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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.

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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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Vision

Humana Employer Group Application – Dental, Vision and Life STD LTD

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Humana Employee Application – Liberty DHMO

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Humana Employee Application – Dental, Vision and Life STD LTD

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Humana ACH Authorization Form

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Beam Benefits Employer Group Application – Dental & Vision – California

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Beam Benefits Employer E-Signature and E-Delivery Consent and T&C’s Form

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Beam Benefits Employee Enrollment- Change Form – Dental & Vision Coverage

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Beam Benefits Employee Enrollment Form

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Beam Benefits ACH Recurring Payment Authorization Form

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ChoiceBuilder Employer Change Request Form Q1 2025 – Fillable

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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.