Carrier News

Contract Between Anthem Blue Cross and Enloe Medical Center Terminates

The contract between Anthem Blue Cross and Enloe Medical Center in Chico, CA has terminated effective November 1, 2018. After several months of negotiations, the two parties were unable to reach an ag...

Blue Shield of California Waives the DE 9C for 5+ Groups

Blue Shield of California is waiving the DE 9C requirement for groups with 5 or more enrolling employees with these parameters: Groups must submit the Eligibility/Participation Attestation along...

Q1 2019 Rates Available from CaliforniaChoice®

CaliforniaChoice® has released Q1 2019 rates. Rates are valid from January to March 2019. Quoting is now available through HealthConnect. Make January your biggest payout month with the CaliforniaChoi...

Sharp Health Plan Updates Rates and Portfolio for Q1 2019

Sharp has updated rates for 2019. HMO plans will increase 1.1% across all networks. PPO plans will increase 6.6% in region 19 and 16.5% in region 17. Non-Mirrored plans and rates are pending approval...

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....

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...

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...

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. ...

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 ...

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 ...

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...

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...