ÿþ<html> <head> <title>102711</title> </head> <body bgcolor=white lang=EN-US link=blue vlink=purple jquery1319653333109=52 jquery1319137249600=37 jquery1318881708281=40 jquery1318367912250=45 jquery1316632767687=52 jquery1310679188718=35 jquery1307665642203=32 jquery1307665027140=33 jquery1297366994578=42 jquery1291316496938=43 jquery1275604639968=39 jquery1275520110640=48 jquery1274479164140=46 jquery1274478900015=38 jquery1274476354343=69 jquery1273017484000=41 jquery1272999021031=40 jquery1271963664478=38 jquery1271710387984=49 jquery1270074073937=48 jquery1269980722062=67 jquery1269041411250=73 jquery1268691448015=48 jquery1268678464562=68 jquery1267750940390=47 jquery1267659345703=83 jquery1267655479656=79 jquery1267126181836=51 jquery1266957598484=70 jquery1262647495031=52 jquery1262646079953=42 jquery1262636384500=63 jquery1262647041828=49 jquery1263241996750=71 jquery1267053178125=70 jquery1267126806318=59 jquery1267730564015=74 jquery1267818517168=48 jquery1268864184934=49 jquery1269462703295=55 jquery1270058053997=51 jquery1261593501593=61 jquery1271447667000=66 jquery1271878266375=39 jquery1272922427796=64 jquery1273181562968=47 jquery1273189794953=40 jquery1275513481312=43 jquery1280180957357=40 jquery1280173031435=41 jquery1279832665046=83 jquery1279058487281=43 jquery1279048986906=42 jquery1278101410153=47 jquery1278092017339=46 jquery1277853670078=46 jquery1276120003093=39 jquery1276023222312=44 jquery1276106122452=40 jquery1276109412499=37 jquery1277837058312=44 jquery1277855881984=43 jquery1278710090671=46 jquery1279907695906=94 jquery1283454571968=29 jquery1283467321765=46 jquery1287180298468=43 jquery1285355562531=42 jquery1285362686734=41 jquery1290026324917=48 jquery1295466635843=45 jquery1302820379546=34 jquery1310673821218=38 jquery1314040676640=38 jquery1317062045656=51 jquery1318959108093=35 jquery1318972392593=36 jquery1319219687765=43 jquery1319737626796=35 jquery1319754810785=36 jquery1319754810785=36> <body bgcolor="#FFFFFF" class="Normal"> <div class=WordSection1> <div align=center> <table border=0 cellpadding=0 width=740> <tr> <td width=800 class="Normal"><p><b><i><span style='font-size:18.0pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;; color:black'><img width=731 height=100 id="_x0000_i1025" src="http://www.rbgsocal.com/rogersreport/rrbanner.gif" title="" complete=complete></span></i></b></p> <p align=center style='text-align:center'><span style='font-size:24.0pt;font-family:"Arial","sans-serif";"Times New Roman";color:red'><img width=292 height=40 id="_x0000_i1026" src="https://staticapp.icpsc.com/icp/loadimage.php/mogile/150263/56a67377af6b5c58e44b1a1d67fd4a3a/image/gif" title="" complete=complete></span></p> <p align=center style='text-align:center'><span style='font-size:24.0pt;font-family:"Arial","sans-serif";"Times New Roman";color:red'>2012 Limited HSA Special Open Enrollment <br> Period and Wrap Pairing Rule</span><br> <span style='font-size:13.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;; color:black'>&nbsp; </span></p> <p><strong><span style='font-size:13.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;; color:black'>Small Group level business rules</span></strong><br> <span style='font-size:13.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;; color:black'>Effective January 1, 2012, small groups who currently have a designated HSA-eligible Shield Savings plan included as part of their current plan offerings, have a limited opportunity to offer enrolled employees a special open enrollment period to move into one of the designated HSA eligible high deductible health plan(s) listed below, and subject to the following conditions:</span></p> <ul type=disc> <li style='color:black;'><u><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Limited Window Period</span></u><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'> - From 12/1/11 to 12/31/11 a group may request employee<br> enrollment into the following  designated Shield Savings plans from the group s existing plan package offering:<br> &nbsp;</span></li> <ul type=circle> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Shield Savings 2250/4500</span></li> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Shield Savings 2500*</span></li> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Shield Savings QS 2000/4000</span></li> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Shield Savings QS 3000/6000</span></li> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Shield Savings QS 4800* <br> <br> <strong><span