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What if the plans eligibility requirements (i.e., live in service area, work sufficient hours, have a qualifying event, etc.) deem an employee ineligible?

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What if the plans eligibility requirements (i.e., live in service area, work sufficient hours, have a qualifying event, etc.) deem an employee ineligible?

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If an employee does not meet the requirements of the plan and is deemed ineligible, the applicable premium will be returned to the employer group along with a letter of explanation. In some cases, the employee may then enroll during the annual open-enrollment period.

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