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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

MetLife Accident Insurance – Financial Support For The Unexpected

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No one expects an accident to happen, but they occur every day. When the unexpected strikes, the last thing anyone wants is added financial stress. That’s why having accident insurance is so important. With MetLife accident insurance, your clients’ employees can gain peace of mind knowing they and their families have a safety net if an unexpected injury occurs.

MetLife Accident Insurance Provides:

Offer your clients MetLife’s flexible, affordable accident insurance to provide their valued employees with financial support to help make their recovery less expensive and less stressful. Learn more.

Contact us today for a MetLife 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 2024 Broker Roadshow

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Join Blue Shield’s Small Business leadership team for their annual Broker Roadshow on September 18th at 10:30 am PT. Learn what’s new for Q1-2024, and hear about market trends, new innovations, enhancements to the broker experience, and more. This is an opportunity to gain strategic insights and connect directly with Blue Shield.

Date and Time: Monday, September 18, 2023, 10:30 am PT

Register Now

Can’t make it live? Register now and get access to the recording for 30 days after the event.

 


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

 

 

 

Blue Shield of California Announces Major Pharmacy Benefits Revamp

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Blue Shield of California has announced a major revamp in its approach to pharmacy benefits. By 2025, Blue Shield will significantly reduce its ties with CVS Health’s PBM services. Instead, it will partner with Amazon Pharmacy, Mark Cuban’s Cost Plus Drug Company, and other firms to bring about potential massive savings and enhanced services for its customers. Here’s a high-level summary of the news, what it means for you, and some links to additional resources.

High-Level Summary

  1. Blue Shield is projecting approximately $500 million in annual savings on drug costs by making this move.
  2. Amazon Pharmacy will introduce fast and free at-home drug delivery and 24/7 pharmacist access.
  3. Mark Cuban’s Cost Plus Drug Company will provide a simple, transparent, and more affordable pricing model, reducing surprise drug costs at the pharmacy pick-up counter.
  4. CVS will retain its role in managing Blue Shield’s specialty pharmacy services.

What This Means For You

  1. No immediate Impact. This change will come into effect in 2025, so your Blue Shield clients and their employees will not be affected just now.
  2. Stay informed. The announcement is big news in the industry. Many of your clients and their employees will hear about it. Familiarize yourself and stay current on this development so that you can answer any questions from your clients.
  3. Be the go-to advisor for your clients and prospects. The cost and availability of prescription drugs is a consistent pain point for your clients. With this change, Blue Shield is tackling the problem head on. Use this as a discussion point in your sales conversations about pharmacy benefits.

We will continue to keep you updated on this development. Contact us with any questions at 800.696.4543 or info@claremontcompanies.com.

Additional Resources

Blue Shield of California

Blue Shield’s New Partners

 

Contact us today for a Blue Shield quote.

Get a Quote


Reminders

Small Business Incentive Program

Renewal Rewards Program
Blue Shield increased the points earned for every new membership in Tandem PPO and Virtual Blue PPO plans. You can earn:

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 Promotion
The Relaxed Participation Promotion was extended through December 31, 2023.

More information and plan summaries can be found in Blue Shield’s Q4-2023 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 of California – Instant Digital ID Cards

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You can now conveniently access and download digital member ID cards directly through Broker Connection. 

To Access Digital ID Cards:

Blue Shield of CA Digital ID Cards

The ID cards are provided as downloadable PDFs for immediate use. This self-service feature is one of many convenient online tools now available on Broker Connection.

Contact us today for a Blue Shield quote.

Get a Quote


Reminders

Small Business Incentive Program

Renewal Rewards Program
Blue Shield increased the points earned for every new membership in Tandem PPO and Virtual Blue PPO plans. You can earn:

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 Promotion
The Relaxed Participation Promotion was extended through December 31, 2023.

More information and plan summaries can be found in Blue Shield’s Q4-2023 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.

Sign Up for Text Messaging

 

 

 

 

Beam Benefits – Enhanced Orthodontia Coverage

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Beam Benefits’ dental plans are even more competitive with two new enhancements to Orthodontia coverage:

Orthodontia Lifetime Benefit Maximum

The Orthodontia lifetime benefit maximum is now up to $5,000 (the previous maximum was $2,500). The benefit amount can be selected in $50 increments, starting with $2,550 up to a maximum of $5,000

Orthodontia Benefit Group Size Requirement

Previously at least 10 employees were required to enroll in order for Adult & Child Orthodontia benefits to be available. Now Adult & Child Orthodontia benefits are available to groups with as few as two employees enrolling.

