Group Health Information
Are you a Large Group(50 or more) or Small Group(under 50)?
Are you unsure how to count full time and part time employees?
Click on the tool below to determine if you are a Large or small (above or below 50 total employees)
Count your full time employees(over 30 hours as one each)
Take Part-time employees, take their aggregate number of hours for the month and divide by 120.
Example: 6 part time employees worked a total of 12 hours/day, 60 hours/week, 240 hours total for the month
Take 240 divide by 120= 2 people (or 2 Full time employees)
Approx 2.3% premium increase/month for Insurer Fee
Approx $6 per member increase/month for Reinsurance Fee
$2000 Individual/$4000 Family
Plans are capped at $6,250 single/$1,250 Family Out of Pocket
Preexisting condition exclusion removed
Guarantee Issue and Renewability:
Insurers accept Individual, Small, Large Groups to all approved market products
Employee Salary Contributions to FSA limited to $2500/Yr., indexed increases allowable in future
Employers provide written notice to current/new employees informing them of the exchange/circumstances
Community Rated - Individual and Small Groups-Age, Geography, Tobacco
Small Group Health Insurance Options:
Tax Credits for Small Business Employers
Got Group Health questions? Mary Jo has answers. Call or email her today.