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Small Group Enrollment

Sutter Health Plus offers traditional and deductible small group plan designs, including high-deductible health plans that are compatible with health savings accounts. If you are not already an appointed broker, get started.

If you are a small group employer and do not have a broker, please contact Sutter Health Plus Sales at shpsales@sutterhealth.org.

Broker Submission Process

Appointed brokers can access small group quotes on HealthConnect and Quotit. If you don’t have access to a quoting engine and would like to receive a quote, please complete a census template and email it to shpsales@sutterhealth.org.

 

We also partner with general agencies LISI, Inc., BenefitMall, Word & Brown, and Warner Pacific to offer small group plans to brokers.

 

Submitting a new small group is easy — and we’re here to help.

  • Declination of Coverage Form
  • New Employee Verification Form, if applicable
  • Premium Payment Option Flyer
  • Employee Enrollment Forms
    • 2019 Small Group Employee Enrollment Form
    • 2020 Small Group Employee Enrollment Form
  • Employer Applications
    • 2019 Small Group Employer Application
    • 2020 Small Group Employer Application
  • Corporate Officer Eligibility Statement
  • Sutter Health Plus CSV File Template, if applicable
  • Underwriting Guidelines
    • 2019 Small Group Underwriting Guidelines
    • 2020 Small Group Underwriting Guidelines
  • Rate Guides
    • 2020 Q1 Small Group Rate Guide
    • 2020 Q4 Small Group Rate Guide
    • Small Group Optional Benefits Rates

Follow the Small Group Submission Checklist to ensure timely and accurate processing.

Open Step 1: View and Download the following files

Step 2: Email the completed documents listed in the Small Group Submission Checklist encrypted to shpsales@sutterhealth.org. The email subject should include the group name and requested effective date. Upon receipt, you will receive an email confirmation.

Step 3: Sutter Health Plus will review for completion. Incomplete cases will delay processing and potentially impact the requested effective date.

You will receive presale documents, a subsequent email with the group subscriber contract for signature, and a request for any additional information required.

Step 4: Upon approval, you will receive the following:

  • Group approval letter
  • Countersigned contract
  • Final plan documents
  • Copy of the final Employer Application

Step 5: Encourage the employer’s benefits administrator to register for the Employer Portal.

Feel free to reach out to us for information or assistance, weekdays, 8:00 am – 7:00 pm at (855) 325-5200 or shpaccountservices@sutterhealth.org.

Plan Partners

  • Acupuncture/Chiropractic
  • Behavioral Health
  • Dental
  • Pharmacy
  • Vision

OpenEvidence of Coverage

Evidence of Coverage

For more information about Sutter Health Plus’ health plans, you may download and view the Evidence of Coverage for individuals, small and large groups. For assistance or if you have difficulty accessing the information you need, please contact Sutter Health Plus Member Services, weekdays, 8:00 am – 7:00 pm at (855) 315-5800 or TTY: (855) 830-3500.

2020 Large Group HMO Plans: For Plans Effective 1/1/20 Through 12/31/20

  • 2020 Large Group EOC HMO ML50-51
  • 2020 Large Group EOC HMO ML20 – ML28
  • 2020 Large Group EOC HMO ML29, ML54 and ML56 – ML58
  • 2020 Large Group EOC HDHP HMO

2020 SMALL GROUP HMO PLANS: FOR PLANS EFFECTIVE 1/1/20 THROUGH 12/31/20

  • 2020 Small Group EOC HMO
  • 2020 Small Group EOC Plus HMO
  • 2020 Small Group EOC HDHP HMO
  • 2020 Small Group EOC Plus HDHP HMO

2020 INDIVIDUAL AND FAMILY PLAN HMO PLANS: FOR PLANS EFFECTIVE 1/1/20 THROUGH 12/31/20

  • 2020 IFP EOC Platinum MI01 HMO
  • 2020 IFP EOC Gold MI02 HMO
  • 2020 IFP EOC Silver MI03 HMO
  • 2020 IFP EOC Bronze MI04 HMO

2019 Large Group HMO Plans: For Plans Effective 1/1/19 Through 12/31/19

  • 2019 Large Group EOC HMO ML50-ML51
  • 2019 Large Group EOC HMO ML19-ML32 and ML40
  • 2019 Large Group EOC HMO ML34-ML37
  • 2019 Large Group EOC HMO ML54
  • 2019 Large Group EOC HDHP HMO

2019 Small Group HMO Plans: For Plans Effective 1/1/19 Through 12/31/19

  • 2019 Small Group EOC HMO
  • 2019 Small Group EOC HDHP HMO
  • 2019 Small Group EOC Plus HMO
  • 2019 Small Group EOC Plus HDHP HMO

2019 Individual and Family HMO Plans: For Plans Effective 1/1/19 Through 12/31/19

  • 2019 IFP EOC Platinum MI01
  • 2019 IFP EOC Gold MI02
  • 2019 IFP EOC Silver MI03
  • 2019 IFP EOC Bronze MI04

