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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

CaliforniaChoice – New Platinum Vivity Plan

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Now available in CaliforniaChoice through the new Platinum tier HMO Plan B, Vivity’s unique and popular network is an excellent choice for your employer groups, especially in the highly competitive markets of Los Angeles and Orange Counties.

Vivity Platinum HMO B Plan Features

What is Vivity?

Vivity is a first-of-its-kind joint venture in Southern California, bringing together top-ranked health systems and Anthem Blue Cross to create a value-based care model. This popular model emphasizes high-quality, coordinated, and affordable care, ensuring a seamless member experience. It includes renowned providers such as:

Vivity Providers

Vivity Advantages

For your Southern California clients, Vivity offers a compelling combination of quality, accessibility, and affordability backed by some of the best medical providers in the region. With its inclusion in the CaliforniaChoice Platinum tier HMO Plan B, you can offer a solution that not only meets high standards of care but also provides significant flexibility and support for members. Visit VivityHealth.com for more detailed information.

Rates are now available for quoting through PRISM, our free and easy online quoting system.

Contact us today for a CaliforniaChoice quote!

Get a Quote

 

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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MetLife – TELUS Health: Employee Assistance, Grief Counseling, and Cognitive Behavioral Therapy

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TELUS Health, offered with MetLife coverage, offers a comprehensive suite of services designed to support employee well-being and mental health. These services include the Employee Assistance Program (EAP), providing 24/7 access to professional guidance and support for everyday challenges; Grief Counseling Services, offering confidential support during times of loss or major life changes; and the Cognitive Behavioral Therapy (CBT) program, which delivers personalized mental health care through convenient digital platforms. Together, these resources empower employees to navigate life’s difficulties, enhance productivity, and promote a healthier, more resilient workforce.

TELUS Health – Employee Assistance Program (EAP) Includes:

Comprehensive Support Services

Access, Convenience, and Confidentially

Download the TELUS Health – Employee EAP flyer for details.

TELUS Health – Grief Counseling Includes:

24/7 Confidential Support

Legal and Financial Consultation

Online Resources
Self-help materials for end-of-life issues, grief management, and steps to take after the death of a loved one.

Funeral Assistance

Onsite Support for Employers

Download the TELUS Health – Employer Grief Counseling Guide for details.

TELUS Health – Cognitive Behavioral Therapy (CBT) Includes:

Comprehensive Mental Health Care

Guided Program Completion

Enrollment and Use

Download the TELUS Health – Employer CBT flyer for details.

Offer your employer groups robust support for employee well-being through the TELUS Health Employee Assistance Program (EAP), Grief Counseling Services, and Cognitive Behavioral Therapy (CBT). These services offer comprehensive assistance for everyday challenges, grief, and mental health, ensuring employees can access the help they need, when and where they need it – creating a healthier and more productive workforce.

To offer TELUS Health services, contact us today for a MetLife quote!

Get a MetLife Quote

 

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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Seamlessly Transition Your Cigna + Oscar Groups to Covered California for Small Business

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With an effortless transition process for your Cigna + Oscar (C+O) groups, Covered California for Small Business (CCSB) simplifies enrollment by using the group’s prior C+O invoice.

Easy Documentation Submission

Hassle-Free Group Enrollment through MyCCSB

Why Choose CCSB for Your Cigna + Oscar Groups?

CCSB provides a variety of health plans tailored to the unique needs of small businesses. By partnering with industry-leading insurance carriers, they guarantee your clients access to high-quality, affordable health coverage options.

Broker Bonus Program

Maximize your earnings with CCSB’s broker bonus program. For new small group business placed from July 1, 2024 to January 1, 2025, you can earn up to a $12,000 bonus per group, in addition to competitive commissions. Download the flyer for details.

Contact us today for assistance with your Cigna + Oscar groups.

