without a tax penalty.
The debit cards that come with an HRA VEBA are provided at no additional cost. Plus, the cards come with smart-card technology and the ability to stack multiple plan types on one card.
When a member is enrolled in another pre-tax account and then enrolls in an HRA VEBA, the funds for both accounts are available on the same card. In most cases, the card will automatically pull from the correct account when purchasing eligible items.
While an employer-funded HRA VEBA might raise concerns among employees about enrolling, there is more flexibility with account usage than employees might think.
Not only do employees have access to HRA VEBA funds during their employment, but they can also use the funds in retirement and if they change employers.
This plan’s flexibility is less common among other pre-tax accounts and is one of the more significant hidden advantages of an HRA VEBA.
HRA VEBAs are a great fit for a variety of groups. Municipal/public-sector employers, schools, and universities, as well as Taft-Hartley union groups can benefit the most.
To learn how your employer groups can leverage HRA VEBA accounts to reduce costs and offer employees the healthcare coverage they need, download this flyer.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
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High Deductible Health Plans (HDHP) can reduce premiums, and when combined with a Health Savings Account (HSA) they can provide investment opportunities and tax advantages with flexibility over how participants use their healthcare dollars.
An HDHP is a health insurance plan with low premiums and high deductibles (meaning participants pay for more of their health care before the insurance plan pays), compared to traditional health plans. With an HDHP, the annual deductible must be met before plan benefits are paid for services other than in-network preventive care services, which are fully covered.
How does an HDHP work?
In general, a health plan starts paying for eligible medical expenses after the deductible has been met, meaning members must pay out-of-pocket (OOP) up to the amount of the plan’s deductible. This applies to high deductible health plans, as well as traditional plans. The amount of the deductible depends on the plan selected.
HDHPs also protect against unexpected and catastrophic out-of-pocket (OOP) expenses for covered services. Once the annual OOP expenses for covered services from in-network providers, including deductibles, copayments, and coinsurance reach the pre-determined catastrophic limit, the plan pays 100% of the allowable amount for the remainder of the calendar year.
HDHPs are great for people who are healthy and usually go to the doctor once a year for an annual check-up or to get a flu shot (both of these are considered preventive care). As a result of the Affordable Care Act (ACA), no payment is required for preventive care for things like cancer screenings, routine prenatal care visits, and vaccines for illnesses like chickenpox.
HDHP Advantages
HDHP Disadvantages
What to Consider When Choosing an HDHP
When choosing between an HDHP and a more traditional insurance plan, consider the participant’s anticipated health needs. Are they likely to require medical care above and beyond preventive? If a participant has a long-term health condition or frequent medical needs, an HDHP will be ineffective. These participants will be faced with the high deductible constantly and will essentially be paying for all medical expenses OOP. If so, an HDHP plan with a lower monthly premium may not be an advantage — a more traditional plan with a higher premium and lower deductible might offer improved cost savings.
An HSA allows individuals to pay for current health expenses and save for future qualified medical expenses on a pre-tax basis. Funds deposited into an HSA are not taxed, the balance in the HSA and interest grows tax-free, and that amount is available on a tax-free basis to pay eligible medical expenses, including copays, coinsurance, and deductibles. When enrolled in an HDHP, the health plan determines whether the individual is eligible for an HSA or a Health Reimbursement Arrangement (HRA). Like other pre-tax accounts, money is added into the account before taxes are applied, passing on savings of 30-40% to the participant.
HSA Benefits:
What can HSA dollars be used for?
Eligible medical expenses include doctors, hospitals, prescription drugs dental care/ortho, vision care, chiropractic/acupuncture, lab fees, over-the-counter medicines, and more.
HDHP participants don’t automatically qualify for an HSA. To be eligible for an HSA, participants:
If at any point the participant becomes ineligible to contribute to an HSA, they can still continue to use the funds in their account until they run out.
If medical expenses are more than the HSA balance, the employer may offer an HSA Bridge that will enable the participant to access future scheduled HSA deposits before a balance has been built. The expense can also be paid with another payment source and reimbursed to the participant later when funds are available.
