Skyline Benefit

Medical carrier | 2026

Health Net transition resources

Health Net is exiting California commercial group coverage. Use these 2026 documents as reference material while planning replacement coverage. Follow your formal carrier notice for the termination date.

2026 overview

Product Guide

Use this page to prepare replacement employer coverage, not to shop for a new Health Net group plan. The materials below describe prior coverage and may help you compare benefits. This commercial group transition is separate from individual Ambetter coverage.

Read the employer notice

Confirm your group’s actual termination date and required actions from the formal carrier notice. Do not assume another group’s date applies.

Compare replacement coverage

Gather the current census, renewal information, employer contributions, and benefit priorities. Compare available replacement carriers and programs.

Verify care before switching

Recheck doctors, medical groups, hospitals, prescriptions, and ongoing authorizations against the exact replacement plan. Ask about transition-of-care options where needed.

Coordinate the handoff

Confirm enrollment acceptance, effective dates, payroll changes, and employee communications before ending existing coverage.

Eligibility and submission

Underwriting Guide

The following are historical Health Net reference points, not current eligibility rules for a replacement plan. Your new carrier must confirm its own requirements.

Eligible group

The employer generally needs 1-100 employees and a principal business address in California. Owner-only groups are not eligible.

W-2 employee requirement

At least one enrolling W-2 employee must not be the owner or the owner's spouse.

Contribution and participation

Current guidance uses an employer contribution minimum and participation rules that vary by enrolled group size.

Out-of-area employees

A majority of employees must be employed in California; eligible U.S. employees outside the service area may use a PPO plan.

Health Net transition resources

Review replacement coverage

Health Net is exiting California commercial group coverage. Use these 2026 documents as reference material while planning replacement coverage. Follow your formal carrier notice for the termination date.

Review replacement coverage

Carrier guide FAQ

Common questions about Health Net small-business coverage

What should an employer confirm before choosing Health Net?

Confirm current plan availability, service areas, provider networks, benefits, rates, participation rules, and final underwriting requirements for the requested effective date.

Are Health Net options available to every California small business?

Not necessarily. Availability can depend on group size, employee locations, participation, employer contribution, requested effective date, and current carrier or program rules.

How should an employer review Health Net provider networks?

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.

Which documents control the final Health Net coverage?

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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Review replacement coverage

Health Net is exiting California commercial group coverage. Use these 2026 documents as reference material while planning replacement coverage. Follow your formal carrier notice for the termination date.

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