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Employer Eligibility

An employer is required to:
  • Be a California Company employing 2 to 50 eligible employees. Majority of eligible employees must reside in California. Eligible Employees work 20 or more hours per week. They are NOT contracted (1099), temporary, eligible for health care offered by or through a labor union, seasonal or substitute staff.

  • Contribute a minimum of 50% of the employee premium for the lowest cost plan available to each enrolled employee.
  • Give ALL eligible employees the opportunity to enroll. This opportunity should also be extended to COBRA eligibles.
  • Have a minimum of 70% of all eligible employees enroll. You do not have to count those who will be keeping another employer's group health coverage as part of your total number of eligible employees, unless your contribution towards employee's lowest cost premium is equal to 100%. Also, 100% of eligible employees must participate for 2 life groups.

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