Health Net Large Group | What You Need to Know

Health Net offers a broad suite of products and network options that bring choice and flexibility. Here’s what you need to know:

Large Group Network Solutions:

• Salud Y Mas
• SmartCare
• Excelcare
• Elect Open Access
• HMO 
• PPO California
• PPO Out of State

Large Group Network Participation:

Employers under 250 Eligible Lives

• Minimum of 33% Participation Required
  • 33-49% - Employer selects up to 4 plans
  • 50% or Greater Participation – Employer selects up to 6 plans

Employers with 250-500 Eligible Lives

• 50% Participation Required
• Employer selects up to 6 plans

Alongside Kaiser or Groups without Prior Coverage – All Groups Under 500 Eligible

• 33% Participation and Up to a Choice of 4 plans

Allowance for Out of State PPO Participation

• Up to 30% Out of State is Standard with Allowance for Exception up to 60%

Large Group Value Adds

• Up to $50,000 Wellness/Tech Funding Available (varies by size of employer).
• 2% Broker Commission Bonus Paid for the first 12 months for any new business sale.
• Core Wellness Program includes member gift reward of up to $100 for any member aged 18 or older.
• Rate Caps of 9-11% Available (subject to underwriting discretion)
• Ancillary Packaging Discounts to Medical. Applies to Employer Sponsored Products
  • 2% Discount to Medical for purchase of Dental
  • ½% Discount to Medical for a purchase of Vision
  • ½% Discount for Purchase of Life Insurance
• And Much More!

Contact your Amwins Connect Regional Sales Manager to learn more about Health Net!