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Featured

10/24/2018

Blue Shield of California Makes it Easier to Offer Cross-Border Health Care

Effective immediately, Blue Shield of California is allowing a cross-border health plan to be written alongside Blue Shield and another carrier. That includes SIMNSA (Sistemas Medicos Nacionales, S.A....
10/24/2018

Anthem Blue Cross Renews Agreement with Redlands Community Hospital

Anthem Blue Cross has renewed their Commercial Hospital Agreement with Redlands Community Hospital in the City of Redlands in San Bernardino County. The fully executed multi-year contract is effective...
10/23/2018

UnitedHealthcare Enhances Ancillary Benefits

UnitedHealthcare is making ancillary benefits even easier to sell with relaxed underwriting for dental plans. Relaxed Dental Plan Underwriting Effective January 1, 2019, UnitedHealthcare is offe...
10/23/2018

Oscar Health Drops Rates for Q1 2019

Oscar Health has a consistent overall rate decrease for Q1 2019. Exclusive Provider Organization (EPO) HSAs are showing a big decrease across the board. Quoting is expected to be available soon. ...
10/23/2018

Kaiser Permanente® Now Offers Coverage to PEO Subgroups

Kaiser Permanente® revised their policy, and is now offering coverage to small groups with a professional employer organization (PEO) agreement — effective November 2018. Who Qualifies Employers must ...
10/23/2018

Blue Shield of California Changes Mirror Plan Commissions

Blue Shield of California is changing their 2019 commissions for off-exchange mirror plans to a level 5%. This change applies to groups with January 1, 2019 effective dates and after. The commissions ...
10/22/2018

Pomona Valley Medical Group Now Part of Blue Shield’s 2019 Network

Blue Shield of California now lists Pomona Valley Medical Group as in-network for their Access+ HMO and their Trio HMO for 2019. The Independent Practice Association is comprised of individual private...
10/18/2018

Adding Up Nine of Years Health Care Spending Increases

When you look at healthcare spending on a yearly basis, the increases don’t seem that big. But when you add up nine years of increases, the results are staggering. From 2007 to 2016, there was a 44% i...
10/15/2018

CaliforniaChoice® Introduces Triple Tier Option

CaliforniaChoice® is expanding metal tier options for new and renewing groups effective January 1, 2019. Small groups will now have a third option: Single Tier Tiered Choice Ne...
10/15/2018

MediExcel Issues Q1 2019 Update

MediExcel Issues Q1 2019 Update MediExcel is announcing a slight overall rate increase of 2.4% for Q1 2019. MediExcel is keeping it simple. For 2019, there are no underwriting changes, and no new or ...
10/15/2018

Western Health Advantage Announces Overall Rate Decrease for Q1 2019

Western Health Advantage (WHA) is announcing a slight overall rate decrease, with some regions receiving an increase and others a rate pass. Quoting is available through March 31, 2019. WHA is kee...
10/15/2018

Health Net Announces Q1 2019 Rates

Health Net released Q1 2019 rates with minor changes across all plans. LISI’s average rate change tool compares Q1 2019 over Q4 2018 rates among like-to-like plans. We report the following statewide a...
10/12/2018

CaliforniaChoice® Matches Broker Bonus from Kaiser Permanente®

Kaiser Permanente® is offering a broker bonus for groups enrolled from October 1, 2018 to January 1, 2019, and membership in CaliforniaChoice® qualifies. Get paid on all membership enrolled starting ...
10/10/2018

Anthem Blue Cross Unveils Q1 2019 Rates and Significant Plan Updates

Anthem Blue Cross Q1 2019 plans are now available for quoting with slight rate increases across all regions. The following is a summary of significant changes that Anthem Blue Cross is making to be mo...
10/10/2018

Sterling Introduces a Fully Paperless HSA

Sterling Administration introduced Simple HSA, which provides competitive pricing and 24/7 online access through their portal and app. It’s $3 per-member/per-month – cards included. There are no fees ...
10/09/2018

Blue Shield Issues Plan Updates and Additions for Q1 2019

Medical Blue Shield is introducing two new medical off-exchange plans to their small business portfolio: • Bronze PPO 6500/50% OffEx available on Full PPO and Tandem PPO networks • Gold HMO 0/30 Of...
10/05/2018

Sharp Health Plan Limits Service Areas

As of January 1, 2019, the health insurance coverage for some Sharp Health Plan members will end. Sharp Health Plan will no longer offer health coverage to members who live in the following ZIP codes:...
10/03/2018

Compliance Alert: Part D Creditable Coverage Disclosures

Issue Date: September 2018 Introduction Employers sponsoring group health plans that offer prescription drug coverage must notify eligible individuals about whether the coverage is considered “C...
10/01/2018

Webinar: 2019 Small Group Update from UnitedHealthcare

Don’t miss UnitedHealthcare’s next BrokerCast. The Northern California sales and renewal staff will fill you in on 2019 rate actions, their product portfolio, and changes to underwriting guidelines. Y...
09/24/2018

Contract Negotiations Continue Between Anthem Blue Cross and Enloe Medical Center

Enloe Medical Center in Chico, CA and Anthem Blue Cross are in contract negotiations. Their contract is set to renew or expire on November 1, 2018. If Anthem and Enloe don’t reach an agreement, Anthem...
09/21/2018

UnitedHealthcare Releases Rates for Q1 2019

For Q1 2019, UnitedHealthcare has decreased rates by -1.8% for HMOs and -1.5% for PPOs. This is when you look at the statewide average change compared to Q4 2018. These numbers will vary by county and...

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