Get Assistance

 

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 – Large Group 2025 Plan Updates

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As part of its commitment to providing comprehensive and affordable healthcare solutions, Blue Shield of California is expanding its large group medical plans for 2025. These enhancements are designed to provide more comprehensive coverage options to employers with 101-299 employees.

The Expanded 2025 Large Group Plan Portfolio Includes:

Virtual Blue PSP portfolio will include five of the most popular plan designs. Several will be HSA-compatible:

The most popular Full PPO Savings plans will be available with the pharmacy Value Formulary, providing more client choices:

Assisted Reproductive Technology riders with varying dollar maximums and coinsurance levels for fertility coverage flexibility will be offered on these plans:

IRS Minimum Deductible for HSA Compatible Plans

To meet the 2025 IRS minimum deductibles for HSA-compatible plans, all of the January 1, 2025 PSPs have been updated to comply with the new guidance. The changes include:

New HMO Pharmacy Riders

Based on market demand for a lower premium products, Blue Shield will introduce a new Enhanced RX $15/50% pharmacy rider option in 2025. With this rider, Tier 1 will feature a $15 copayment encouraging generic drugs. Tiers 2-4 will apply a 50% coinsurance, up to $250 maximum per prescription. These riders will be available for either the Plus or Value formulary.

Factor Pharmacy Network

As part of Pharmacy Care Reimagined, Blue Shield of California has transformed how members receive specialty medications for rare bleeding disorders like hemophilia. Members with hemophilia now have more network options to receive high-quality and comprehensive care management.

Starting January 1, 2024, Blue Shield:

Offer your prospects and clients Blue Shield’s diverse range of affordable plans tailored to the needs of large groups (101-299 employees).

Contact us today for a Blue Shield large group quote.

Get a Quote

 


Resources

COVID-19 Resources

Contact us today for a Blue Shield quote.

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 – Three New MSK Health Programs

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As a trusted advisor to small businesses, your clients rely on your guidance to maintain a healthy and productive workforce. Musculoskeletal (MSK) conditions like back pain, arthritis, and muscle strains are becoming increasingly common among employees, resulting in significant costs for employers. According to “The Burden of Musculoskeletal Diseases in the United States,” more than 50% of Americans over the age of 18 suffer from an MSK injury, with nearly 40% of Californians affected. Additionally, 22% of the workforce misses work days due to debilitating MSK pain. With more employees working remotely and potentially having improper home ergonomic setups, MSK risks are exacerbated, making your guidance even more valuable.

To prevent and treat MSK pain, Blue Shield of California is expanding its Wellvolution digital health program to include three new services:

By offering programs that address the direct costs of musculoskeletal (MSK) disorders and promote overall employee wellness, you can help your clients reduce healthcare costs, improve productivity, and create a healthier workforce. Dealing with MSK issues early can prevent conditions from escalating and avoid costly treatments in the future.

To help keep small business employees healthy and productive, contact us today for a Blue Shield quote.

Get a Quote

 


Resources

COVID-19 Resources

Contact us today for a Blue Shield quote.

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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Delta Dental Webinar – Dental Benefits: The Now and The Future

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Attend the one-hour (one CE credit) Delta Dental course that will evaluate the trends in dental benefits and the changes the industry may encounter.

You’ll Learn

Webinar Details

Register today!

Register Today

Contact us today for a Delta Dental quote!

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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May is Mental Health Awareness Month

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Mental health significantly impacts worker productivity, engagement, and overall company success. Mental Health Awareness Month is an important reminder to prioritize mental wellness programs for the workforce by offering tailored solutions, including Employee Assistance Programs (EAPs), to your clients.

To promote mental health awareness, the Substance Abuse and Mental Health Services Administration (SAMHSA) is offering a comprehensive campaign during May. Each week focuses on a different group, starting with older adults, followed by children and teens, pregnant and postpartum individuals, racial and ethnic minority groups, and  LGBTQIA+ communities. The campaign provides actionable insights to help you and your clients address the unique mental health challenges faced by these demographics.

