Dickerson Update July 30, 2018

Dickerson Update July 30, 2018

Dickerson brings you the latest and greatest carrier updates from Aetna, Blue Shield, CalChoice, Covered California, Employers and Health Net. Read below to find out about new plans, rates and more.

Click here to view as a webpage.

Group Updates


Aetna has announced a rate pass for 4th quarter small groups of 2-100.
In Aetna’s network updates, PrimeCare will be closing its Coachella Valley site and moving all members to its Empire Physicians Medical Group site effective August 1, 2018. Letters and new ID cards have been issued to all impacted members.
Empire Physicians Medical Group was added to the HMO Basic network effective July 1, 2018. Empire Physicians Medical Group now participates in all Aetna commercial HMO networks.
Springboard Marketplace, Aetna’s online open enrollment platform and benefits administration tool, makes it easy to enroll groups electronically. It is available for Small Group ACA customers in California.
You can also contact your Dickerson Account Executive for additional information and assistance with enrolling your clients electronically through EaseCentral at no charge.
Lastly, Aetna’s current new business submission deadlines remain the same: 20th of the month prior for a 1st of the month effective date. For renewing business, Aetna requires that all plan change requests be submitted 10 days prior to the renewal date. These deadlines are specific to California Small Group.
Blue Shield
Blue Shield extended its relaxed participation guidelines for groups with five or more enrolled employees to December 31, 2018.  The guidelines are 25% for medical, dental, vision and life plans.
For its Trio HMO plans, Blue Shield is waiving its participation requirements for groups of 1 to 100 eligible employees. Select “Trio Plans Only” on the Master Group Application, and a new group can enroll with Blue Shield with one single member. This promotion allows your client to purchase a medical plan and/or specialty benefits with Blue Shield alongside another carrier with more lenient participation rules.

For more information on these participation guideline rules and requirements, please click here.

Finally, Blue Shield offers eligible small businesses a 5% discount on their premiums for groups that add dental or vision plans to their group medical coverage. Due to a billing system error, the discount was not applied to the June premium. The discount will be applied to the July, August and September billing statements. The latter will include a discount for both June and September coverage periods.

Subsequent monthly invoices will reflect the 5% discount, as applicable.

For more information on the specialty discount and bonus program, click here.


California Choice is now quoting for 10/1/18 effective dates. There are six new HMO plans and access to seven carrier partners for your clients to choose from. Check out highlights from these new Health Net plans below:


Health Net
Platinum HMO C
Platinum HMO D
Platinum HMO E
Gold HMO C
Gold HMO D
Gold HMO E
WholeCare Salud HMO y Mas SmartCare WholeCare Salud HMO y Mas SmartCare
Calendar Year Deductible
None None None None None None
Lifetime Max
Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited
Dr. Visit Copay
$30 Copay $30 Copay $30 Copay $35 Copay $35 Copay $35 Copay
Out-of-Pocket Max (Individual)
$2,250 $2,250 $2,250 $6,000 $6,000 $6,000
Inpatient Hospital Services
$500 Copay per day (4 day maximum) $500 Copay per day (4 day maximum) $500 Copay per day (4 day maximum) $750 Copay per day (3 day maximum) $750 Copay per day (3 day maximum) $750 Copay per day (3 day maximum)
Rx Benefits, Generic
$5 Copay $5 Copay $5 Copay $15 Copay $15 Copay $15 Copay


For our agents selling Employers Workers’ Compensation products, Employers is offering 250 co-branded direct mail postcards through its Agent Marketing Toolbox (AMT). The AMT is available to all agents appointed with Employers. It provides 24/7 access to custom marketing materials that help communicate workers’ compensation coverage options and services to small business clients.

Starting now, you can log onto amt.employers.com and add up to 250 co-branded postcards. Create a mailing list of up to 1,000 prospects, and upload as many as 250 of those prospects to be included in your free direct mail campaign. Be sure to enter coupon code FRBR18 at checkout!

This promotion is offered on a first-come, first-served basis for a limited number of participants. Request to participate does not guarantee inclusion in this offer. The promotion ends on September 30, 2018.

Health Net

Health Net is introducing three new Platinum HMO and three new Gold HMO plan options, effective 101/18. These new additions mean your clients now have more than a dozen HMO and Health Care Service Plan (HSP) choices in Q4. Health Net’s SmartCare network is available in both the Platinum and Gold tiers, which provides your clients in Southern California, Santa Clara and Santa Cruz counties a tailored network, expanded benefits and health incentives in one program.

Health Net’s Q4 rates will increase 1.6% for PPO & EnhancedCare PPO plans and decrease 1.2% for HMO & HSP plans. There are no rate changes for dental/vision, life or optional chiropractic plans.

Covered California

Covered California has announced that 11 plans will return to the IFP marketplace in 2019, with most rates going up an average of 8.7 percent. The increases are a result of the federal government’s decision to eliminate the individual mandate penalty, which has inflated rates for carriers. This average rate increase reflects the statewide average, as circumstances for individual consumers will vary.

Beginning in October, consumers will be able to visit the CoveredCA.com website and enter their personal information to learn about their gross premium, subsidy and estimated price for 2019.

Industry Events/Professional Development

Medicare 2018 Mini-Bootcamp
Orange County:
Tuesday, August 14, 2018 @ 1 – 3 pm
Click here
to register
Los Angeles County:
Wednesday, August 15, 2018 @ 1 – 2 pm
Click here
to register

Visit Dickerson at the following upcoming events:

CAHU Health Care Summit
August 7-9, 2018
Hilton San Diego Bayfront
1 Park Blvd.
San Diego, CA 92191
Click here
to register

VCAHU Casino Night
Tuesday, August 14, 2018 @ 4 – 7 pm
Camarillo Ranch
2018 Camarillo Ranch Rd.
Camarillo, CA 93012
Click here
to register

OC/IE/SD Medicare Summit
August 22-23, 2018
45000 Pechanga Pkwy
Temecula, CA 92592
Click here
to register

LAAHU/VCAHU Medicare Summit
September 20-21, 2018
Pickwick Gardens Conference Center
1001 W Riverside Dr.
Burbank, CA 91506
Click here
to register