Small Business Underwriting guidelines

Small Businesses (1 to 100)

Our underwriting guidelines for small businesses provide quick access to the information you need, including:

  • Information on our general approach to underwriting
  • Help for brokers underwriting new and existing small businesses
     

Please note that these are guidelines only. Our Small Business underwriters will make the final decision to accept or decline a case and to determine the rate level or an effective date. Brokers are neither authorized to bind nor guarantee coverage, or authorize a specific rate or effective date.

Download the guidelines

2025 Underwriting guidelines

 

2024 Underwriting guidelines

2023 Underwriting guidelines

2022 Underwriting guidelines

Anniversary date changes

If you would like to change the date of your group's renewal, please read the following information to determine eligibility and submit an Anniversary Date Change request.

Considerations for eligibility:.  

  • Group must be with Blue Shield for a minimum of 6 months before requesting an Anniversary Date Change.
  • Anniversary date changes are allowed once every 2 years.
  • Renewal extensions are not permitted meaning group will need to renew twice, once in their current renewal month and again in the month they’re changing to which could mean multiple rate increases.
  • Renewal date changes should be moving forward, not retro meaning if they are renewing, for example, January 1, 2022, we can only move their renewal date forward in 2022.
  • Be sure to review any plan changes when considering a new effective date as new plan years are subject to plan changes.  
  • Groups are required to provide the request on company letterhead at least 30 days prior to their requested renewal date.

If your group meets each of these considerations and is eligible for date change, you can move forward with submitting the request. Below is an outline of the verbiage requirements.

Verbiage requirements provided from group on business letterhead:

  1. We waive our right to a 60 day advanced notice of any plan and rate increase.  
  2. We understand we will be subject to the rates and plan designs that apply under the renewal date being requested.
  3. We understand that this is not an extension of our current renewal, we will renew once in our current renewal month and again in our new renewal month.
  4. We understand that once this change is approved, it is irrevocable.
  5. We understand we may not receive a renewal packet under our new renewal date requested.

You will send the request to:  small.group@blueshieldca.com

© California Physicians' Service DBA Blue Shield of California 1999-2024. All rights reserved. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.

TRUSTe