Did You Know Covered California for Small Business has Solutions for Difficult to Cover Employer Groups? Majority of Employees Out of State: CCSB allows groups that have a majority of their eligible employees Out of State. The group must be domiciled in California with at least one eligible and enrolling employee/officer. CCSB also accepts Out of S...

UnitedHealthcare UW Guideline Update for Groups with Only the Owner Enrolling Groups with at least one common-law employee: Effective 2-1-2018, UHC will no longer write groups that have only the Owner enrolling while their common-law employee(s) are waiving coverage. These groups are now required to have at least one eligible enrolling common-law e...

2018 Changes to California SDI and PFL Benefits California AB 908 took effect January 1, 2018 and made major changes to the State Disability Insurance (SDI) and Paid Family Leave (PFL) wage replacement benefit programs. 1. Increase in the wage replacement rates for SDI and PFL from 55% to 60 or 70% depending on the applicant’s income: 60% for ind...

Small Group quoting is available through June 2018 effective dates Send your quote requests to your RBG Team today! 2018 Second Quarter Rate Action Averages by Carrier:...

The following carriers have released updated enrollment forms for new small group business. Please be sure you are using the updated forms for the effective dates indicated below. Aetna has updated their Employer Application and Employee Enrollment/Change Form for 2018. The pending regulatory approval watermark has been removed and plan names ...

Health Net Introduces Two Ways to Win Bonus Program for New Large Group Sales Sell a new 101+ group with effective dates between 1/1/2018 through 12/31/2018. Earn a $50 bonus for each member enrolled in the sold plan. If the newly sold group is a “win-back,” previously enrolled with Health Net as of 1/1/2013 effective date or later, ear...

Introducing the Advanced Choice Pharmacy Network New, tailored pharmacy network designed for cost control Health Net introduced the Advanced Choice pharmacy network in 2017 – their first tailored pharmacy network, which connects members to CVS, Walmart, Costco, Safeway, Vons, and other pharmacies. Walgreens is excluded. Who is Impacted and When? ...

A Partnership that Pays – CCSB Bonus Program January 1 – June 1, 2018. Applies to new Covered California for Small Business (CCSB) groups with initial effective dates of 1/1/2018 to 6/1/2018. Subscriber count is determined at the time of initial enrollment and based on medical subscribers only. CCSB issues incentive payments 90 days following t...

More flexibility with Tandem PPO Blue Shield of California introduced Tandem PPO plans to the market for 2018, and is pleased to announce that you may now offer your small business groups the option to select Tandem PPO plans and Full PPO Network plans together, starting with 4-1-2018 effective dates. This allows groups to offer lower-cost Tandem p...