What are the employee eligibility requirements for a N.J. Small Group?
• Who qualifies as an eligible dependent? • What if a child is not a full-time student for a short period of time? • Can coverage be provided to an independent contractor (1099 employee)? • What is the minimum participation? What is a legitimate waiver? • Can eligibility criteria be varied by class of employee? • Can one person enroll? • Are union employees eligible? 1. What are the employee eligibility requirements for a N.J. Small Group? To qualify for small group insurance, an employee must be working full time, which is defined as 25+ hour per work. Temporary and seasonal employees, as determined by the employer, do not qualify. If an independent contractor works 25+ hours exclusively for the employer, they may be made eligible. 2. Who qualifies as an eligible dependent? To be considered an eligible dependent, a covered person must: • Be legally married to the employee; • Be a child of the employee, up to their 19th birthday; • Be a child of the employee, up to their 23rd birthday,
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