Sep 21, 2023
UnitedHealthcare has announced their small group updates for Q1 2024 in California.
Quarterly Rate Change:
- PPO: 3.6% statewide average (SoCal 3%; NorCal 4.1%)
- Navigate: 5.6% statewide average
- HMO: 1.1% statewide average
Annual Rate Change
- PPO: 5.2% statewide average (SoCal 4.5%; NorCal 5.9%)
- Navigate: 5.6% statewide average
- HMO: 7.5% statewide average
Note: rates are pending completion of regulatory review.
Quoting Availability: available now
Plan/Portfolio Updates:
- Complete portfolio refresh for medical
- 57 plans in Choice Simplified and 12 plans in MultiChoice State Package; the Silver PPO Non-Diff will remain available in both packages for non-ID employees only
- Care Cash has been added to 1 Platinum, 2 Gold, 2 Silver and 2 Bronze plans. Care Cash Plans also include Rewards.
- Doctor's Plan network plans have been removed and will no longer be offered in the CA small business portfolio. They will be mapped to Core plans.
- Virtual visits for all plans at $0 member cost share
- Infertility optional benefit will continue as shown in the rate tables: HMO 3.4% and PPO 4.9%
- Broad Rx Network across all plans
- Plan grids, plan mapping, SBCs and SOBs will be available in Forms & Benefits by 9/29
Network Updates: no changes from the last release
Underwriting Guidelines: no changes; continue to use the July 2022 version
Contact your Amwins Connect Regional Sales Manager for more information.
