What percentage of premium does the employer have to contribute?
A41. Employer must contribute at least 50% of the total premium. 100% of eligible employees and dependents must participate if the plan is noncontributory; 75% must participate if the plan is contributory. A minimum of 75% of employee premium must be contributed by the employer if no contribution is made for dependents.
We require the employer to contribute at least 50 percent of the total cost of the plan, or 75 percent of the cost of employee-only coverage. State and federal legislation/regulations, including Small Group Reform and HIPAA, take precedence over any and all underwriting rules. These guidelines may vary by state and group size.
A59. Employer must contribute at least 50% of the total premium. 100% of eligible employees and dependents must participate if the plan is noncontributory; 75% must participate if the plan is contributory. A minimum of 75% of employee premium must be contributed by the employer if no contribution is made for dependents.