CloseEvidence of Coverage

OpenSummary of Benefits and Coverage

Summary of Benefits and Coverage

2020 LARGE GROUP Summary of Benefits and Coverage (SBC) HMO PLANS: FOR PLANS EFFECTIVE 1/1/20 THROUGH 12/31/20

  • Large Group SBC Summit ML26 HMO
  • Large Group SBC Summit ML27 HMO
  • Large Group SBC Summit ML28 HMO
  • Large Group SBC Summit ML29 HMO
  • Large Group SBC Summit ML50 HMO
  • Large Group SBC Summit ML51 HMO
  • Large Group SBC Summit ML54 HMO
  • Large Group SBC Peak ML20 HMO
  • Large Group SBC Peak ML21 HMO
  • Large Group SBC Peak ML22 HMO
  • Large Group SBC Peak ML24 HMO
  • Large Group SBC Peak ML25 HMO
  • Large Group SBC Ridge ML56 HMO
  • Large Group SBC Ridge ML57 HMO
  • Large Group SBC Ridge ML58 HMO
  • Large Group SBC Vista HD08 HDHP HMO
  • Large Group SBC Vista HD09 HDHP HMO
  • Large Group SBC Vista HD10 HDHP HMO
  • Large Group SBC Vista HD18 HDHP HMO
  • Large Group SBC Vista HD19 HDHP HMO

2020 SMALL GROUP Summary of Benefits and Coverage (SBC) HMO PLANS: FOR PLANS EFFECTIVE 1/1/20 THROUGH 12/31/20

  • Small Group SBC Platinum MS38 HMO
  • Small Group SBC Platinum MS41 HMO
  • Small Group SBC Platinum MS60 HMO
  • Small Group SBC Gold MS57 HMO
  • Small Group SBC Gold MS42 HMO
  • Small Group SBC Gold MS63 HMO
  • Small Group SBC Silver SD37 HMO
  • Small Group SBC Silver MS64 HMO
  • Small Group SBC Bronze SD28 HMO
  • Small Group SBC Bronze MS66 HMO

2020 INDIVIDUAL AND FAMILY PLAN Summary of Benefits and Coverage (SBC): FOR PLANS EFFECTIVE 1/1/20 THROUGH 12/31/20

  • 2020 IFP SBC Platinum MI01 HMO
  • 2020 IFP SBC Gold MI02 HMO
  • 2020 IFP SBC Silver MI03 HMO
  • 2020 IFP SBC Bronze MI04 HMO

2019 LARGE GROUP Summary of Benefits and Coverage (SBC) HMO PLANS: FOR PLANS EFFECTIVE 1/1/19 THROUGH 12/31/19

  • Large Group SBC Summit ML30 HMO
  • Large Group SBC Summit ML31 HMO
  • Large Group SBC Summit ML32 HMO
  • Large Group SBC Summit ML34 HMO
  • Large Group SBC Summit ML50 HMO
  • Large Group SBC Summit ML51 HMO
  • Large Group SBC Summit ML54 HMO
  • Large Group SBC Peak ML19 HMO
  • Large Group SBC Peak ML20 HMO
  • Large Group SBC Peak ML21 HMO
  • Large Group SBC Peak ML22 HMO
  • Large Group SBC Peak ML24 HMO
  • Large Group SBC Peak ML25 HMO
  • Large Group SBC Ridge ML35 HMO
  • Large Group SBC Ridge ML36 HMO
  • Large Group SBC Ridge ML37 HMO
  • Large Group SBC Vista HD11 HDHP HMO
  • Large Group SBC Vista HD12 HDHP HMO
  • Large Group SBC Vista HD13 HDHP HMO
  • Large Group SBC Vista HD14 HDHP HMO
  • Large Group SBC Vista HD16 HDHP HMO

2019 Small Group HMO Summary of Benefits and Coverage (SBC): For Plans Effective 1/1/19 through 12/31/19

  • Small Group SBC Platinum MS38 HMO
  • Small Group SBC Platinum MS50 HMO
  • Small Group SBC Platinum MS41 HMO
  • Small Group SBC Gold MS47 HMO
  • Small Group SBC Gold MS53 HMO
  • Small Group SBC Gold MS42 HMO
  • Small Group SBC Silver MS54 HMO
  • Small Group SBC Silver SD27 HMO
  • Small Group SBC Bronze MS56 HMO
  • Small Group SBC Bronze SD18 HMO

2019 Individual and Family Plan Summary of Benefits and Coverage (SBC): For Plans effective 1/1/19 through 12/31/19

  • IFP SBC Platinum MIO1 HMO
  • IFP SBC Gold MIO2 HMO
  • IFP SBC Silver MIO3 HMO
  • IFP SBC Bronze MIO4 HMO

