1. The Blue Shield of California Off Exchange Package for Small Business has 43 plans. If you are an employer located in certain California counties whose eligible employees live or work in the Local Access+ HMO service area, you have the option of choosing any of the Local Access+ HMO plans or any of the Access+ HMO plans, but not both. Customers in the Trio ACO HMO service area may purchase both Trio ACO HMO plans alongside Access+ HMO Plans. Please review the Benefit Summary Guide (A16609) for detailed information regarding the Local Access+ HMO service area.
2. The Blue Shield of California Mirror Package for Small Business has seven plans, six of which are HMO plans with a choice of the Access+ or Local Access+ HMO network. If you are an employer located in certain California counties whose eligible employees live or work in the Local Access+ HMO service area, you have the option of the Local Access+ HMO plans. If you are located in, and have eligible employees who live or work in, one of the following seven counties, you have the option of the Access+ HMO plans: Alameda, Butte, Fresno, Imperial, Kings, Madera, and Nevada (partial county). Please review the Benefit Summary Guide (A16609) for detailed information regarding the Local Access+ HMO service area.