Get Ready to Fly in Q4 with Health Net

Important Underwriting Update:

Effective immediately Health Net Small Group will now consider Individual coverage as a valid waiver.

Fourth Quarter Rate Action Statewide Averages:

  • HMO & HSP: -1.2%
  • PPO & EnhancedCare PPO: 1.6%

Rates are available for quoting in Health Connect.

Health Net Introduces New PPO and EnhancedCare PPO plans for Q4:

Health Net adds six new plans for Q4 – 3 full network PPO plans and 3 EnhancedCare PPO plans (available in Los Angeles county only).

  • Platinum 90 PPO 250/15
  • Gold 80 PPO 1000/30
  • Silver PPO 2000/55
  • Platinum 90 EnhancedCare PPO 250/15
  • Gold 80 PPO EnhancedCare 1000/30
  • Silver PPO EnhancedCare 2000/55

Brokers can refer to the updated Health Net October 2018 Desktopper for benefit information on the new plans. Plan summaries and SBCs are pending release and will be available on the RBG website when available.

Underwriting Promotions:

Health Net has several underwriting promotions for Q3 and Q4:

  • Enhanced Choice A – Mix and Match all Health Net Small Group HMO plans and Full Network PPO – 50% participation for groups of 6 or more eligible employees.
  • Enhanced Choice B – Mix and Match all Health Net Small Group HMO plans, Full Network Bronze PPO and in Los Angeles add the EnhancedCare PPOs – 35% participation for groups of 6 or more eligible employees.
  • Sell Salud with 2! – Your clients can add the Salud y Mas HMO with just 2 active subscribers. No participation percentages to hit and Salud can be written alongside other carriers.

Contact your RBG Representative to help determine which promotion suits your client’s needs best.

Small Group CommunityCare HMO plans expand to San Diego county:

CommunityCare HMO plans (Gold $5, Silver $20 and Bronze $45) were introduced in Los Angeles and Orange counties earlier this year and now Health Net is happy to announce the expansion of the CommunityCare network and plans to San Diego county.

The CommunityCare Provider Network in San Diego county includes:

  • Arch Health Partners
  • Cassidy Medical Group /Primary Care Associated Medical Group (PCAMG)
  • Scripps Clinic
  • Scripps Coastal
  • Direct Network: Southern California (this is a specific Health Net CommunityCare Network with direct contract physicians – the list of direct contracted physicians is large)

Broker Bonus Reminder:

Don’t forget! Earn $100 PER MEMBER – employee, spouse, child(ren) – with every new Health Net small group written between 7/1/2018 – 12/31/2018. There is no limit! Health Net Small Group Q3 and Q4 New Sales Bonus Program

Ancillary Reminders:

Health Net Dental and Vision can be written on a voluntary basis with a minimum of 2 enrolled employees and no waiting periods on the benefits!