Blue Shield HIPAA Plans Rates & Quotes 7.2013
Brochure & Rates
COBRA & Cal COBRA Documentation Required
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|Application Received Date||Application Approval Date||Example|
|The 1st through the 15th of the month||Application is approved the 1st of the month following the month of submission.||Application is received March 7, 2011, the first available effective date is April 1, 2011.|
|The 16th through the last day of the month.||Application is approved the 1st of the second month following the month of submission.||Application is received March 23, 201, the first available effective date is May 1, 2011
blue shield ca.com
Effective 4/1/11, application processors will issue a letter with the HIPAA Guaranteed Issue Information Request Form to the applicant and broker, if appropriate.
This form will detail the needed documentation depending on the applicant’s answers to the Statement of Eligibility in the application. The applicant will then have 90 days from the original signature date to submit the documentation.
Additionally, effective 4/1/11, Blue Shield will only assign 1st of the month effective dates; instead of the 1st or the 15th of the month.
Examples: If application receipt date is…
1st through the 15th of the month
it will be approved for the 1st of the following month
Application received: 3/7/11
First available effective date: 4/1/11
16th through the last day of the month
it will be approved for the 1st of the month 30 days after the receipt date
Application received: 3/23/11
First available effective date: 5/1/11
The effective date can not be prior to the signature date of the application. For HMO plans the effective date has to be the first of the month. For PPO policies they can be the 1st or the 15th. If they do not want any lapse in coverage they may need to apply in advance. As you know we will need to proof of cobra exhaustion letter as well if it applies to them. – Blue Shield email dated 6/1/2010
The ONLINE applications allows you to apply for underwritten plan & HIPAA at the same time. You MUST check off the boxes that you want HIPAA if you do not qualify!
Use paper if you are sure you will not qualify
View FULL Policy – EOC (Evidence of Coverage)
Other Pages in this section
blue shield ca.com/guaranteed_issued_plans
and blueshieldca.comg uaranteed-issue
See Individual Plans for Producer Manual
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