Get Ky Anthem Health Plans Employee Enrollment Application For 51+ Employee Groups 2017-2025

Under the Affordable Care Act (ACA), businesses with 50 or more full-time equivalent (FTE) employees that do not offer health coverage, or that offer health coverage that does not meet certain minimum standards, may be subject to a financial penalty, referred to as the Employer Shared Responsibility payment.

The percentage varies by state and by insurer , but it's often about 70 percent. That would mean that about 70 percent of eligible employees must enroll in the plan offered by your company. Who is considered “eligible,” you might ask?

To ensure they don't lose money, an insurance company may require organizations to meet minimum participation requirements to purchase a group health insurance policy. For insurers, participation is the percentage of full-time employees who enroll in the group plan.

However, most health insurance carriers want at least two employees to sign up for a group health insurance plan. Typically, at least one of the two employees must demonstrate the reception of a W-2 form, as well as present evidence of employment.

Contributory versus noncontributory plans Under a contributory group plan, you are expected to pay part of the premium for group life insurance. To avoid adverse selection, the insurer typically requires that at least 75 percent of eligible employees participate in the plan.

Employee Participation. Most California medical insurance companies require that at least 60 to 70 percent of the eligible employees actually enroll in the medical insurance plan offered by the employer.

Group health insurance plans are purchased by companies and organizations and then offered to their members or employees. Plans can only be purchased by groups, which means individuals cannot purchase coverage through these plans. Plans usually require at least 70% participation in the plan to be valid.