Contact us today for a Beam Benefits 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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Ease – Employee Navigator Broker Training

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Employee Navigator (EN) is excited to announce early availability of their platform for Ease brokers interested in using EN for the open enrollment season this fall, before the full migration in 2024. While most brokers will continue to add new customers to Ease and will plan to migrate existing customers to the EN platform next summer, Employee Navigator wants to accommodate brokers who would like to begin using the EN platform now.

Key Points for Early Adopters

Training

The training sessions will help you get a firsthand look at some basic highlights of the licensing program. All users will be required to attend an online or in-person training and complete the independent, self-paced lessons prior to these trainings. Additional training sessions will be added as needed. Remote training is anticipated to take approximately 10 hours.

Online Training Dates and Times

In-Person Training Dates and Times
Onsite 2 days (9 classroom hours + optional 4-hour lab). In-person training is limited to 100 attendees. There is a $25 processing fee for each participant. Register.

*Optional time available for individual coaching while building a group. 

Features

Employee Navigator has not begun adding Ease features to the EN platform, so some familiar features will not be available to early adopters until 2024. Therefore, it’s recommended that EN be primarily used for new groups. Key features to be added to EN include:

Additional features to be added by next summer include:

Employee Navigator’s robust infrastructure supports over 75,000+ companies and 10+ million members. They are focused on providing training to smoothly onboard brokers. Attending training and completing self-paced lessons is required prior to access. 

The Employee Navigator Knowledge Base is available to post questions and view responses.

Contact us at 800.696.4543 or info@claremontcompanies.com for assistance transitioning from Ease to Employee Navigator.

 

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

 

 

Kaiser Permanente – Small Group Broker Bonus Program

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Earn a Kaiser Permanente $100 bonus, per enrolled member when you enroll at least 10 members from a qualified, new small group through CaliforniaChoice, Covered California or Kaiser Small Business. October 1, 2023 – January 31, 2024 effective dates.

Example

Earn a $2,100 bonus when you sell a new group with 30 full-time employees and enroll 21 new members with Kaiser Permanente.

21 enrolled members x $100 = $2,100.

Combine Bonuses to Maximize Your Income

This bonus is on top of your regular commission and standard broker reward programs such as the Total Replacement and Group Production rewards. Download the flyer for details.

Start earning more on new small group sales! Contact us today for a 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

 

 

BRI – 2023 Fall Incentive Program

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Offer your clients huge savings on pre-tax or COBRA services for effective dates through January 1, 2024. To qualify, a service agreement must be signed and submitted by September 29, 2023.

To learn more, download the 2023 BRI Fall Incentive Program flyer.

Contact us at 800.696.4543 or info@claremontcompanies.com for assistance when you’re ready to enroll a group in a BRI Specialty Account.

 

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

 

 

Covered California for Small Business – Blue Shield of CA Plan Changes and Bonus

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Covered California for Small Business (CCSB) is pleased to introduce several new Blue Shield of CA plans that are now available for quoting. Carefully designed to meet the diverse needs of your valued employers, these plans are available for both new business enrollments and existing business renewals effective July 1, 2023.

Expanded CCSB HMO Plan Designs on The Access + HMO Network

Introducing Bronze Trio HMO 7000/70 on The Exchange

Launching Two of Blue Shield’s Most Popular Off-Ex HDHP Plans

With these upgrades, your small business clients across California can offer their employees even more healthcare options, providing them with greater flexibility and choice. To learn more, download the flyer.

All Blue Shield plans through CCSB provide members access to Wellvolution (including Headspace and Ginger), Teladoc Mental Health, Nurse Help 24/7, LifeReferrals 24/7, and the Blue Card program for when members are outside of California.


‘A Partnership That Pays’ Broker Bonus Program

With the CCSB bonus program, agents who place new small group business with CCSB from July 1, 2023 – January 1, 2024, 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.

Sign Up for Text Messaging

 

The Holman Group Selects Claremont as General Agency Partner

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We are excited to add The Holman Group to our vendor portfolio, offering comprehensive and cost-effective behavioral health and substance use services that enhance employee well-being and performance. Their Employee Assistance Program (EAP) for small groups facilitates early intervention and effective problem-solving, guiding individuals to address personal and work-related challenges.

Through free and confidential EAP counseling sessions with licensed providers, employees and their household members have access to invaluable support, available in over 160 languages and dialects through the convenient nationwide 800 number.

The Holman Group 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.

Benefits

Employer-Sponsored EAP Options

To learn more, download The Holman Group flyer and checklist.

Incorporating The Holman Group EAP into your clients’ benefits package will significantly help enhance productivity, reduce healthcare costs, minimize absenteeism and turnover, and boost overall work satisfaction.

Contact us today to unlock exclusive benefits to assist your clients in addressing the issues that affect employees’ day-to-day lives.

Get Started

 

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.