Exclusive Health Insurance Plans for California CPAs | CalCPA Health
Discover the exclusive health insurance plans tailored for California CPAs by CalCPA Health, a trusted MEWA provider since 1959. Benefit from a wide network of providers, flexible plan options, and competitive rate actions. Learn how your firm can enroll and the eligibility rules to qualify.
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Presentation Transcript
CalCPA Health Health Plans by CPAs for CPAs Since 1959
Who Are We? 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 customerservice - created by CPAs for CPAs 2
Why CalCPA Health? Largest Provider Network available Anthem Blue Cross Mix & Match between* 11 PPO plans 6 HSA-compatible HDHPplans 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) 3
Average rate actions for the past fifteen years for PPO and HSA plans Year 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 Rate Action 6.80% 4.60% 5.30% 3.49% 2.50% -2.75% 2.00% 13.40% 14.90% 10.90% 8.90% 15.00% 9.50% 6.80% 6.90% 6.20% 16-year average rate action of approximately 7%; five-year average rate action of approximately 4.5%. *Includes PPACAfees 4
How to Enroll a Firm The Firm completes a SubscriptionAgreement Each Employee completes and Employee Enrollment Form No check required, but a DE-C9 is required Return all completed forms 5
Eligibility Rules 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 6
Underwriting Guidelines Minimum 50% employer contribution Minimum 75% employee participation 1099 independent contractors are not eligible Modified composite rates available for firms with over 35 lives 7
