Find everything you need to enroll with confidence. Our Carrier Enrollment Kits include the most up-to-date forms, applications, and brochures for each health plan we represent.

Organized by carrier and region, these kits make it easy for you and your clients to get started quickly and accurately.

Summary of Benefits & Coverage provides a centralized location to view and download standardized summaries for each carrier and plan.

These documents help your clients make informed decisions by clearly outlining coverage details, cost-sharing, and what to expect from their plan.

Help clients find their doctors and medications with ease. Our Provider & Rx Search gives you direct access to each carrier’s search portal, so you can quickly verify doctors, specialists, hospitals, and covered prescriptions.

Rx BIN: 026696

PCN: 77993333

New Hire rates will be based on the member’s age at the member’s enrollment date.

What is the effective date of coverage for a newborn, and how are premiums requested?

Coverage for the dependent is effective as of the date of birth. Premiums are prorated based on the number of days the dependent is enrolled during the initial month of coverage.

Is there an additional cost for covering the newborn during the first 30 days?

Blue Shield of California does not issue a bill for a newborn until the newborn is formally added to the insurance plan. Once the newborn is billed, the deductible (DED) and out-of-pocket maximum (OOPM) may be adjusted to a family tier, depending on the group’s billing structure.  To add the baby retroactively as of the date of birth, the employee must complete and submit a change request form.

Does this apply to both the mother and the father?

If the newborn is not added to the plan, the billing will stay the same.

Member App for downloading ID cards From your phone, download the Blue Shield of California mobile app on the App StoreSM or Google PlayTM and click register.

Member Web access instructions on how to access online account Visit blueshieldca.com/godigital to register your online account

Can a broker download ID cards? Contact number for Brokers to access ID cards Producer Services: 800.559.5905 Yes.

Do dependents receive ID cards? No.

Prior Carrier Deductible Credit is available only for members covered under a prior employer-sponsored group health plan during the initial enrollment. New hires and members moving from individual plans are not eligible.

A Prior Carrier Deductible Credit form is required.

Fax completed forms and supporting documentation to 209-371-3049

Non-Creditable Plans:
View a list of all Blue Shield Small Business off-exchange plans that contain creditable prescription
drug coverage, except where noted.

• Bronze Full PPO 4500/65 OffEx
• Bronze Tandem PPO 4500/65 OffEx
• Bronze Full PPO 7500/65 OffEx
• Bronze Tandem PPO 7500/65 OffEx
• Bronze Access+ HMO 7000/70 OffEx
• Bronze Local Access+ HMO 7000/70 OffEx
• Bronze Trio HMO 7000/70 OffEx
• Silver Access+ HMO 2300/70 OffEx
• Silver Local Access+ HMO 2300/70 OffEx
• Silver Trio HMO 2300/70 OffEx
• Silver Access+ HMO 2750/70 OffEx
• Silver Local Access+ HMO 2750/70 OffEx
• Silver Trio HMO 2750/70 OffEx
• Virtual: Bronze Tandem PPO 7500/75 OffEx
• Bronze Full PPO 6850/55 OffEx
• Bronze Tandem PPO 6850/55 OffEx
• Bronze Full PPO 6250/65 OffEx
• Bronze Tandem PPO 6250/65 OffEx
• Blue Shield Bronze 60 PPO 6300/60 + Child Dental

View Blue Shield of California’s Creditable and Non-creditable Coverage Page.