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1-100: CaliforniaChoice Plan & Rate Updates Effective January 2017
Oct 28, 2016
CaliforniaChoice announced rate adjustments for January 1, 2017 effective dates with Medical benefit changes. Rates are available for quoting!
Medical: varies by carrier, plan, and region
Ancillary: RATE PASS
PLANS & BENEFITS
- New Plans:
- Anthem Blue Cross Silver EPO B
- Kaiser Permanente Silver HMO D
- Sutter Health Plus Platinum HMO B
- Existing Plans: Many plans will experience benefit changes to remain in compliance with required actuarial values. Plan summaries are pending and will be posted to the b&p website once available.
- Discontinued Plans:
- Aetna Gold HMO A
- Aetna Gold HMO B
- Aetna Silver HMO B
- Aetna Bronze HMO B
- Anthem Blue Cross Gold EPO A
- Sharp Bronze HMO C
- Sutter Health Plus Platinum HMO C
- Sutter Health Plus Gold HMO C
- Sutter Health Plus Silver HMO A
- Sutter Health Plus Silver HMO D
- United HealthCare Bronze HMO A
- Western Health Advantage Bronze HMO A
Full and narrow network options that best meet unique, personal and family needs:
- Aetna: HMO Deductible, Aetna Value Network HMO, and Basic HMO
- Anthem Blue Cross: Select HMO, Advantage PPO, Select PPO, and EPO
- Health Net: WholeCare HMO, PureCare HSP, and Salud
- Kaiser Permanente: Kaiser HMO
- Sharp Health Plan: Performance HMO and Premier HMO
- Sutter Health Plus: HMO
- UnitedHealthcare: Signature HMO, Alliance HMO, and Focus HMO
- Western Health Advantage: HMO
- Refer to b&p's CaliforniaChoice Small Group Networks resource for details.
Guarantee Issue guidelines differ by the number of medically enrolled:
- 1-4 enrolled: Must be in business a minimum of six (6) continuous weeks prior to the requested effective date.
- 5-100 enrolled: Must be able to provide at least one (1) week of payroll prior to the requested effective date.
Two adjacent metal tiers are allowed, options include:
- Platinum and Gold
- Gold and Silver
- Silver and Bronze
A Self-Funding Declaration (aka Statement of Understanding) is required when 50% or more enroll in a PPO plan.
JANUARY BOOK RATES
Book rates for January 2017 effective dates are provided below and on the b&p website.
For questions, please contact a member of your b&p Sales Team - 888.722.3373.