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Friday, January 16, 2015

From CCPOA Benefit Trust Fund

Many of you in Northern California are participants in the CCPOA Medical Plan and have Sutter health as your primary care physician. Sutter Health and Blue Shield (BSC) are currently in negotiations and there are plenty of speculators out there regarding the outcome. Per the Department of Managed Health Care (DMHC) (a State Agency) BSC was required to file a plan with DMHC if the negotiations with Sutter did not result in an agreement. In order for BSC to be in compliance with DMHC rules those of us who use Sutter are receiving letters from BSC. While this is an ongoing negotiation I have received the following information from BSC.

Members enrolled in our CCPOA Medical Plan who have a Sutter personal care physician (PCP) will receive the standard 60-day notification of a change in their network. The letters are due to be mailed on January 15th. They will be reassigned to a new provider group effective April 1, 2015. From January 1, 2015 through March 31, 2015, CCPOA Medical Plan enrollees can continue accessing health care services with primary care and specialty physicians affiliated with the terminating Sutter provider groups at in-network benefit levels.

If you have any questions you can call the Trust at 1-800-IN-UNIT-6 We will keep you posted as new information becomes available. Thank you for your patience.

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