Special Annual Open Enrollment
There is an Open Enrollment Period from 11.15 to 12.15 where a Small Group can enroll without meeting participation or contribution requirements. “Final Rule” (2.27.2013 13416 Federal Register Vol 78 gpo.gov )
Blue Shield Info through 3.31.2016
Your firm may still have issues with Management Carve Out – Section 2716 Health Care Reform – as you must treat all employees the same, and must still offer insurance to all employees… I don’t think this provision is that big a deal, as at renewal, you MUST meet the participation & contribution rules!
|The Guaranteed Issue Special Open Enrollment period runs from November 15th to December 15th each year for a January 1st effective date.
Carriers are required to offer a special open enrollment window to Small Employers that do not meet carrier participation and/or contribution requirements. These groups must meet all other Underwriting Guidelines. Small Employers that have struggled to attain coverage due to participation or contribution requirements can obtain coverage during this special open enrollment window.
The guide below summarizes our carrier partners’ deadlines and other important details such as whether or not the listed carrier must be the sole carrier for the group.
Although carriers must lower their contribution requirements, the Affordable Care Act still mandates that Applicable Large Employers (ALEs) with 50 or more full-time plus full-time equivalent employees must offer affordable coverage that meets minimum value in order to avoid a 4980H(b) employer penalty. IRS common ownership/controlled group rules apply when determining whether or not an employer is an ALE. The Affordability Safe Harbor Percentage for 2017 is 9.69%
Other pages in the Participation & Contribution Requirements section
- Enforcement – Participation – Recertification
- Get Quotes & Details of Participation & Underwriting Rules
- Management Carve Outs
- Proof you are a qualifying Employer & legitimate business
- Special Annual Open Enrollment – NO Rules!