| Things to Consider - Group |
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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.
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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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