Quick tips for a successful open enrollment

Everything you need to know about this year’s open enrollment.

We want to share some helpful information to ensure a successful open enrollment for you, our valued partners, and your clients.

Sharp Health Plan individual and family plan (IFP) rates

We’re proud to announce that we’ve reduced rates on our most popular plans.

Our IFP rates for 2022*

TierNetwork20212022Annual change
PlatinumPremier$509.71$519.551.9%
GoldPremier$444.70$450.471.3%
SilverPremier$374.30$373.68
-0.2%
BronzePerformance$360.93$328.44
-9.0%

*Based on 40-year-old rates.

Key selling points for our IFP plans

  • High-quality health insurance is more important than ever. In addition to having some of the most competitive rates, Sharp Health Plan continues to be recognized in California and nationally for our affordable, high-quality care and service. We’re also proud to be rated 5 out of 5 stars by Covered California™ for 2022.1 Learn more about our honors and awards.
  • Sharp Health Plan provides the most affordable access to Sharp HealthCare through Covered California, including Sharp Community Medical Group (SCMG), Sharp Rees-Stealy Medical Group (SRS) and all Sharp hospitals.
  • Sharp Health Plan’s Silver and Bronze plans have some of the lowest rates in the region.

Please refer to our 2022 Individual and Family Plan Overview to help answer questions your clients may have about our IFP plans. Individual on- and off-exchange rates and summaries of benefits are also great resources and can provide more details about coverage options.

Broker compensation

As a small token of our appreciation for your continued business, we’re happy to announce that our broker compensation will remain the same for next year! You will continue to receive 5% of the total premium for new enrollees, and 4% of the total premium for renewing members.

Important dates to remember

Open enrollment for IFP starts Nov 1, 2021 and runs through Jan. 31, 2022. The following effective dates will apply:

For coverage effective on: We must receive a complete application by:
Jan. 1, 2022Dec. 15, 2021
Feb. 1, 2022Jan. 31, 2022

Updates for off-exchange clients

  • Applications can be completed on our website or by fax or mail. Applying online is recommended for the fastest processing. Please contact us if you would like a personalized enrollment link for your clients.
  • The American Rescue Plan Act of 2021 allows eligible individuals to pay no more than 8.5% of their income on their health care premiums. Premium assistance will continue throughout the entire 2022 coverage year. Members are only eligible for premium assistance if they’re enrolled through Covered California.

Updates for on-exchange clients

In October, Covered California will automatically upgrade certain Bronze plan members to Silver plans. Here’s what your on-exchange clients should know:

  • To be eligible for an upgrade, Bronze members must qualify for the Silver plan and the $1 premium plan.
  • Covered California will inform clients about their upgrade by sending a letter in October. On-exchange renewing members who qualify will be automatically upgraded. The Silver plan will be effective Jan. 1, 2022.
  • Covered California will cover the $1 monthly premium, making it even easier for clients to get high-quality coverage.

TIP: This promotion is not available for on-exchange clients who qualify for $1 plans through unemployment benefits. It’s also not available for off-exchange clients.


Payments

We must receive your client’s first premium payment in full by the 25th of the month before their new coverage starts. If full payment is not received by then, you will need to submit a new application.

We offer several payment options.

By phone

1-858-499-8120
8 am to 6 pm, Monday to Friday  

By mail

Sharp Health Plan
PO Box 57248
Los Angeles CA 90074-7248

Online

sharphealthplan.com/payment

Take me to online payments

Questions?

If you have questions, please contact our individual and family plan sales team. We’ll gladly assist you 8 am to 5 pm, Monday to Friday.

1. CMS scores qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS) based on third-party validated clinical measure data and QHP Enrollee Survey responses. CMS calculates ratings yearly on a 5-star scale. QHP issuers work with HHS-approved survey vendors that independently conduct the survey each year. QRS ratings and QHP Enrollee Survey results may change from year to year.