25% Relaxed Participation Extended Through the End of 2019!

All small business groups may continue to take advantage of Blue Shield’s relaxed participation guidelines through December 2019.

25% Relaxed Participation Details:

  • Applies to new small group medical small business off-exchange plans and specialty clients with effective dates through December 31, 2019.
  • A minimum enrollment of 25% or 5 eligible employees, whichever is greater.
  • Only one carrier can be written alongside Blue Shield (except if MediExcel or SIMNSA are written as a third carrier).
  • EPO benefit design plans cannot be written alongside any Blue Shield medical products.
  • When offering dental1, vision1 and life1 products, Blue Shield must be the sole carrier.
  • Declinations are required for all eligible employees not enrolling in Blue Shield plans.

1Underwritten by Blue shield of California Life & Health Insurance Company

Waived Participation for Trio HMO Only Groups:

  • Enroll as few as one subscriber.
  • Eligible to new groups electing to offer only Trio HMO plans on the Master Group Application through December 31, 2019 effective dates.
    See the Updated Relaxed Participation Flyer for additional details.

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