Group Medical Plans
There’s a good possibility you qualify for group health coverage without even realizing it. A group plan can offer you expanded coverage, lower premiums and less volatility in your insurance coverage.
It’s worth investigating.
Here is what you need to know about group medical plans.
- A group can consist of a husband and wife, if both names are reflected on legally filed General Partnership, Limited Partnership or Limited Liability Company documents.
- A group can consist of 2 or more W2 employees, owners or partners.
- Group medical plans offer numerous insurance plan options. Unlike individual medical offerings, you can choose PPO or HMO provider networks as well as varying deductibles and RX co-pays.
- Group medical plans can be purchased throughout the year — they normally have a first of the month effective date or 15th of the month effective date.
- Group medical plans must be extended to all employees working 30 hours or more per week.
- Employers are required to contribute at least 50 percent of their employees’ premiums for a group medical plan.
- 75 percent of employees must participate in the group insurance plan, unless covered elsewhere.
- Group employers must comply by group regulations.