How Many Employees Do You Need To Get Group Health Insurance?

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Group Insurance health plans are responsible to provide coverage to their members( employees or members of an organization).

Members of this group receive insurance at a reduced cost mainly because of the presence of the insurer’s clause spread across a group of stakeholders.

How Many Employees For Group Health Insurance?

The trick here is that group health insurance is far more expensive than we thought. As a matter of fact, it is more expensive than individual plans although they offer the same benefits and coverage options.

Despite this breakdown, not everyone qualifies for group coverage plans and benefits. Hence, If you have a small business, the best way is to check if you are qualified for group health insurance before you apply for its coverage.

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These are some of the information that will help you get it right.

Number of employees is key

If you have more than 50 employees, you’ll need to:

  • apply for large group coverage
  • meet group coverage reporting requirements
  • meet minimum group health insurance standards

Type of employees is important

That other employee must fulfill the following:
Must be:

  • Not an owner or employer
  • Not the spouse of an owner or employer
  • Not a family member of the owner or employer
  • Not a partner of the owner or employer
  • Not a seasonal worker hired on an impermanent basis, even if the person works full-time during that period
  • Usually not a contractor of the owner or employer (Contractors are typically not considered common-law employees

To get group coverage, your employees must follow these guidelines set by the IRS:

  • Full-time employees are employees who work for you at least 30 hours per week.
  • Full-time equivalent employees are non-full-time employees, but who, in combination, are the equivalent of a full-time employee.

How About Sole proprietors?

The truth is if you are a sole proprietor you do not qualify for small business group health insurance. However, you can, you will need to look into options for individual/family health insurance

Group health insurance is basically the dream of every employer, however, not everyone qualifies for this. Hence, you have to check your qualification status.

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