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Choosing a health plan for your company can be a large
responsibility. The following are some of the things to
consider when choosing a group plan. Please call us for
further assistance.
1) How to know if your business meets
the basic qualification for group insurance
- You must have a minimum of 2 employees or owners to
qualify for a group health plan.
These 2 people may be:
- Employer and Employee
- Two Partners
- Two Officers of a Corporation.
- If you have employees, you will need to provide a copy
of your most recent DE-6 (State Quarterly Wage Report). This
will be used to verify eligible employees. For partnerships
or corporations, you will need a business license, articles
of incorporation or other documents that can verify the
legitimacy of your business and the participation of all
people to be covered under the group health plan.
2) What else should I know before I
review plans and request a quote
- Minimum employer contribution must be at least 50% of
the employee only premium.
The employer is not required
to contribute to the premium for dependents.
- Generally, 75% percent of all eligible employees must
enroll under the group plan.
(Exceptions are made in
specific situations.)
- Rates will vary based on the size of your group, age of
employees, geographical location, overall healthiness of
employees, as well as other factors. Many insurance
companies offer a one-year rate guarantee on the monthly
premium.
- Eligible employees are any employees that work 30 or
more hours per week for the company. The employer may elect
to include employees that work 20 or more hours per week. If
an employee is already covered under another group health
plan, they are not included in the 75% minimum eligibility
factor.
- No employee may be denied coverage due to pre-existing
conditions for qualifying group health plans.
- Most companies have options in which they allow
employees to choose from a variety of plans.
- When you enroll in a new group health plan, you will
need to decide the length of time that a new hire must be
with your company before he/she can be added to the group
health plan.
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