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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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Industry News

Archive for the ‘Industry News’ Category

Small Group Special Enrollment Period Ends December 15th

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The small group Special Enrollment Period (SEP) is a valuable opportunity to grow your book and help small businesses that are typically ineligible for group coverage.

During the small group SEP, November 15 to December 15, insurance carriers are required by law to accept applications from small groups (1-100 employees) without participation or employer contribution requirements. This limited time opportunity is the perfect chance to offer coverage solutions, even to businesses that don’t meet the usual criteria.

Did You Know SEP Offers:

SEP Is a Great Solution For:

Our easy-to-use Carrier SEP Guide for January 2025 medical coverage can help you and your small groups quickly compare carrier deadlines and details.

Carrier SEP Guide

Please note: the Special Enrollment Period is different than the relaxed participation promotions. These carrier promotions are usually offered for a specific time period and may be discontinued at any time.

Contact us today to help your clients take advantage of the SEP.

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


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New California State Law Impacts 2025 Dental Plans

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AB 1048 – a recently passed California state law – impacts dental insurance plans in 2025. AB 1048 prohibits fully insured large group dental plans from imposing a dental waiting period or preexisting condition provision for any plan year beginning on or after January 1, 2025.

Humana

Humana is updating their fully insured Group Benefits dental plans in California to meet new state regulations effective January 1, 2025.

Removed from plans:

Details important to you and your clients:

Claremont will keep you updated as other carriers announce their updates in response to the law.

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


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Claremont Welcomes Kevin Carlin

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Kevin has over 35 years of experience in the employee benefits industry, working with leading health and dental insurance companies, including California Dental Network and Humana. His expertise lies in consulting with brokers to develop tailored benefits solutions for their group clients across California.

Throughout his career, Kevin has built strong broker relationships by regularly attending networking events and staying engaged with the latest trends in employee benefits. His active presence on LinkedIn allows him to share valuable insights, helping brokers and industry peers navigate the evolving benefits marketplace. Kevin’s collaborative approach empowers brokers with the tools they need to grow their businesses.

Based in Huntington Beach, Kevin enjoys spending time with his family – his wife, Denise, and their two children, Taylor and Sean. He also loves exploring the natural beauty of Southern California, taking his French Bulldogs, Zoey and Lola, on walks around favorite local spots like the Bolsa Chica wetlands and Central Park.

You can reach Kevin at kevin@claremontcompanies.com or 925.296.8820.

 


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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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2025 Small Group SEP Carrier Guide

Posted by

The small group Special Enrollment Period (SEP) is a valuable opportunity to grow your book and help small businesses that are typically ineligible for group coverage.

During the small group SEP, November 15 to December 15, insurance carriers are required by law to accept applications from small groups (1-100 employees) without participation or employer contribution requirements. This limited time opportunity is the perfect chance to offer coverage solutions, even to businesses that don’t meet the usual criteria.

Did You Know SEP Offers:

SEP Is a Great Solution For:

Our easy-to-use Carrier SEP Guide for January 2025 medical coverage can help you and your small groups quickly compare carrier deadlines and details.

Carrier SEP Guide

Please note: the Special Enrollment Period is different than the relaxed participation promotions. These carrier promotions are usually offered for a specific time period and may be discontinued at any time.

Contact us today to help your clients take advantage of the SEP.

 

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

 

 

National Suicide Prevention Month

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During National Suicide Prevention Month (September), small business owners can play a crucial role in supporting their employees by prioritizing mental health in the workplace. By nurturing a supportive environment, they help ensure team members feel valued and cared for, contributing to overall well-being. This focus not only helps reduce risks associated with mental health challenges and suicidal thoughts but also demonstrates a deep commitment to employee health and happiness.

As one of the few Employee Assistance Programs (EAPs) that serve small employers, The Holman Group offers suicide awareness education, classes, webinars, and a 24/7 crisis hotline, which are included in most benefits packages.

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.

Let us know how Claremont and The Holman Group can help today.

Contact Us For 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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Celebrating Maria Mallari’s 5-Year Work Anniversary

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Maria joined Claremont after a 25-year career at Health Net. She became a part of the Service Team and quickly dove into underwriting. “Maria’s thoroughness and attention to detail have been outstanding from day one,” says Laura Hogsed, Service Manager. “She doesn’t just provide answers; she offers comprehensive information and consistently goes the extra mile for our clients.” Maria was recently promoted to a Level 3 Broker Service Representative, where she will take on additional responsibilities, including playing a more active role in the professional development of her teammates.

Please join us in congratulating Maria on her five years of excellent service at Claremont!

You can reach Maria at maria@claremontcompanies.com or 925.296.8815.

 


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Celebrating Renee McLemore’s 10-Year Work Anniversary

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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.

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California Dental Network Exits California Commercial Group Market

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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.

 


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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 Jessie Gonzalez’s 5-Year Work Anniversary

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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.

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Celebrating Laura Hogsed’s 10-Year Work Anniversary

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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.

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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.