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Covered California for Small Business – Portal and Admin Updates

Nov 13, 2023, 4 Minute Read

Covered California for Small Business (CCSB) has announced several new portal and administrative updates.

Portal Enhancements

New Renewals
Starting with January 2024 renewals, CCSB has updated the format and included employee worksheets based on the current offerings. The renewals and Employee (EE) Worksheets can be found through the Employer Dashboard on MyCCSB.com under “Documents > Letters.”  The Employer Proposal and the Employee Renewal Worksheets will be listed separately. The Employee worksheets are only available through the portal and will not be physically mailed with the Employer Renewal.

New Business Submission Deadlines
The workaround is no longer needed when submitting a new business case after the 25th of the month. You can now submit your new business cases through the portal for your intended effective date, through the end of the day on the 7th (includes weekends and holidays). The system will now require the Late Submission form when submitting past the initial deadline (2023 and 2024 deadlines). With this enhancement, employee applications/waivers will not be required with your submission if the employee enrollment is completed online.

• When entering a new group, if the open enrollment date passes in the portal before you complete the submission and you need it reopened, please contact your Claremont team.
• Upload all business documents into the portal. Master App, DE9C, Late Submission Form (if required), and any other business documents.

SIC Requirement
The portal will now require the SIC when entering a new business case or completing a renewal when the SIC is missing.

Admin Updates

Disabled ACH Feature and Reinstatement Policy
Effective immediately, CCSB will begin to enforce their policy on payments that have been returned unpaid and the number of times a policy can be reinstated after termination for non-payment.

Returned Payment Policy
The ability to enter one time or recurring ACH payments through MyCCSB.com will be restricted for 12 months (365 days) when two returned payments have occurred on the account within six months (183 calendar days).

• After the first occurrence, a notice will be sent to the employer mailing address on file, providing you with the reason for the returned payment.
• After the second occurrence, a notice will be sent to the employer mailing address on file, providing you with the reason for the returned payment and notice that all payments must be made with a cashier’s check or money order for a period of 12 months beginning the first of the month following the last paid through date. Payment made with business or personal checks will be returned to the sender.
• MyCCSB.com will automatically reinstate the ACH functionality after 365 calendar days from the last returned payment.

Notices will be sent out based on the mode of delivery selected by the employer. For example: If the employer is opted into paperless delivery, they will only get an email notice with their agent cc’d if one is attached. If they are not opted into paperless delivery, notices will be physically mailed to the employer only. View the Partner Alert for details.

Policy Reinstatement After Termination for Non-Payment
A qualified employer terminated due to non-payment of premium may only reinstate once during the 12-month period beginning at the time of their original effective date or from their most recent renewal date, whichever is more recent. Exceptions will be considered on a case-by-case basis. View the Partner Alert for details.

‘A Partnership That Pays’ Broker Bonus Program

With the CCSB bonus program, agents who place new small group business with CCSB from July 1, 2023 – January 1, 2024, can earn up to a $12,000 bonus per group, in addition to competitive commissions. To qualify for the first bonus tier of $1,000, agencies must submit a minimum of three groups with four enrolled employees. Best of all, the bonus is per group with no maximum number of groups! Download the flyer for details.

In addition to California’s most comprehensive access to doctors and hospitals, CCSB health plans offer choice and control, with:

• Full-network PPO from Blue Shield.
• HMO offerings from Blue Shield, Kaiser Permanente, and Sharp Health Plan.
• 4-tier selection.
• Single bill.

Partner with Claremont for:

• Help understanding employers’ needs to deliver the right benefits solutions.
• Assistance with small group sales, enrollments, and renewals.
• Actionable solutions and practical tips, such as:
  – Advantages for Agents and Employers
  – Agent Resources
  – Health Care Tax Credit Solution
  – Top 20 Lowest Cost Medical Plans
• Expertise and support behind the scenes — all at no cost to you.

As a trusted CCSB partner since its 2014 launch, we are a top-producing general agency in our sales territory. From agent certification and quoting to assessing new group eligibility and resolving post-enrollment issues, our CCSB experts will provide guidance and support every step of the way.

Contact us today for a Covered California for Small Business quote!

Get a Quote

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

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