SAMHSA Mental Health Campaign

Week 1: May 1-4 (Older Adults)

Supporting the unique mental health needs of older adults.
As we age, we may experience life changes that impact our mental health.

Week 2: May 5-11 (Children and Teens)

Resources to help children and teens build resilience, self-care strategies, and skills for managing life stressors in healthy ways.
Supportive families, communities, and resources can help youth build strong foundations for lifelong well-being.

Week 3: May 12-18 (Pregnant and Postpartum People)

Recognizing the importance of maternal mental health among pregnant and postpartum people.
Pregnancy and giving birth can be joyful and can also present a variety of strong emotions for pregnant and postpartum people.

Week 4: May 19-25 (Racial and Ethnic Minority Groups)

The unique challenges, strengths, and contexts that affect mental health in people from racial and ethnic minority groups.
Everyone deserves access to respectful and culturally appropriate care.

Week 5: May 26-31 (LGBTQIA+ Communities)

Building support for mental well-being in the LGBTQIA+ community.
Inclusive families, schools, and societies can support mental health in the LGBTQIA+ community.

 


 

As one of the few Employee Assistance Programs (EAPs) that serve small employers, The Holman Group provides comprehensive and cost-effective behavioral health and substance use services to reduce healthcare costs and absenteeism, minimize turnover, and enhance employee well-being and performance.

The EAP can be offered as a standalone benefit or seamlessly integrated with other mental health and substance abuse programs, ensuring a holistic approach to addressing employee needs.

To request a Holman EAP quote, contact us today.

Contact Us For a Holman EAP 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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Emotional, Behavioral, and Mental Health – Carrier Resources Guide

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As mental health and well-being become higher priorities for employees, it is important for employers to understand the range of relevant services and benefits available through insurance carriers. Staying informed on these carrier offerings helps you provide guidance to your clients so they can support their workforce. 

Carriers offer a variety of programs that promote emotional, behavioral, and mental health. These may be included in existing policies or offered through additional coverage options.

Carrier Services and Benefits Include:

Regularly reviewing our Carrier Resources Guide can help you advise your clients on current services that align with their employee needs and preferences.

Carrier Resources Guide

Download our Guide by clicking on the image or button below.

Emotional, Behavioral, and Mental Health Resources

 

Carrier Resources Guide

Emotional, behavioral, and mental health resources are also available from government agencies, health systems, and others.

 

 

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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Covered California for Small Business – Relaunched Broker Bonus Program

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‘A Partnership That Pays’ Broker Bonus Program

With the Covered California for Small Busines (CCSB) bonus program, agents who place new small group business from July 1, 2024 – January 1, 2025, can earn up to a $12,000 bonus per group, in addition to competitive commissions. To qualify for the first bonus tier of $1,000, agencies must submit a minimum of three groups with four enrolled employees. Best of all, the bonus is per group with no maximum number of groups! Download the flyer for details.

CCSB Bonus 2023


In addition to California’s most comprehensive access to doctors and hospitals, CCSB health plans offer choice and control, with:


Partner with Claremont for:

As a trusted CCSB partner since its 2014 launch, 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.

Don’t miss out on this exciting opportunity to provide comprehensive health coverage and earn attractive bonuses. Contact us today for a Covered California for Small Business quote!

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 Q3-2024 Rates

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Blue Shield of California continues to deliver comprehensive health benefits tailored to the needs of small businesses and their employees. Here’s a summary of the third quarter changes.

Q3-2024 Rates

Q3-2024 Renewals

Small Business Incentive Program

Bundled Saving Program

The 10% specialty discount is a perpetual program that is applied when a dental and/or vision plan is added to a new or existing small business medical group.

Relaxed Participation

The Relaxed Participation Promotion has been extended through December 31, 2024.

Contact us today for a Blue Shield quote.

Get a Quote

 


Resources

COVID-19 Resources

Contact us today for a Blue Shield quote.

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.

Sign Up for Text Messaging

 

 

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.