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: 004336
Rx Group: Rx21CQ

PCN: ADV

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 a newborn begins at the moment of birth. However, if the newborn is not enrolled within 60 days, they will only be covered for the first 30 days (including the date of birth) under the mother’s plan.

The newborn may be enrolled with an effective date of either:

• The date of birth, or
• The first day of the month following the birth.

Premiums vary by plan. For Small Group (SG) plans, rates are age-banded.

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

No.

Does this apply to both the mother and the father?

Yes, for the first 30 days, the newborn is covered under the mother’s plan. After 30 days, charges will apply once the baby is enrolled.

If the newborn will be covered under the father’s plan, and enrollment is effective on the date of birth, charges start from that date. Charges can also begin on the first day of the effective month, depending on the enrollment choice.

Member App for downloading ID cards

No App. On the Member Portal: shplus.org/ memberportal you can request, download, and print ID cards.

Member Web access instructions on how to access online account

Member Services: 855.315.5800 Weekdays, 8:00 am-7:00 pm

Can a broker download ID cards?

No.

Do dependents receive ID cards?

Yes.

Prior Carrier Deductible Credit is not available.

Prior Carrier Deductible Credit and Out-of-Pocket Maximum (OOPM) carryover are not available.

No Prior Carrier Deductible Credit Form is required.

For additional information, members should contact Sutter Health Plan.

Non-Creditable Plans:

• SD23 HDHP HMO

View Sutter Health Plan’s 2026 Small Group creditable coverage plans.