Faq

Unlike with individual and family plans, and employer can apply for group coverage that is effective the 1st of the month anytime throughout the year. It’s a good idea to start the group application process at least two months prior to your desired effective date.

The law requires employers to contribute a minimum of 50% of the employee only rate for the lowest costing plan they offer. Employers are not obligated to provide dependent coverage, but companies can elect to.

California has 19 rating regions. A group’s rates are determined by the rating region a business is located in, the number of employees they have, and the ages of those employees.

Group medical rates cannot be discounted because they are filed with the Department of Insurance, however, there are carriers that offer discounts on ancillary products like dental, vision, or life insurance if it’s purchased with a group medical plan.

We’re not tax professionals, however, we can tell you that 100% of the contributions that an employer makes towards a group health plan are considered a business expense and should be tax deductible.

Group employers are eligible to apply for group coverage on the 1st of any month. Employers should start the process of shopping for plans at least 30 days ahead of their desired effective date.

Unless you have a qualifying life event, individuals and families can enroll for coverage between October 15th and December 15th. Coverage would begin January 1st.

A Qualifying Life Event is a change in your life situation like getting married, having a baby, or losing employers sponsored coverage. The QLE allows you to enroll in health insurance outside the yearly Open Enrollment Period.

Covered CA is the state exchange that acts as a marketplace where individuals and families can purchase health insurance. You can also purchase individual or family coverage directly from private insurers in CA that sell individual plans.

California has 19 rating regions. An individual’s rate is determined by the rating region you live in and your age. Family rates are the sum of all individual rates in a household that applies for coverage.

The Tax Cut and Jobs Act of 2017 repealed the individual mandate that required individuals to enroll in a health plan. It is no longer required by law, but it remains one of the most important ways that you can protect your health and future.

To be eligible for the premium tax credit, your household income must be at least 100%, but no more than 400%, of the federal poverty line for your family size. Individuals with access to an employer sponsored health plan are not eligible.