Blue Shield Reduces Participation

From May 1, 2014 through July 1, 2014, Blue Shield of California is relaxing the participation requirement for groups with five or more enrolled employees to 25%. This is less than Blue Shield’s already low requirement of 65%, and among the lowest in the industry.

Although most businesses often want to purchase two plans – an HMO from one carrier and a PPO from another – relatively smaller businesses typically can’t meet minimum participation requirements. This limited-time promotion lets your clients purchase a PPO plan from Blue Shield alongside another carrier’s HMO.

With the relaxed participation requirement, you can deliver to your clients what they want – flexibility and choice.

  • The relaxed participation requirements are available for new medical small business clients with effective dates of May 1, 2014 through July 1, 2014*.
  • The promotion applies to off-exchange plans only.
  • New groups with fewer than five employees enrolling with Blue Shield do not qualify.
  • Groups must meet the definition of a qualified small employer group.
  • All normal eligibility and enrollment documents are required.
  • Refusals are required for all eligible employees not enrolling in the Blue Shield plan(s).
  • Be on the lookout for information about our specialty products promotion coming soon.

*Blue Shield reserves the right to cancel this program at any time.

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