CloseSummary of Benefits and Coverage

OpenBenefits and Coverage Matrix

Benefits and Coverage Matrix

2020 LARGE GROUP Benefits and Coverage Matrix (BCM) HMO PLANS: FOR PLANS EFFECTIVE 1/1/20 THROUGH 12/31/20

  • Large Group BCM Summit ML26 HMO
  • Large Group BCM Summit ML27 HMO
  • Large Group BCM Summit ML28 HMO
  • Large Group BCM Summit ML29 HMO
  • Large Group BCM Summit ML50 HMO
  • Large Group BCM Summit ML51 HMO
  • Large Group BCM Summit ML54 HMO
  • Large Group BCM Peak ML20 HMO
  • Large Group BCM Peak ML21 HMO
  • Large Group BCM Peak ML22 HMO
  • Large Group BCM Peak ML24 HMO
  • Large Group BCM Peak ML25 HMO
  • Large Group BCM Ridge ML56 HMO
  • Large Group BCM Ridge ML57 HMO
  • Large Group BCM Ridge ML58 HMO
  • Large Group BCM Vista HD08 HDHP HMO
  • Large Group BCM Vista HD09 HDHP HMO
  • Large Group BCM Vista HD10 HDHP HMO
  • Large Group BCM Vista HD18 HDHP HMO
  • Large Group BCM Vista HD19 HDHP HMO

2020 SMALL GROUP Benefits and Coverage Matrix (BCM) HMO PLANS: FOR PLANS EFFECTIVE 1/1/20 THROUGH 12/31/20

  • Small Group BCM Platinum MS38 HMO
  • Small Group BCM Platinum MS41 HMO
  • Small Group BCM Platinum MS60 HMO
  • Small Group BCM Gold MS57 HMO
  • Small Group BCM Gold MS42 HMO
  • Small Group BCM Gold MS63 HMO
  • Small Group BCM Silver SD37 HMO
  • Small Group BCM Silver MS64 HMO
  • Small Group BCM Bronze SD28 HMO
  • Small Group BCM Bronze MS66 HMO

2020 INDIVIDUAL AND FAMILY PLAN Benefits and Coverage Matrix (BCM): FOR PLANS EFFECTIVE 1/1/20 THROUGH 12/31/20

  • 2020 IFP BCM Platinum MI01 HMO
  • 2020 IFP BCM Gold MI02 HMO
  • 2020 IFP BCM Silver MI03 HMO
  • 2020 IFP BCM Bronze MI04 HMO

2019 LARGE GROUP Benefits and Coverage Matrix (BCM) HMO PLANS: FOR PLANS EFFECTIVE 1/1/19 THROUGH 12/31/19

  • Large Group BCM Summit ML30 HMO
  • Large Group BCM Summit ML31 HMO
  • Large Group BCM Summit ML32 HMO
  • Large Group BCM Summit ML34 HMO
  • Large Group BCM Summit ML50 HMO
  • Large Group BCM Summit ML51 HMO
  • Large Group BCM Summit ML54 HMO
  • Large Group BCM Peak ML19 HMO
  • Large Group BCM Peak ML20 HMO
  • Large Group BCM Peak ML21 HMO
  • Large Group BCM Peak ML22 HMO
  • Large Group BCM Peak ML24 HMO
  • Large Group BCM Peak ML25 HMO
  • Large Group BCM Ridge ML35 HMO
  • Large Group BCM Ridge ML36 HMO
  • Large Group BCM Ridge ML37 HMO
  • Large Group BCM Vista HD11 HDHP HMO
  • Large Group BCM Vista HD12 HDHP HMO
  • Large Group BCM Vista HD13 HDHP HMO
  • Large Group BCM Vista HD14 HDHP HMO
  • Large Group BCM Vista HD16 HDHP HMO

2019 Small Group HMO Benefits and Coverage Matrix (BCM): For Plans effective 1/1/19 through 12/31/19

  • Small Group BCM Platinum MS38 HMO
  • Small Group BCM Platinum MS50 HMO
  • Small Group BCM Platinum MS41 HMO
  • Small Group BCM Gold MS47 HMO
  • Small Group BCM Gold MS53 HMO
  • Small Group BCM Gold MS42 HMO
  • Small Group BCM Silver MS54 HMO
  • Small Group BCM Silver SD27 HMO
  • Small Group BCM Bronze MS56 HMO
  • Small Group BCM Bronze SD18 HMO

2019 Individual and Family Plan Benefits and Coverage Matrix (BCM): For Plans effective 1/1/19 through 12/31/19

  • IFP BCM Platinum MIO1 HMO
  • IFP BCM Gold MIO2 HMO
  • IFP BCM Silver MIO3 HMO
  • IFP BCM Bronze MIO4 HMO

CloseBenefits and Coverage Matrix

OpenProduct Portfolio

Sutter Health Plus Product Portfolio

2020 Product Portfolio

  • Large Group Plans
  • Small Group Plans
  • Individual and Family Plans
  • Optional Benefit Plans
  • Large Group Underwriting Guidelines
  • Small Group Underwriting Guidelines
  • Individual and Family Plan Underwriting Guidelines

2019 Product Portfolio

  • Large Group Plans
  • Small Group Plans
  • Individual and Family Plans
  • Optional Benefit Plans
  • Large Group Underwriting Guidelines
  • Small Group Underwriting Guidelines

CloseProduct Portfolio

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