PRISM Login

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.

This site uses cookies to track your agreement option. If the terms of the license agreement change or if you clear the cookies from your browser, this page will appear once again during the PRISM login process.

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.

Login To Prism

For groups in industries affected by COVID-19 closures, will Blue Shield of California provide a grace period other than the usual 30 days for premium billing?

Posted by

Blue Shield is evaluating every decision or request from the State and Federal Government and their senior sales leaders are meeting daily to make proposals and decide on next steps. For now, they’re referring all clients back to their existing contracts and highlighting provisions that help in a time like this. 

Learn more.

Do employees qualify as Disabled if they fall ill due to COVID-19?

Posted by

Claims for COVID-19 will be evaluated the same as any other illness. As with all claims, one must satisfy the definition of disability and all other provisions outlined in the policy. 

Learn more.

Does Principal have a pandemic-specific exclusion in their insurance policies?

Posted by

No, Principal evaluates COVID-19 as they would any other medical condition.

Learn more.

If an employer group has to temporarily close due to impacts from COVID-19, will its Principal coverage remain active?

Posted by

Yes, coverage remains active through May 31, 2020, if the employer continues to pay premiums.

Learn more.

If employees are required to work a reduced schedule and no longer meet the minimum number of hours of eligibility in the policy, will they remain eligible for coverage and how long can they be covered?

Posted by

Principal’s standard practice is to continue coverage until the end of the month. However, as an administrative exception due to impacts from COVID-19, any employee no longer eligible due to reduced hours or furlough/layoff on or after March 1, 2020, through May 31, 2020, may continue coverage for 90 days, provided premiums continue to be paid. For employees whose coverage terminates and are rehired within six months of the termination date, benefits are reinstated without a new hire waiting period..

Learn more.

Can a group downgrade off anniversary?

Posted by

Please contact Claremont and we can assist with this process. 

Is UnitedHealthcare providing expanded access to telehealth?

Posted by

Yes. UnitedHealthcare expanded access to telehealth to help members stay at home and reduce exposure to the virus.

24/7 Virtual Visits through designated telehealth providers: While these visits cannot be used to test for or treat COVID-19, they can be useful in determining if members should call their local health care provider regarding COVID-19 testing. These visits are also ideal for urgent care treatment of other illnesses, like the seasonal flu, allergies, pink eye and more.

Cost sharing for members with a telehealth benefit through their employer-sponsored plan will be waived through June 18, 2020.

To access their benefit, members should sign in to their health plan account.

Local telehealth visits with a member’s medical provider: Many medical providers can provide a telehealth visit. Telehealth visits with a member’s health care provider can be used for both COVID-19 and other health needs, keeping members in their home while still receiving the care they need.

For COVID-19 testing related telehealth visits with a health care provider, cost-sharing is waived during this national emergency.

For other health related telehealth visits, cost sharing and coverage will apply as determined by the member’s health benefits plan, through June 18, 2020.

Learn more.

Will pharmacy coverage or treatment be impacted by COVID-19?

Posted by

Get the answer in UnitedHealthcare’s COVID-19 Pharmacy Coverage FAQs.

Will drive-up testing be an option?

Posted by

As long as the testing place is at an FDA approved facility/location and administered in accordance

CDC Guidelines, it will be covered. For temporary testing locations like drive-up clinics, we are still

determining how this process will work.

Learn more.

If an employer group remains open and temporarily reduces the hours for certain employees because of coronavirus, are its employees still considered actively at work?

Posted by

Reliance Standard will allow the employee to maintain insurance coverage during the time period that the temporary reduction in hours occurs. The employer must maintain the employee’s same employment status as prior to the work hour reduction [e.g. active, full time etc.]. Additionally, at this time, Reliance Standard has determined that a temporary hour reduction is one that occurs for up to 30 calendar days. This means that if the employee continues to work a reduced scheduled on the 31st calendar day from the date the reduced schedule began, the employee will need to meet the eligibility requirements in the applicable policy to maintain coverage. As the pandemic situation develops Reliance Standard will evaluate the 30-day time frame to determine if modification is warranted.

Please note that all other policy provisions still apply, including the standard policy requirement that all income related changes are effective on the date that change occurs. For example, this means that if an employee’s income is reduced and the employee files a disability claim, the employee’s income immediately prior to the employee’s date of disability will be used to determine the employee’s benefit amount.

Employer groups should check their policy: certain policies may not allow this extension of coverage or certain policies may allow changes in income to be effective on dates other than the date the change occurred; if so, that information will be specifically listed.

 

Helpful Resources

Reliance Standard Coronavirus Response page, with links to general FAQs and Dental and Vision FAQs.

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.