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New SBG plan rates released for Q3

Delivering everything you need to sell and renew small business in Q3 2025
 

 

Rates summary:(1)

  • Medical: Q3 2025 small business rates will have a 2.3% increase for HMO plans, and 1.5% increase for PPO plans.2
  • Dental: No rate or plan changes at this time.
  • Vision: No rate or plan changes at this time.
  • Optional chiro: All 2025 plans have the chiro rider option. The chiro rider is an additional $3.00 PMPM for all HMO and PPO plans.

These rates can be released now. However, you must include the following disclaimer:
Rates quoted are pending completion of regulatory review.

 

View and download our small business Q3 2025 premium rates and medical/vision/dental benefits for ACA-compliant plan policies, dental and vision, effective 7/1/2025-9/30/2025.1

Contact your Health Net sales representative to find our lowest rates throughout California!


The Q3 2025 Rate Guide (PDF) displays our first Q3 2025 rates release.

 

Teladoc Health (Teladoc) offers virtual health care that's convenient, with confidential access to quality U.S. board-certified doctors. Teladoc is an option when members can't see their regular doctor.

Medical appointments are available 24 hours a day, 7 days a week from wherever members are. Behavioral health professionals can be booked 7 days a week 7:00 a.m. to 9:00 p.m. (Pacific time). Members can book appointments through the Teladoc app, website or call 1-800-TELADOC (835-2362).4,5

4 Go straight to the nearest emergency room or call 911 if you have an emergency.

5 You may receive services on an in-person basis or via telehealth, if available, from your primary care provider, a treating specialist or from another contracting individual health professional, contracting clinic, or contracting health facility consistent with the service and existing timeliness and geographic access standards required under California law. Any cost share for services received through Teladoc will accrue toward your out-of-pocket maximum and deductible (if your plan has a deductible). By scheduling through Teladoc, you consent to receive services via telehealth through Teladoc. See your health plan coverage document for coverage information and for the definition of telehealth services. You have a right to access your medical records for services received through Teladoc. Unless you choose otherwise, any services provided through Teladoc shall be shared with your primary care provider.

The Cigna HealthcareSM PPO Network1 is the provider network outside of California for Health Net PPO plans with out-of-state coverage. With over one million providers and 6,300 facilities, the national Cigna PPO network offers a wide selection of doctors and hospitals, competitive discounts, and flexibility to support value-driven plan designs.

Members enrolled in PPO plans with out-of-state in-network coverage who access the Cigna Healthcare PPO Network are considered Health Net members who are simply accessing the Cigna Healthcare PPO Network at the in-network coverage level when outside of California.

For employer groups, Health Net's PPO allows great flexibility in designing a benefit plan to meet the unique needs of your groups, while also offering members a wide choice in using in- and out-of-network providers.

Cigna HealthcareSM is an independent company and not affiliated with Health Net of California, Inc. Access to the Cigna HealthcareSM PPO Network is available through Cigna Healthcare's contractual relationship with Health Net of California, Inc. All Cigna Healthcare products are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property, Inc.

Boost your book of business with our latest underwriting guidelines and promotions (PDF).

  • Competitive selling:
    • Health Net's Enhanced Choice offers small business groups a simplified package offering access to all plans with no limits to the number of plans and networks you can offer
    • Chiropractic rider applies to both HMO and PPO
  • Flexible choices: Two separate underwriting promotions
  • Straightforward enrollment:
    • No DE9C, payroll or ownership documents required for groups that qualify for our underwriting promotions
    • Health Net can be written alongside any carrier – enrolling on the other carrier is a valid waiver when enrolling at least 5 subscribers with Health Net
    • Mix and Match any of our plans and networks. No limit!
    • 2 weeks of payroll for a Startup Group of any size
    • We accept PEO subgroups with a quarterly wage report or 2 weeks of payroll from the PEO

Great Values for Small Business
ValuesDetails
HMO Platinum plans
    +
WholeCare HMO and Full Network HMO networks
Leading the way with value in 2025
Learn more about 2025 Small Group Solutions (PDF)
Full Network PPOOffer the advantages of flexible, broad PPO coverage with competitive rates and a wide selection of coverage options
Dental, vision, chiro, lifeOur business-boosting bundling discounts (PDF) make our ancillary benefits (PDF) even more competitive

New Dental PPO plans for 2025:
  • Classic 7 Unlimited
  • Classic 11 Unlimited
  • Essential 9 3000
Telehealth and care access optionsWe're continuing our expanded access to care options (PDF) with Teladoc, Nurse Advice Line and Find Help

Contact Us Today

Call your Health Net Account Executive today to get started! We continue to be committed to the health and success of your business and are standing by to help.


1 Please call your Account Manager for Grandfathered rates at 800-447-8812, option 2.
2 The above rates represent statewide averages. Actual plan rates vary by rating region. Percentages shown compare Q3 2025 rates to Q2 2025 rates.

Last Updated: 03/25/2025