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Qualification Rules

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Steve Shorr, President


AB 1672
Qualification Rules
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AB 1672 Small Group
Qualification Rules

Here's all you need to do to  get affordable guaranteed health & medical coverage for your Employer group of 2 or more workers, eligible for say the last 1/2 of the last quarter.
AB 1672
§10705 g,
Husband and wife groups count, if BOTH are working in the business
SB 572.
One spouse could even have other QUALIFYING coverage.
SB 578
REGARDLESS of the Health Status of the owners or employees!!! 

The worst that can happen is your group gets surcharged 10% over the Standard Rates.  If you have a good claims history and more employees, it could be a 10% discount.
§10700(u)
RAF (Risk Adjustment factor)

 Email Steve a Question

Typical Paper Work to start your coverage.

  1. DE 6 or 9 Quarterly State Tax Withholding Statement.
    Learn More

     

  2. A copy of your FREE, no obligation quote.
    Instant EmployER Quotes

  3. The Small Group Employer Application (Master Application). including the COBRA/FMLA/Cal-COBRA questionnaire, if applicable.
     

  4. Employees and Dependents Applications
     

  5. Signed declinations  for those not enrolling.
     

  6. If your group had prior coverage - a copy of the previous  month's group premium statement.
     

  7. Company check for the first month's premium
     

For more specific detail on each Insurance Company
Blue Cross Blue Shield Kaiser Health Net Aetna Cal Choice Pacificare - UHC
Introduction to AB 1672  NEW Obama Tax Credit
Proof in Biz Participation Rules Requirements Definitions Resources Fight for your rights

Consumer Links

Are you required to get Health Insurance for your Employees?
Obama's Plan

Disability Benefits 101.org 
FAQ's

Can an employer offer an Individual Plan to a couple of employees and everyone else take the Group Plan?

Learn More

 Detail
DE 6 & 9

 

Requirements by Type of Business Structure

Qualification for Enrollee's not on DE 9
Rules for those not on DE 6 or 9 (i.e. Corp Officer, Sole Proprietor, Partner)

 

Time in Biz

Minimum Length of Time in Business - per §10700 w, with 2 or more employees on payroll in simple language is 3 months... 
Insurance Company Interpretations

If you have to wait - check out:
Short Term Plans,
COBRA or
HIPAA from prior employment?

The Small Group Reform Act - AB 1672 does not allow Medical Underwriting.  Therefore, the Insurance Companies look REAL hard, at if your really a bonafide business
IRS Definition of Business.

Insurance Company Checklists for forms, processing time and other requirements
Blue Cross Blue Shield Kaiser Health Net Aetna Cal Choice Pacificare - UHC

 

There is some variance in how some companies interpret  Employer  CA Insurance Code  §10700 (w) 
Blue Cross Forms for Start Up Company

 

Proof in Biz Participation Rules Requirements Definitions Resources Fight for your rights
Blue Cross Blue Shield Kaiser Health Net Aetna Cal Choice Pacificare - UHC

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Have a Question?

(310) 519-1335
 Steve@SteveShorr.com

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