Carefully weigh the pros and cons of high deductible health insurance plans to offer your clients the healthcare coverage they need and save money.
To learn more, check out this BRI article and video.
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.
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 San Francisco Bay Area small businesses and their employees.
Offer your groups (1-100 employees) based in Alameda, Contra Costa, San Francisco, San Mateo, and Santa Clara counties (only 50% of the enrolled group must live in the Bay Area – down from 70%) lower rates than HMOs and PPOs, a personalized customer experience, and easy to understand benefits.
To learn more about Cigna + Oscar, view our recorded webinar and web page.
Check out the May 2020 survey conducted by Harris Poll on behalf of Cigna + Oscar for insights into how COVID-19 is transforming Northern California small business health insurance needs, and how they’re thinking about the health of their employees.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Your employer clients and their employees are keen to learn when a COVID-19 vaccine will be available to them and their families. Help them by staying up-to-date with the latest developments below. This page will be updated as new information becomes available.
California will distribute and administer vaccines as soon as they are available. California will be transparent, careful, and equitable in its vaccine distribution. Initially, the vaccine supply will be very limited. At first, vaccines will be provided to healthcare workers and long-term care residents in accordance with the CDPH Allocation Guidelines.
COVID-19 vaccines are currently available only for healthcare workers and residents of Long-Term Care Facilities (LTCFs) due to limited supplies.
COVID-19 vaccines are currently available only for:
Next on the priority list for the vaccination are:
Every Californian can sign up to see if it’s their turn to get the COVID-19 vaccine. If you’re not currently eligible, you can sign up to be notified when it’s your turn.
Spring 2021 is the best estimate, but that may change. It depends on vaccine production and how quickly other vaccines become available.
Most Californians will be vaccinated at:
Blue Shield of California
Members can receive COVID-19 vaccinations, considered a preventive service, at no member cost share and with no provider order. Coverage will be provided for both in-network and out-of-network providers through the duration of the COVID-19 Public Health Emergency.
Additional Blue Shield resources:
UnitedHealthcare
Members will be able to get the vaccine at no charge. Members in employer and individual health plans will have $0 cost-share (copayments, deductibles, and co-insurance) for both in- and out-of-network providers through the national public health emergency period. See the COVID-19 Vaccines FAQ below for more details.
Additional UnitedHealthcare resources:
Federal Government Resources
California State Government Resources
Northern California Health System COVID-19 Vaccine Resources
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.
Stay up to date on the latest COVID-19 vaccination efforts by attending UnitedHealthcare’s webinar on January 27th at 12:00 pm PST.
Topics Include:
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.
To help you prepare for Q2-2021, below are the CaliforniaChoice updates.
Changes for Health Net, Sharp Health Plan, UnitedHealthcare, and Western Health Advantage:
The Western Health Advantage full network has added 3 zip codes in Marin and Sacramento Counties.
For MetLife, all California counties are covered.
Employer and employee applications and change request forms have been revised as a result of the new MetLife plans being added.
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.
Below are the updates, changes, and reminders to prepare for Q2-2021. Make sure to take advantage of the broker bonus programs.
The new Silver PPO 2225/50 plan has been added to the 2021 medical portfolio.
Effective April 1, 2021, below are the enhancements to the Small Group Life plans:
As a result of the California expansion of Bronze AV legislation, Blue Shield has redesigned all of the non-HSA Bronze PPO plans, which now offer enhanced first dollar coverage prior to the deductible.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
Vision Coverage
Specialty Benefits Quick-Quote-Tool
Dental and Vision Rate Passes Through April 2021
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.
To help small businesses (groups with 99 or fewer employees) who may be facing challenges as a result of the COVID-19 pandemic, MetLife will hold rates (no rate increase) for dental and vision renewals with effective dates commencing on or before May 31, 2021.*
Visit MetLife’s website for updates, resources, benefit coverage, and answers to common questions regarding COVID-19.
*Excludes cases written through a Trust, Association, or PEO. Life and disability coverage are still subject to review and potential rate increases.
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.