PRISM Login

To access the carrier product and rate information provided by PRISM, check the box below indicating you have read and agree to the license agreement. A button will then appear to access PRISM.

This site uses cookies to track your agreement option. If the terms of the license agreement change or if you clear the cookies from your browser, this page will appear once again during the PRISM login process.

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.

Login To Prism

Carrier News

Archive for the ‘Carrier News’ Category

Blue Shield of CA – Updates to Small Business Dental Plans

Posted by

As part of Blue Shield’s ongoing product transformation and portfolio streamlining initiatives, three DPPO plans will be discontinued from their specialty portfolio, effective January 1, 2025.  Blue Shield will email each broker a list of affected clients.

Dental PPO Plans Unavailable as of January 1, 2025:

Groups enrolled in one of the three plans being discontinued will be automatically transitioned to a recommended plan during their 2025 renewal. For a list of withdrawn plans and corresponding recommended plans based on group size (1-50 and 51-100), please refer to the dental plan map. To confirm benefits, review the Summary of Benefits for each plan. You can also compare available dental plans by visiting blueshieldca.com/employerplans. Moving clients to a new dental plan early will help ensure a smoother renewal process for 2025.

 


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

 

 

Celebrating Renee McLemore’s 10-Year Work Anniversary

Posted by

Renee joined Claremont in 2014 as Vice President of Marketing and Sales. She previously held marketing management positions with McKesson, Kaiser Permanente, and the University of California, San Francisco (UCSF).

“It has been such a pleasure to work with Renee and witness her growth in our industry. I especially admire the way she connects with people. She always has a smile and shares her positive outlook as she encourages the best from those she works with,” says Claremont President Michael Traynor. “It’s an honor to celebrate this milestone.”

Please join us in congratulating Renee on her 10 years of service at Claremont!

You can reach Renee at renee@claremontcompanies.com or 925.296.8808.

 


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 CA – 2025 Small Business Broker Roadshow

Posted by

Join Blue Shield’s Small Business leadership team for their annual Broker Roadshow on September 25th at 1:30 pm PT. Learn what’s new for Q1-2025, and get a look inside the steps they’re taking to improve the member and broker experience through their digital ecosystem.

Date and Time: Wednesday, September 25, 2024, 1:30 pm PT

Register Now

Can’t make it live? Register now and get access to the recording.

 


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

 

 

Humana – Provider Search Tool for Brokers and Employers, Vision ID Cards, and Marketing Kit

Posted by

Humana is introducing two new tools to streamline the sales process and enhance services for brokers and employers:

New: Provider Search Tool for Brokers and Employers

Humana now provides a user-friendly dental and vision provider search tool to assist with pre-sale network searches. The tool includes easy-to-follow steps with images and text descriptions for locating in-network dental and vision providers using the public search feature. Learn more about dental provider searches and vision provider searches.

New: Vision ID Cards

Vision ID cards, including those for Humana Vision Plus plans, are now accessible online through the ID Card Center and on the member’s web portal via MyHumana.com.

Humana Marketing Kit for Brokers

Access Humana’s Marketing Kit to obtain helpful tools and resources for promoting and selling their comprehensive suite of ancillary benefits. This kit supports your efforts in marketing dental, vision, disability, life, and employee assistance program (EAP) coverage options.

 


Resources

Take advantage of Humana’s bonus programs for increased earnings!

Contact us today for a Humana 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

 

 

 

California Dental Network Exits California Commercial Group Market

Posted by

California Dental Network (CDN) has announced it will exit the California group dental market effective October 1, 2024. Here’s how it impacts you and your clients:

Impact on Employer Groups
Group dental policies with renewal dates on or after October 1, 2024 will be cancelled effective October 1, 2024. Policies with renewal dates before October 1, 2024 will not be renewed, and coverage will end on the renewal date. For more details, see CDN’s Notice.

Replacement Coverage Options
Claremont’s strong partnerships with Beam, Delta Dental, Humana, and Reliance Matrix offer robust solutions for groups losing their CDN DHMO dental coverage.

We’ll keep you posted as carriers announce their CDN solutions. At the end of this page are details of carrier responses to date.

Claremont is Here to Help You
Claremont is committed to assisting you and your clients during this transition. Contact us at 800.696.4543 or info@claremontcompanies.com for guidance and solutions for your CDN groups.

Carrier Responses

Covered California
Effective October 1, 2024, Covered California for Small Business (CCSB) will no longer offer California Dental Network (CDN) plans for new enrollments and renewals. CCSB will continue to offer Delta Dental and Dental Health Services as dental alternatives. Get the details.

Delta Dental
To help groups that are losing CDN dental coverage, Delta Dental is making an exception to offer DeltaCare USA DHMO plans alongside another carrier’s DPO for eligible groups losing CDN coverage effective October 1, 2024. Here are the key details:

Eligibility

California Dental Network

Notice regarding exit from California commercial group market:

Because Sun Life acquired California Dental Network, we have decided to streamline our group dental offerings by withdrawing our California Dental Network (CDN) business from the California commercial group dental market for effective dates of October 1, 2024, and later. We have notified the applicable regulatory departments of this action and have made the requisite filings for withdrawal.

Group Policies with renewal dates on or after October 1, 2024
If your group dental policy renewal date is October 1, 2024, or later, your group dental policy will be cancelled effective October 1, 2024.