style='font-family:"Arial","sans-serif"'>NOTE: The January 2012 special open enrollment period DOES NOT INCLUDE the Shield Savings 1800/3600*, 2000/4000* 3000/6000* or 4800* plans. </span></strong></span></li> </ul> </ul> <ul type=disc> <li style='color:black;'><u><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Underwriting Criteria</span></u><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'> -</span></li> </ul> <ul type=disc> <ul type=circle> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>All small employer groups who currently offer one of the designated HSA-eligible plans as part of their existing plan package are eligible. </span></li> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Eligible employer groups may offer their employees a special open enrollment period for a designated Shield Savings plan regardless of their plan renewal date. </span></li> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>The eligible employer group must continue to meet contribution and participation<br> requirements established for small group plans.</span></li> </ul> </ul> <ul type=disc> <li style='color:black;'><u><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Effective Date</span></u><span style='font-size:13.5pt; font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&quot;Times New Roman&quot;'>  The effective date for enrollment in a designated HSA-eligible plan during this special open enrollment period is 1/1/2012. Blue Shield must receive the request by December 31, 2011. </span></li> </ul> <ul type=disc> <ul type=circle> <li style='color:black;'><u><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Required paperwork</span></u><span style='font-size: 13.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&quot;Times New Roman&quot;'> - The group must submit (1) an employee change transmittal form; (2) a written request listing the employee names and their requested plan choice on company letterhead; and a signed Verification and Statement of Understanding (form C20283 5-09) if not already on file. The employee change transmittal form identifies those employees requesting to change to the new Shield Savings plan.</span></li> </ul> </ul> <ul type=disc> <li style='color:black;'><u><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Restrictions</span></u></li> </ul> <ul type=disc> <ul type=circle> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>This special open enrollment period allows existing employees already enrolled in a Blue Shield small group plan to move to the Shield Savings 2250/4500, Shield Savings 2500*, Shield Savings QS 2000/4000, Shield Savings QS 3000/6000 or the Shield Savings QS 4800* plans only. No other Shield Savings plans are included in the special open enrollment period. </span></li> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Late enrollment restrictions continue to apply. This special Shield Savings open enrollment period is not available for employees who previously declined coverage or for employees currently enrolled with another carrier to move to a Blue Shield plan. </span></li> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Dependents can be added to coverage during this special open enrollment period only if otherwise eligible to be added because of an event within 31 days of marriage, newborn addition, adoption, loss of other coverage, etc.</span></li> </ul> </ul> <p><strong><span style='font-size:13.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;; color:black'>Employee level business rules</span></strong><span style='font-size:13.5pt;font-family:"Arial","sans-serif";color:black'> </span></p> <ul type=disc> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Special Open Enrollment Period  a special open enrollment period will be held for<br> employees who are currently enrolled in a Blue Shield plan to change to the Shield Savings 2250/4500, Shield Savings 2500*, Shield Savings QS 2000/4000, Shield Savings QS 3000/6000 or the Shield Savings QS 4800* plans. Only these plans are eligible for the special open enrollment period. The duration of the special open enrollment period is 30 days. All employee level changes must be received by 12/31/11.</span></li> </ul> <ul type=disc> <li style='color:black;'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";"Times New Roman"'>Blue Shield will make disclosure forms for the plans available to the employer group. The group will be responsible for distributing the disclosure forms to its employees. </span></li> </ul> <p><u><span style='font-size:13.