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Broker Guide
Individual and Family Plans

IFP product updates effective January 1, 2017
With updates to our PPO plans, the introduction of Trio ACO HMO plans, continued expansion of our statewide IFP Exclusive PPO Network, and details on our new Broker Compensation Management Tool, we’re excited to grow stronger together in 2017! Learn more»
Premium Payment Policy
The Subscriber is responsible for payment of dues to Blue Shield of California. Blue Shield of California does not accept direct or indirect payments of dues from any person or entity other than the Subscriber, his or her family members or a legal guardian, or an “Acceptable Third Party Payor.” Acceptable Third Party Payors are:
  • Ryan White HIV/AIDS programs under Title XXVI of the Public Health Services Act
  • Indian tribes, tribal organizations or urban Indian organizations
  • A lawful local, State, or Federal government program, including a grantee directed by a government program to make payments on its behalf.
  • Bona fide charitable organizations and organizations related to the Subscriber (i.e., church or employer) when the following is also true: payment is guaranteed for the plan year, assistance is provided based on defined financial status criteria and health status is not considered, the organization is unaffiliated with a healthcare provider, and the organization has no financial interest in the payment of a health plan claim. Financially interested institutions/organizations include institutions/organizations that receive the majority of their funding from entities with a pecuniary interest in the payment of health insurance claims, or institutions/organizations that are subject to direct or indirect control of entities with a pecuniary interest in the payment of health insurance claims.
Upon discovery that dues Subscription Charges were paid directly or indirectly by a person or entity other than those listed above or the Subscriber, Blue Shield of California has the right to reject the payment and inform the Subscriber that the payment was not accepted and that the Subscription Charges remain due.  Please note that processing any payment does not waive Blue Shield of California’s right to reject that payment and future payments under this policy.
Help your customers through the 2016 tax season
Because we care about you and your customers, we've made it easy for you to help your customers access need-to-know tax information and resources for their individual and family plans at
Member educational series
Those who purchase a health plan for the first time often need help understanding how to use it. Share these informational fliers with your current and future Blue Shield clients to help them get the most from their health plan and assist them in their efforts to reduce their costs. 
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