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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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Carrier News

Archive for the ‘Carrier News’ Category

Blue Shield of California – Q4-2024 Plan and Rate Updates

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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 fourth quarter changes.

Q4-2024 Rates

Q4-2024 Renewals

Small Business Incentive Program

Bundled Savings 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.


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CaliforniaChoice Q4-2024 Plan and Rate Updates

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CaliforniaChoice has announced the following Q4-2024 updates:

Move Your Cigna + Osar Groups to CaliforniaChoice

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. Get the details and contact us for assistance with your Cigna + Oscar groups. 

Rate Updates

Plan Updates

Reminder

CaliforniaChoice Portfolio

Eight health plans, 136 different plan designs (HMO, PPO, EPO and HSAs) and 20 different provider networks. Learn more.

CalChoice Carriers

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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ChoiceBuilder Q4-2024 Plan and Rate Updates

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ChoiceBuilder has announced the following Q4-2024 updates:

Rate Updates

Plan Updates

ChoiceBuilder (2-500 Employees) Portfolio

ChoiceBuilder

Advantages

Available to small businesses (2-500 employees), ChoiceBuilder is the best ancillary exchange in California, offering 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, including CaliforniaChoice®.

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.

Reminders

Contact us today for a ChoiceBuilder 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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Celebrating 5-Year Anniversaries for Derek Fahlman and Autumn Hersey

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Please join us in celebrating Derek Fahlman and Autumn Hersey on their milestone work anniversaries.

Derek Fahlman, Customer Engagement Manager (CEM), marks his 5th anniversary at Claremont. Derek was instrumental in the creation of the CEM role five years ago, and served as Claremont’s very first CEM. His drive to understand broker needs uniquely is powered by his prior experience as a broker and his many years of hospitality customer service. “Derek works tirelessly to ensure our broker customers are successful winning new business and retaining their in-force group,” says Renee McLemore, Claremont VP of Sales & Marketing. “His competitive nature to win is only outdone by his natural instinct to be a true team player. Derek’s sales team and our Claremont family are lucky to have him on our team!”

Autumn Hersey, Broker Service Representative, is also celebrating five years. Initially hired as a temporary employee, Hersey quickly transitioned to a permanent role. “Autumn’s attention to detail, ability to think ahead, and always keeping our broker customers at the forefront of all she does, make her a valuable asset to the Service team,” says Laura Hogsed, Service Manager. “It’s hard to imagine a time before Autumn joined us.”  Please join us as we congratulate Autumn on her five years of service at Claremont!”

You can reach Derek at derek@claremontcompanies.com or 925.296.8837 and Autumn at ahersey@claremontcompanies.com or 925.296.8842.

 


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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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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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If you don’t find what you are looking for, contact our team for help at 800.696.4543 or materialsrequest@claremontcompanies.com.