Group Coverages Health Insurance

Group health insurance provides medical insurance for eligible employees. An employer can elect to offer medical insurance to full and part time employees. As a general rule, an employee must work at least 30 hours per week to be considered a full time employee and at least 15 hours per week to be considered part time.

Group health insurance requires that employers contribute towards their employees/health insurance premiums. Generally, most carriers require the employer to contribute at least 50% of the single employee rate.

Most carriers also require a minimum participation of 75% of eligible employee. For example, if an employer has ten eligible employees, eight of those employees would need to participate in the group insurance plan. However, if employees are covered by a spouse's medical insurance plan, they are not included in the participation formula. So, in the above example of ten eligible employees, if two were covered by their spouse's plan, only six would need to participate in the group insurance plan (10-2) x 75% = 6. A common contribution level today is 75% of the single rate or 50% of the desired membership type (ie. single, couple, per/child, family).

If you would like to request a quote for group health insurance, please click here.



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