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;; color:red'>Reminder - Wrap Plan Pairing Rule<br> </span></u><span style='font-size:13.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;; color:black'><br> The Shield Savings Plan 2250/4500, the Shield Savings 1800/3600*, the Shield Spectrum PPO Plan 3000*and the Simple Savings 3400/6800* are the only Blue Shield plans, offered by either Blue Shield of California or Blue Shield of California Life &amp; Health Insurance Company, which can be paired with any form of a  wrap plan. Underwriting participation criteria for all other Blue Shield health plans prohibits the pairing of its plans with a wrap plan at any time.<br> <br> A  wrap plan includes any employer-sponsored plan, which is:<br> (1) paid for or funded in whole or in part by the employer and/or the employee;<br> (2)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (a) provides reimbursement for health plan deductibles, copayments, coinsurance, or medical expenses, or<br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (b) provides for the payment of set amounts in the event of hospitalization.<br> <br> Examples include: an employer-funded flexible spending account (FSA), a health<br> reimbursement account (HRA), self-funding of the deductible, an IRS Section 105 plan, a medical expense reimbursement plan (MERP), or a hospital confinement policy. As defined herein, a wrap plan does not include a health savings account (HSA) or employee-funded general purpose flexible spending account (FSA).</span></p> <p align=center style='text-align:center'><strong><span style='font-size:13.5pt;color:black'><a href="http://www.rbgsocal.com/forms/BS%202012-SmallGroup-Special-HSA-window.pdf"><span style='font-family:"Arial","sans-serif"'>Click Here for Blue Shield's 2012 Limited HSA Special Open Enrollment Period Flyer</span></a></span></strong></p> <p align=center style='text-align:center'>&nbsp;</p></td> </tr> <tr> <td valign=top class="Normal"><div align=center style='text-align:center'><span style='font-family:"Arial","sans-serif";"Times New Roman"'> <hr size=2 width="100%" align=center> </span></div> <p align=center style='text-align:center'><span style='font-family:"Arial","sans-serif"'>&nbsp;<img border=0 width=514 height=29 id="_x0000_i1028" src="https://app.icontact.com/icp/loadimage.php/mogile/150263/0851081d0583caf0f6637202ebc48b94/image/gif" title="" complete=complete></span></p> <div align=center style='text-align:center'><span style='font-family:"Arial","sans-serif";"Times New Roman"'> <hr size=2 width="100%" align=center> </span></div></td> </tr> <tr> <td class="Normal"><p align=center style='text-align:center'><span style='font-family:&quot;Arial&quot;,&quot;sans-serif&quot;; color:navy'><img border=0 width=600 height=65 id="_x0000_i1030" src="http://www.rbgsocal.com/images/phonefax.jpg" title="" complete=complete><br> </span><span style='color:navy'><a href="mailto:quotes@rbgsocal.com"><strong><span style='font-size:13.5pt;font-family:"Arial","sans-serif"'><shape style="width: 105.75pt; height: 29.25pt;" id="_x0000_i1030" type="#_x0000_t75" alt=""><imagedata src="file:///C:%5CDOCUME%7E1%5CJames%5CLOCALS%7E1%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image004.gif" o:href="cid:image004.gif@01C917EB.60D03120">e-mail us!</span></strong><span style='font-size:13.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;; text-decoration:none;text-underline:none'> </imagedata></shape></span></a></span><span style='font-family:"Arial","sans-serif";color:navy'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><a href="http://www.rbgsocal.com/"><strong><span style='font-size:13.5pt;font-family:"Arial","sans-serif"'><shape style="width: 110.25pt; height: 29.25pt;" id="_x0000_i1031" type="#_x0000_t75" alt=""><imagedata src="file:///C:%5CDOCUME%7E1%5CJames%5CLOCALS%7E1%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image005.gif" o:href="cid:image005.gif@01C917EB.60D03120">visit us online!</span></strong><span style='font-size:13.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;; color:windowtext;text-decoration:none;text-underline:none'> </imagedata></shape></span></a></p> <div align=center style='text-align:center'><span style='font-family:"Arial","sans-serif";"Times New Roman"'> <hr size=2 width="100%" align=center> </span></div> <p><span style='font-size:7.5pt;font-family:&quot;Verdana&quot;,&quot;sans-serif&quot;; '>Some documents in this eBroadcast may be presented in standard PDF format. 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