Group Policies with renewal dates before October 1, 2024
If your group dental policy renewal date is prior to October 1, 2024, your group policy will not be renewed, and your coverage will end on your renewal date. You may elect to continue with your California Dental Network group policy until October 1, 2024, but the policy will be canceled as of that date.

CDN will continue to accept and process electronic and manual enrollment transactions through September 20, 2024. Please note that all additions/terminations and retroactive adjustments must be for coverage periods prior to October 1, 2024.

We plan to produce final invoices for group commercial coverage on or about September 27, 2024. To ensure this final invoice is accurate, any required enrollment updates must be processed by CDN by end of day September 20, 2024.

Care for patients
Our goal is to minimize any disruptions and continue to meet the needs of our Clients, enrollees and providers to the best of our ability. We will continue to process claims with dates of service prior to October 1, 2024. That will continue for 180 days after the date of service, even for claims received on or after October 1, 2024.

 


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

 

 

Easily Move Your Cigna + Oscar Groups to CaliforniaChoice

Posted by

CaliforniaChoice is offering a streamlined underwriting process for groups with Cigna + Oscar (C+O) direct coverage. This special promotion applies to new business effective dates from July 1, 2024 to December 1, 2024.

Groups with 1+ medically enrolled subscriber may submit their most recent Cigna + Oscar invoice instead of a DE9C.

Eligibility Criteria

Please note: all standard CaliforniaChoice eligibility criteria apply. This is a limited-time offer.

Why Choose CaliforniaChoice for Your Cigna + Oscar Groups?

CaliforniaChoice is the only small group (1-100 employees) private exchange for employee benefits in California. Partnering with eight top health plans, CaliforniaChoice offers a variety of full and limited network HMOs, PPOs, and other benefit options to choose from – all at different price points so you can help your clients control costs and offer their employees choices. Learn more.

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.

Sign Up for Text Messaging

 

 

Celebrating Jessie Gonzalez’s 5-Year Work Anniversary

Posted by

Jessie Gonzalez, Customer Engagement Manager (CEM), is celebrating 5 years with Claremont. He joined Claremont from Anthem, making the transition from large group sales to small group. “Jessie’s desire to help brokers grow and retain their small group business is evident in his caring and supportive style,” says Renee McLemore, Claremont VP of Sales & Marketing. “Jessie enjoys introducing Claremont to new brokers and sharing how we partner together to help their business succeed.”

Please join us in congratulating Jessie on his 5 years of service at Claremont!

You can reach Jessie at jessie@claremontcompanies.com or 925.296.8835.

 


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

 

 

Celebrating Laura Hogsed’s 10-Year Work Anniversary

Posted by

Laura joined Claremont as a Broker Service Representative in 2014. After several years of providing outstanding service to broker customers, Laura was promoted to Claremont’s Service Manager in 2022. She now leads our Broker Service team, ensuring the ongoing success of our broker customers through her team’s delivery of Claremont’s suite of services.

“Laura has developed strong management skills and abilities, which she has applied to continuously improve the company’s capabilities,” says Claremont President Michael Traynor. “She has built a professional and engaged team. We look forward to another decade of growth and progress.”

Please join us in congratulating Laura on her 10 years of service at Claremont!

You can reach Laura at laura@claremontcompanies.com or 925.296.8823.

 


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

 

 

Humana – Launch My Group Now 299 Eligible, Continued Expansion of PPO/TRP Plan Options

Posted by

Humana has announced the following updates to Launch My Group, PPO/TRP plan options, and plan summaries. Remember to take advantage of Humana’s 2024 bonus programs to earn more in 2024!

Launch My Group

Continued Expansion of PPO/TRP Plan Options

New Dental PPO/TRP/Prev Plus product enhancements are launching in CO, FL, IL, IN, MN, NC, TN, and VA with August 1, 2024 quotes and September 1, 2024 effective dates. These important enhancements for FLEX/2019 plans include:

These additional product options are quoting in AK, AR, AZ, CA, CT, GA, ID, KS, KY, LA, MA, MD, NJ, OK, OR, PA, SC, SD, TX, UT, and WI, and will be rolled out in phases across other states throughout the remainder of the year. View the benefit summaries.

Refreshed Plan Summaries

Top 3 Commonly Asked Dental Questions

  1. Do Humana’s dental plans cover replacement for a tooth extracted or missing before the date coverage starts?
  2. How are dental treatments in progress covered?
  3. What happens if a member had prior orthodontia coverage and is actively in treatment?

Get the answers.

Reminders

Dental
Starting with May 1, 2024 effective dates, Humana has added the following new dental calendar year maximums to their portfolio:

Disability
Starting with June 1, 2024 effective dates:

Additional Selling Points

Resources

Take advantage of Humana’s bonus programs for increased earnings!

Contact us today for a Humana 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

 

 

 

Welcome Cypress Dental!

Posted by

We’re thrilled to welcome Cypress Dental to our carrier partner lineup. With over 50 years in the dental and ancillary benefits market, Cypress Dental offers:

Plus, they’re gifting:

Ready to explore what Cypress Dental can offer your clients? Contact us today to schedule an overview presentation or request a quote.

Request a Cypress Dental quote.

Request 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.