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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 PrismIf the employer provides health insurance to the employee and the employee falls within the 138%-250% of the FPL, does the employee qualify for cost-sharing reductions?
An individual would not be eligible for the cost-sharing reductions if the employer provides minimum essential coverage that is affordable and of minimum value. Affordable means the employee’s portion of the premium, for employee-only coverage, is 9.5% or less of the employee’s income. Minimum value means the plan has at least a 60% actuarial value, i.e. for an average population, it is expected to pay at least 60% of allowed costs.
It is also important to note that the cost-sharing reductions are only available in the silver tier of Covered California’s Individual Marketplace.
There may be a more recent answer to this question. Contact Claremont for an update.