Tier strategies
Employers can select Total Choice, Triple Choice, Double Choice, or Single Choice to offer plans from one to four neighboring metal tiers.
Small business program | 2026
A multi-carrier program that lets employees choose among plan and network options selected by the employer.
2026 overview
CaliforniaChoice organizes participating carrier plans into a single employer program, helping businesses offer more employee choice without administering separate carrier contracts.
Employers can select Total Choice, Triple Choice, Double Choice, or Single Choice to offer plans from one to four neighboring metal tiers.
Employees choose from available carrier HMO and PPO networks within the employer's selected metal-tier strategy.
Carrier, plan, and provider availability varies by employee ZIP code and selected network.
The program combines plan choice with centralized enrollment and billing support.
Official carrier materials
Review these CaliforniaChoice materials to compare the current small-group program, available carrier networks, and optional dental, vision, chiropractic, and life benefits. These documents summarize program features; current carrier and CaliforniaChoice materials control.
Reviewed by David Keum, Founder & Principal Advisor · CA License #4005450 · Updated August 2026
Core CaliforniaChoice materials for reviewing the 2026 program and upcoming renewal changes.
Overview of the CaliforniaChoice small-group private exchange, including employee choice, participating benefit options, and program features.
Open official flyer PDFCaliforniaChoice update outlining program changes for renewing groups with October through December 2026 effective dates.
Open official flyer PDFNetwork-reference guide showing available carrier networks and how to confirm doctors, specialists, and hospitals through the provider directory.
Open official flyerOptional ancillary benefit materials for employers and enrolled CaliforniaChoice members.
Overview of available dental benefit selections for CaliforniaChoice members and families.
Open official flyer PDFMember flyer describing CaliforniaChoice vision programs and available eye-care savings.
Open official flyer PDFEmployer overview of optional group life and accidental death and dismemberment coverage available through CaliforniaChoice.
Open official flyerAdditional programs that may help members save on eligible dental, chiropractic, and acupuncture care.
Member flyer covering discounts on participating chiropractic and acupuncture services.
Open official flyer PDFMember flyer describing the Dentegra Smile Club dental savings program and participating care options.
Open official flyerEligibility and submission
CaliforniaChoice publishes defined eligibility and submission standards for groups beginning in 2026.
The principal office must be in California, a majority of eligible employees must reside in California, and active workers' compensation coverage is required.
Employees must meet the program's active-work and weekly-hours rules. Independent contractors, temporary workers, and other excluded classes do not qualify.
Groups with 1-2 employees generally require full participation and at least one enrolled non-owner W-2 employee; groups with 3-100 employees generally require 70% participation.
A complete census, wage or payroll records, prior carrier information when applicable, and ownership documents may be required.
Before choosing CaliforniaChoice
CaliforniaChoice carrier options, networks, plan availability, and employer contribution approaches can change by plan year and employee location. Skyline Benefit will help confirm the available choices and enrollment rules before you offer coverage.
Review CaliforniaChoice options with an advisorCarrier guide FAQ
Confirm current plan availability, service areas, provider networks, benefits, rates, participation rules, and final underwriting requirements for the requested effective date.
Not necessarily. Availability can depend on group size, employee locations, participation, employer contribution, requested effective date, and current carrier or program rules.
Check the exact plan and network for the employees’ home and work ZIP codes. Confirm important doctors, medical groups, hospitals, and service-area access before enrollment.
The current proposal, application, policy or certificate, benefit summaries, provider directory, formulary when applicable, and the carrier’s final underwriting decision control.
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