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Texas Group Health Non-Employer or Member Association Checklist

State:
Texas
Control #:
TX-AH003-WC
Format:
PDF
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Group Health Non-Employer or Member Association Checklist

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FAQ

Groups must have at least two employees to be eligible for group insurance coverage. Group health insurance policy rates are usually based on: Group health insurance policy rates are usually based on experience rating in which premiums are based on the claims experience of the entire group.

The primary purpose of the certificate is to show the amount of ?creditable coverage? that you had under a group health plan or other health insurance coverage, because this can reduce or eliminate the length of time that any pre-existing condition clause in a new plan otherwise might apply to you.

To be eligible for small group health insurance, a company must have between two and 50 FTEs. If you're the sole proprietor, you're eligible to enroll in the group plan. However, at least one other FTE who isn't an owner must enroll in the group health plan to qualify.

Do employers have to offer health insurance in Texas? Small employers don't have to offer health insurance. But employers that decide to provide it must make it equally available to all employees working 30 hours or more per week (not on a temporary or seasonal basis) and their dependents.

Association groups applying for group health insurance must have a minimum of: An association may obtain group health coverage for its members if the association consists of at least 100 people, has been organized for at least two years, has a constitution and by-laws, and holds at least annual meetings.

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Texas Group Health Non-Employer or Member Association Checklist