California Carrier, Health Plan, and Administrator Updates – Q2 2025

Bonus Updates
Delta Dental
2025 Broker Rewards – Delta Dental’s Small Business Broker Rewards Program offers additional compensation for selling and retaining eligible groups (2-99 lives). Earn up to 5% for new sales and 3% for retention bonuses.
Download the flyer

Health Net
2025 Large Group Incentive – Brokers can earn 2% of paid premiums for 12 months for each new Large Group employer sold.
View details in our Newsroom post

Medical Coverage Updates
Multiple Carrier & W&B Updates
✔ Q2 2025 Quoting – We’re quoting all carrier partners for Q2 2025. Log in now or contact us for assistance.
✔ Portfolio Updates – New product and commission summaries are available for California:

Small Group Edition

Large Group Edition
✔ New Carrier Pre-Sale FAQ – An updated FAQ document is now available in the Insurance Forms Library.
✔ CAA Reporting Reminder – April deadlines vary by carrier for prescription drug and health care spending reporting under the Consolidated Appropriations Act (CAA).

Aetna
✔ New IPAs in Southern California – Including:

Alliance Health Systems (HMO, HMO Ded., AVN)

Blue Zones Marina (formerly Access Medical Alamitos, Lakewood IPAs)

Blue Zones Health of CA (HMO, HMO Ded., AVN)

Anthem Blue Cross
✔ Contract Renewal with Scripps Health Network – Retroactive to January 1, 2025. Members with a Scripps PCP must contact Anthem to request reassignment.
✔ Adventist Health Termination Rescinded – The current agreement remains in place while a new multi-year contract is negotiated (expected May 1, 2025).

Blue Shield of California
✔ 2025 Pharmacy Updates – Amazon Pharmacy replaces CVS Caremark for mail-order Rx. Navitus now manages retail pharmacy benefits, which may impact independent pharmacies.

CaliforniaChoice
✔ Network Changes – Several carriers are updating ZIP Code availability:

Health Net – 20 new ZIPs in Salud HMO y Más

Kaiser Permanente – 14 new ZIPs in Full Network

UnitedHealthcare – 1 new ZIP in Alliance Network

Harmony Network – 1 ZIP added, 437 removed in select areas

SignatureValue Network – 1 new ZIP
Contact your CHOICE or W&B rep for details.

Health Net
✔ Rx Savings Programs – Members can save with:

Maintenance Choice Program (CVS Pharmacy)

Mail Service Program (CVS Caremark)
Download the flyer
✔ Enhanced Choice Portfolio Changes – The Enhanced Choice Solutions (ECS) program is no longer available for Large Groups, but 220+ plan designs are now available with participation as low as 33%.

Nippon Life Benefits
✔ International Coverage – Includes Aetna International Medical for travel outside the U.S., access to 165,000+ providers, Active&Fit benefits, and customizable PPO plans.

UnitedHealthcare (UHC)
✔ Choice Simplified/Relaxed Participation – Available through July 1, 2025, with 25% minimum participation between carriers and 5+ employees enrolling (excluding COBRA).
Download the flyer
✔ ACEC Life/Health Trust Returns – Ideal for engineering and design firms, offering bundling discounts and White Glove service.

Ancillary & Other Coverage Updates
Ameritas
✔ Forms Update – The latest Small Group (2-100) forms are now on the Ameritas microsite (no longer in the Word & Brown Insurance Forms Library).

ChoiceBuilder
✔ Landmark Healthplan Chiro Updates (Effective 3/1/2025) – Fee schedule changes include:

New Patient E&M: $80/visit

Established Patient Re-Examination & Other Services: $65/visit

Lincoln Financial Group
✔ Reduced Group Size – Now writing 50+ lives for Accident, Critical Illness, and Hospital Indemnity (must pair with two core lines: Life, Disability, Dental). 5+ lives participation required.

MediExcel Health Plan
✔ Dental Plan Update – Plan D100 is discontinued for new business but remains available for renewals.

UnitedHealthcare (UHC)
✔ 2025 Dental & Vision Rate Cards – New regional rate cards available:

CA Flex DHMO

CA DHMO

Northern California

San Francisco Metro

Southern California

Vision Rate Card – Zone 5 (CA)

Stay Informed & Take Action
For full details on any of these updates, follow the links or reach out to your BFB representative. We’re here to help you navigate these changes and maximize opportunities for your clients!

🔗 Need assistance? Contact us today!