IFP Member notifications

Client notifications

Starting mid-September, we will send all IFP members information about changes to their medical, dental, and/or vision plan rates and benefits. If a member does not have a rate or benefit change, they will still receive a renewal packet informing them there were no changes to their plan.


Important dates
September 14, 2023 Renewal notices and Grandfathered withdrawal notices start mailing
October 1, 2023 Early renewals begin. Member renewal tool and broker renewal tool become available.
November 1, 2023 Open enrollment begins. Quote & Apply tool is available.
December 31, 2023 Final date for new and renewing members to apply for coverage effective January 1, 2024.
January 31, 2024 Open enrollment ends. Final date to apply for coverage effective February 1, 2024.


Sample notifications

Samples of what your clients will receive are available below. Documents may vary depending on plan and underwriter. Please feel free to reference these documents:

Grandfathered plan withdrawal booklet
Sent to subscribers who were enrolled in Shield Savings 5200-G plan. They will move into the Bronze 60 HDHP PPO plan effective January 1, 2024.
Grandfathered withdrawal booklet (PDF, 276 KB)

Member renewal kit letter
Cover letter (PDF, 28 KB)

Renewal notification
On-exchange renewal letter (PDF, 75 KB)
Off-exchange renewal letter (PDF, 87 KB)
Off-exchange specialty renewal letter (PDF, 68 KB)
On-exchange Family Dental Plan renewal letter (PDF, 87 KB)
Grandfathered renewal letter (PDF, 77 KB)

Helpful information
Continuous coverage – Aging out (PDF, 24 KB)
Specialty plans (PDF, 24 KB)

Specialty flyers
Off-exchange version (PDF, 34 KB)
On-exchange version (PDF, 33 KB)

Alternate Coverage Model Notice
Covered California Model Notice informs members who are directly enrolled through a health plan provider that they can also purchase health insurance through Covered California. They can also receive guidance from Covered California about help paying for their health insurance.
Alternative Coverage Notice (PDF, 53 KB)

Creditable Coverage Notice
This notice gives members information about their current prescription drug coverage with Blue Shield of California and their options under Medicare’s prescription drug coverage. This information can help them decide whether or not they want to join a Medicare drug plan. Members receive one of two possible notices, informing them whether their current coverage is considered to be Creditable Coverage or Non-Creditable Coverage.
Creditable Coverage (PDF, 45 KB)
Non-Creditable Coverage (PDF, 54 KB)

Nondiscrimination and Accessibility Requirements Notice (PDF, 333 KB)
Informs members who are directly enrolled through a health plan provider that they are also able to buy insurance through Covered California, where they can also get help paying for their health insurance. Blue Shield does not discriminate or treat our members differently because of race, color, national origin, age, disability, or sex. Our nondiscrimination notice is paired with the Language Assistance Program Notice. These documents provide meaningful communication for members with limited English proficiency and accessible communications for members with disabilities. It also notifies Blue Shield of California members that vital documents are available in Spanish, Chinese, Vietnamese, and other languages.

Gramm-Leach-Bliley Privacy Notice
Notifies Blue Shield of California Life & Health Insurance Company members about how Blue Shield of California collects, uses, shares, and protects the privacy of member's non-public personal and financial information.

Notice of Privacy Policy (PDF, 84 KB)
Informs Blue Shield of California Life & Health Insurance Company members of the privacy safeguards Blue Shield uses in collecting, using, and sharing personal information.

Medical benefit changes

Only specific medical plans will have revisions to their benefits. Please see the chart below to determine if your client will receive a change guide for their particular plan.

Platinum 90 PPO (PDF, 71 KB)
Platinum 90 Trio HMO (PDF, 80 KB)
Gold 80 PPO (PDF, 71 KB)
Gold 80 Trio HMO (PDF, 75 KB)
Silver 70 PPO, Silver 70 Off Exchange PPO (PDF, 94 KB)
Silver 70 Trio HMO, Silver 70 Off Exchange Trio HMO (PDF, 94 KB)
Silver 94 PPO (PDF, 76 KB)
Silver 94 Trio HMO (PDF, 77 KB)
Silver 87 PPO (PDF, 96 KB)
Silver 87 Trio HMO (PDF, 95 KB)
Silver 73 PPO (PDF, 111 KB)
Silver 73 Trio HMO (PDF, 105 KB)
Silver 1750 PPO (PDF, 64 KB)
Silver 2600 HDHP PPO (PDF, 69 KB)
Bronze 60 PPO (PDF, 87 KB)
Bronze 60 HDHP PPO (PDF, 69 KB)
Bronze 7500 Trio HMO (PDF, 74 KB)
$0 Cost Share AI-AN PPO (PDF, 63 KB)
$0 Cost Share AI-AN Trio HMO (PDF, 65 KB)
Minimum Coverage PPO (PDF, 72 KB)

© 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.