CalCPA Health Health Plans by CPAs for CPAs Since 1959 Who Are We? - - PowerPoint PPT Presentation

CalCPA Health

Health Plans by CPAs for CPAs Since 1959

Who Are We?

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The Group Insurance Trust of the California Society of CPA’s is a Multiple Employer Welfare Arrangement (MEWA), established in 1959, operating under the CalCPA Healthbrand. CalCPA Health is licensed under California insurance laws and is the only A.M. Bestrated MEWA in the United States. As a MEWA, there are certain regulatory and financial advantages over the for-profit insurance providers, resulting in great value to CalCPA member firms. The Trust is operated by our Participating Employer members who are all members of CalCPA. Quality health and benefit plans alongside unparalleled customer service

• created by CPAs for CPAs

Why CalCPA Health?

• Largest Provider Network available – Anthem Blue Cross
• Mix & Match between*
• 11 PPO plans
• 6 HSA-compatible HDHP plans
• 4 HMO plans
• Firms can offer all PPO (including HSA) as well as all

HMO plans

• CalCPA Health plans can be offered alongside

Kaiser, with low participation requirements

• Fully Integrated HSA plans for ease of administration
• LiveHealth Online – 24/7 doctor visits online for the cost of

a copay

• Spousal/Dependent Medicare benefit

*Firms may select and mix & match between Blue Cross Prudent Buyer PPO (Broad Network) and Select PPO (Narrow Network)

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Average rate actions for the past fifteen years for PPO and HSA plans 15-year average rate action of approximately 7.2%; five-year average rate action of approximately 2.1%.

*Includes PPACA fees

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Year Rate Action 2020 5.30% 2019 3.49% 2018 2.50% 2017

• 2.75%

2016 2.00% 2015 13.40% 2014 14.90% 2013 10.90% 2012 8.90% 2011 15.00% 2010 9.50% 2009 6.80% 2008 6.90% 2007 6.20% 2006 6.30%

• The Firm completes a Subscription Agreement
• Each Employee completes and Employee Enrollment Form
• No check required, but a DE-C9 is required
• Return all completed forms

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How to Enroll a Firm

• Available to California-based accounting firms in public

practice or those offering general financial or related business services

• Generally, more than 50% of the firm must be owned by

CPAs or members of the Society; All CPA owners must be members of the California Society of CPAs

• Employees must be actively at work a minimum of 20 hours

per week

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Eligibility Rules

• Minimum 50% employer contribution
• Minimum 75% employee participation
• 1099 independent contractors are not eligible
• Modified composite rates available for firms with over 35

lives

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Underwriting Guidelines