CaliforniaChoice Plan & Rate Updates Effective January 2027
CaliforniaChoice announced plan and rate updates for January 1, 2027 effective dates. Rates are available for quoting!
Rates
Medical rates are changing for all CaliforniaChoice carriers.
Here are the annual rate trends from Q1 2026 to Q1 2027 (trends may vary by plan and region):
- Anthem Blue Cross HMO: 11.4%
- Anthem Blue Cross PPO: 11.1%
- Health Net: 14.2%
- Kaiser Permanente: 4.9%
- Sharp Health Plan: 11.7%
- Sutter Health Plan: 0.6%
- UnitedHealthcare: 20.1%
- Western Health Advantage: 11.2%
Health Net Exit Impact for CaliforniaChoice Groups
CaliforniaChoice announced how the Health Net exit will affect their new and renewing business. Important: CalChoice's timing is different and provides CalChoice groups more time than Health Net direct.
CaliforniaChoice Health Net exit timeline:
- Health Net within CalChoice will be available for new and renewing groups through January 1, 2027 for a full 12-month plan year (a January 1, 2027 new or renewal group can keep Health Net within CalChoice through December 31, 2027)
- Health Net within CalChoice will not be available for new or renewal business for February 2027 renewal and beyond
Special Underwriting Promotion for Health Net Direct Groups
CalChoice is offering the following promotion to simplify the transition process for Health Net direct groups. Eligible groups with 1 or more medically enrolled subscribers may submit their most recent Health Net invoice instead of a DE-9C. To qualify, groups must meet the following criteria:
- Health Net invoice must be fully reconciled
- A current pay stub is required for any subscriber not listed on the invoice
- Owners enrolling who are not listed on the invoice must provide a signed Owner/Partner Statement
- At least 51% of eligible employees must be located in California
- Owner‑only groups are not eligible
Resources available:
Portfolio Updates
CalChoice will be adding the following the plans effective January 1, 2027:
- UHC Gold HMO C (SignatureValue)
- UHC Gold HMO D (Alliance)
- UHC Gold HMO E (Harmony)
- WHA Platinum HMO D
- WHA Silver HMO D
The following plans are sunsetting in 2027:
- Health Net Platinum HMO F (WholeCare)
- Health Net Platinum HMO G (Salud HMO y Mas)
- Health Net Platinum HMO H (Full)
- Health Net Platinum HMO I (SmartCare)
- UHC Gold HMO O (Alliance)
- UHC Gold HMO P (Harmony)
- UHC Gold HMO Q (SignatureValue)
- WHA Platinum HMO A
- WHA Silver HMO A
Book Rates
Book rates for CaliforniaChoice will be posted to the B&P website (login required) when they are available.
For questions, please contact a member of your B&P Sales Team - (888) 722-3373.