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To buy group health coverage through the SHOP, you must have at least one eligible full-time equivalent employee. An eligible employee cannot be a spouse, business partner, or part owner in your company. You usually need to have no more than 50 employees (some states allow up to 100) to buy a SHOP plan.
Certificate of Creditable Coverage (Health Care) Law and Legal Definition. Certificate of creditable coverage means a written certificate that states the period of time one is covered by a health plan. It is issued either by a group health plan or health insurance issuer.
A certificate of Creditable Coverage (COCC) is a document provided by your previous insurance carrier that proves that your insurance has ended. This includes the name of the member to whom it applies as well as the coverage effective date and cancelation date.
Generally, to be eligible for group health insurance, a business must fulfill two main requirements: The business must have at least one qualified full-time or full-time equivalent employee other than the business owner or a spouse.
Certificates of Credible Coverage Under the Health Insurance Portability and Accountability Act of 1996.If the law changes in the future allowing health insurance carriers to once again deny coverage based on pre-existing conditions, Certifications of Creditable Coverage will once again be necessary.
Who Is Eligible for Coverage? The general rule is that if an employer offers group health coverage to any full-time employees, the employer must offer coverage to all full-time employees. The employer has the option to offer coverage to part-time employees (defined as those working fewer than 30 hours per week).
Group health insurance is a type of medical insurance policy for employees or members of a company or organization. A group health insurance plan typically provides health insurance coverage to its members at a lower cost since the risk to health insurers is spread across the members of the group health plan.
A Certificate of Creditable Coverage may be obtained from your former health insurance carrier. Please contact your previous health carrier and request them to provide you with a certificate. This certificate may partially or fully apply to your new coverage and alleviate pre-existing situations.
In most states, you must have at least two employees and a 70 percent participation rate to offer a group health insurance policy.