Small Group Insurance Has Three Main Requirements For Eligibility.
These are the most common issues we find in our experience of enrolling Nevada Small Groups (2-50 employees) in Nevada health insurance.
Group insurance in Nevada by law is “guaranteed issue”. Guaranteed issue means that Nevada insurance companies can not decline coverage to your small business (small group between 2 and 50 employees) based on health or health conditions of its employees. The Nevada Health Insurance Companies however can rate the policy up NO MORE than 10% higher than the standard rate for group insurance.
1) At least two people need to be employed or formally tied to the company. This tends to be an issue with the very small companies (especially sole proprietor, mom and pop, and brand new businesses). This is another area where my past experience of Human Resources can be very beneficial. Proof can be from your payroll statement or statement of information, if you have a DE6 great!
There are many areas we can work with to get you group insurance, I strongly suggest you give us a call and the owner of www.Las-Vegas-Health-Insurance-Expert.com will personally handle all of your questions, concerns, quotes and needs.
Foreign Corporations (Out of State): Some companies incorporate in other States. They need a Certificate of Qualification within Nevada which essentially allows them to do business here. The carrier will go based on when that is filed...not the original incorporation.
LLC's. The carrier will go based on the start of the LLC (State stamped date) if it lists the Managers (need at least two enrolling).
2) At Least 75% of the eligible employees need to sign up for the Health Insurance Plan: This comes up with small to mid-size groups where employees are declining coverage. Some quick notes on the definition of "eligible".
1099 employee = Not Eligible
Part Time: An employee working less than 30 hours a week may be included depending on what the group elects. If the group elects to cover part time employees then part timers are included in the 75% calculation.
On another Group Plan. Typically when the employees spouse has group insurance this means the employee is on another qualified Group health plan and because of this they are not part of the eligible pool. They still need to decline coverage via the employee application however they will not affect the 75% calculation.
3) The company must pay at least 50% of the employee premium.
This requirement does not apply to dependent coverage. Some carriers allow a fixed dollar contribution or a fixed percentage of a given plan. The main concern is that the company applies the same rule to all employees and does not discriminate contributions for eligible employees.
Please Call Or Email Us With Any Questions Or Comments At: 1-888-268-4421
Email: info@las-vegas-health-insurance-expert.com
Click Here For A Small Group Quote
