Health and Dental Plans

What are the health plan options?

Covered California for Small Business offers four levels of coverage — Bronze, Silver, Gold and Platinum — each with multiple plan options. We make it easy for you to choose not one level, but two adjoining levels of coverage. You pick. Your employees have the option to select any plan within those two levels. For example, you can set your budget based on the Silver level but allow employees to move up to Gold. This provides your employees with a choice of multiple health plan options from private health insurance companies, allowing them to find one that fits their needs and budget.

The 2016 summary of benefits and coverage and explanation of coverage documents are now available to view. Click on the health insurance company logos below.

Which health insurance companies are available?

Covered California for Small Business has six health insurance companies that are available for year-round enrollment in the small-business program. Because employees have the opportunity to compare and select health plans at a variety of price points, the result is greater choice and coverage that is more closely tailored to individual needs.

View the 2017 Health Plan Benefits Summary, which provides a summary of benefits that are offered by each health insurance company for each metal tier.

View the 2016 Health Plan Change Summary and 2017 Health Plan Change Summary for a year-to-year comparison of the health benefits available by each health plan and metal tier. (Recommended printing size: 11 by 17 inches.)

Click on the health insurance company logos below to see information about available plans.

Blue Shield of California

www.blueshieldca.com | (855) 836-9705

Blue Shield of California is a California-based not-for-profit health plan dedicated to providing Californians with access to high-quality care at an affordable price. Plan selection varies by region.

Blue Shield’s health plans for 2016 include embedded pediatric dental coverage.

Click to see the group service agreement for participating employers.

Note: The group service agreement is not currently available online. To obtain a copy of the group service agreement, please contact Blue Shield at (855) 836-9705.

Chinese Community Health Plan

www.cchphealthplan.com | (888) 775-7888

Chinese Community Health Plan (CCHP) is a San Francisco-based nonprofit health plan that was founded nearly 30 years ago to provide care for the Chinese-American community and today serves all consumers. Plan selection varies by zip code in regions 4 and 8.

Chinese Community Health Plan’s plans for 2015 and 2016 include embedded pediatric dental coverage.

Click to see the summary of benefits and coverage and evidence of coverage documents for CCHP.

Click to see the group service agreement for participating employers.

Kaiser Permanente

www.kp.org | (800) 464-4000

Kaiser Permanente is a nonprofit, group-practice health plan with headquarters in Oakland, Calif. Kaiser Permanente is composed of Kaiser Foundation Health Plans (nonprofit, public-benefit corporations), Kaiser Foundation Hospitals (a nonprofit, public-benefit corporation), and the Permanente Medical Groups (for-profit professional organizations). Plan selection varies by region.

Click to see the group service agreement for participating employers.

  • Kaiser Permanente group service agreement

  • Note: This group service agreement is pending approval from the carrier’s regulator.

    Sharp

    www.sharphealthplan.com | (800) 359-2002

    Sharp Health Plan is a not-for-profit organization operating in San Diego and southern Riverside counties since 1992. It is a subsidiary of Sharp HealthCare, the largest provider of comprehensive health care services in San Diego. Sharp serves Covered California enrollees in pricing region 19.

    Sharp’s health plans for 2015 and 2016 include embedded pediatric dental coverage.

    Click to see the summary of benefits and coverage and evidence of coverage documents for Sharp.

    A summary of benefits and coverage lets you see details about costs and coverage for a particular health plan.

    Click to see the group service agreement for participating employers.

    Western Health Advantage

    www.westernhealth.com | (888) 563-2250

    Founded in 1996, Western Health Advantage is a not-for-profit health insurance company that was founded by a group of Sacramento and Solano doctors and health care providers. Plan selection varies by zip codes in regions 1, 2 and 3.

    Western Health Advantage’s health plans for 2015 and 2016 include embedded pediatric dental coverage.

    Click to see the group service agreement for participating employers.

    Note: The group service agreement is not currently available online. To obtain a copy of the group service agreement, please contact Western Health Advantage at (888) 563-2250.


    Dental Health Insurance Companies

    The Covered California for Small Business application includes a place for employees to pick a dental insurance plan for themselves and their dependents.


    Click on the dental insurance company logos below to see information about available plans for 2015 and 2016.

    Anthem BlueCross (pediatric dental only)

    Not available for 2016 coverage.

    Plan documents for Blue Shield of California are available below.

    Guardian

    Not available for 2016 coverage.

    Plan documents for Guardian are available below.

    Managed Dental Care

    Not available for 2016 coverage.

    Plan documents for Managed Dental Care of California are available below.

    MetLife(pediatric dental only)

    Premier Access

    Not available for 2015 coverage.

    Plan documents for Premier Access are available below.

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