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Group Health Large and Small Employer Requirements Checklist. Use this checklist: • When reviewing group health insurance products or policies.Applicable large employers (ALE) must report to the IRS information about the health care coverage, if any, they offered to full-time employees. Employers must determine their ALE status each calendar year based on the average size of your workforce during the prior year. Under federal law, small employers are guaranteed group coverage should they choose to purchase it, regardless of the employees' health status. Even employers that do not offer any coverage need to comply with certain requirements to distribute notices to workers or submit reports to federal agencies. LINE OF BUSINESS: Group Major Medical or Similar-Type Comprehensive Health Insurance. Federal law imposes numerous requirements on group health coverage. (If the employer is a small employer under 45 CFR 144. Mental Health Parity.