For Small Group Brokers

Small businesses.
Big advantages.

For more than 85 years, Blue KC has partnered with Kansas City businesses- and the brokers who serve them- with a deep understanding of both healthcare and this community. By listening closely to brokers, we identified what matters most in today’s market: stronger insights, greater efficiency, improved affordability, and easier access to high-value care solutions.

The result is a multi-phase rollout of eight strategic enhancements focused on strengthening broker support and expanding differentiated options for small groups- helping brokers stay competitive, build lasting client relationships, and deliver real value across Kansas City.

Turning utilization into opportunity.

This April, Blue KC will begin offering BlueSelect Plus opportunity reporting and Spira Care heat maps for employers with 50+ employees enrolled. These tools reveal when members already use providers within the BlueSelect Plus network, even while enrolled in higher-cost plans—so brokers can recommend lower-cost options without disrupting care and identify groups ready for greater Spira Care engagement.

Rewarding the move to higher-value care.

Blue KC will offer a one-time broker incentive of $150 per employee for each employee enrolled in a Blue KC plan with Spira Care as part of a new-to-Blue KC group sale with effective dates between June 2026 and July 2027—rewarding brokers for helping clients adopt a simpler, more affordable primary care model.

How the incentive works: Brokers must be appointed with Blue KC and in good standing at both the time of the group sale and incentive payment. Incentives are paid one month after the group’s effective date, based on first-month Spira Care enrollment. Groups that terminate during this period and return later are not eligible.

Faster quotes.
Smoother starts.

Beginning with June effective dates, Blue KC will expand CURV underwriting to groups with as few as five enrolled employees, aligning with market norms and reducing administrative burden for small groups. By removing individual health applications for groups with 5–9 employees, brokers gain a faster, more seamless quoting experience.

More insight. More leverage.

Also in June, brokers will gain access to enhanced claims experience reporting for level funded ASO groups with 50+ employees enrolled. This expanded, employer-ready reporting brings greater clarity and transparency—making conversations more strategic and data-driven while supporting smarter client decisions.

Big value for the smallest groups.

Starting in September, Blue KC will offer level funded ASO products to employers with as few as two enrolled employees. This gives brokers a strong alternative to ACA plans in the under-five segment and provides small businesses with quarterly performance insights typically unavailable at their size—opening the door to smarter decisions and stronger long-term planning. Applications are still required for groups with 2–4 employees. (Cannot be made up of husband/wife groups in Missouri, only Kansas)

Clarity that drives smarter choices.

In September, rate updates will reflect the expected widening rate spread between Preferred‑Care Blue and BlueSelect Plus products. As this gap grows, the cost advantages of BlueSelect Plus become even clearer, helping brokers recommend high‑value plans that support long‑term savings.

Stronger pricing.
Stronger positioning.

This September, Blue KC will reduce the rate load from 4% to 2% for level funded ASO groups with 50+ enrolled employees. This enhancement strengthens Blue KC’s pricing competitiveness in the level funded market.

More access to the care members love.

Beginning with small group renewals in January 2027, all BlueSelect Plus small group members will be granted access to Spira Care Centers. Access to Spira Care will be included at each renewal month. This integration combines two key advantages of Blue KC—a high-value network and an outstanding primary care experience. Expanded Spira Care access gives members timely appointments, preventive care, sick care, behavioral health support, and more at little to no extra cost. It boosts engagement, improves satisfaction, and further elevates BlueSelect Plus above low-cost EPO competitors.

Together, these enhancements give brokers and employers a stronger, more competitive small group story backed by a partner committed to Kansas City. It’s a new level of value, a clearer path to savings, and a smarter foundation for long-term success. Stay tuned throughout the year for updates and reminders as these enhancements roll out.

From here. For wherever you are.
That’s the Benefit of Blue®.