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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 PrismBlue 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.
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.
The Relaxed Participation Promotion has been extended through December 31, 2024.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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CaliforniaChoice has announced the following Q4-2024 updates:
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.
Eight health plans, 136 different plan designs (HMO, PPO, EPO and HSAs) and 20 different provider networks. Learn more.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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ChoiceBuilder has announced the following Q4-2024 updates:
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.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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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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 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:
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.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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.
Comprehensive Support Services
Access, Convenience, and Confidentially
Download the TELUS Health – Employee EAP flyer for details.
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.
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.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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.
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.
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.
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.
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.
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).
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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.
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.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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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
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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