Medical

  • Participation Requirements: Insurers may require a minimum percentage of eligible employees to enroll (e.g., 51%).
  • Contribution Requirements: Employers may be required to pay a minimum share of premiums (e.g., 50%).
  • If the above are not met, insurers can decline coverage.
  • Self-employed individuals (groups of one) are not always guaranteed coverage unless state law requires it. This is where ACA Marketplace would be beneficial.
  • ACA Open enrollment is November 1st through December 15th for a January 1st Start Date.