As an employer, you must meet the following participation requirements:
# of Employees
Participation Requirements
1 - 2
100% of all employees. All groups must include at least one medical enrolled employee who is not a business owner or spouse/domestic partner of the business owner.
3 – 100
70% of eligible employees enrolling in CaliforniaChoice.
51% of eligible employees must reside in California.
Home office must be in California (principal executive office).
Have active Worker’s Compensation coverage.
Have a valid Tax ID Number (not a Social Security Number).
If a business was established after the preceding quarter, payroll may be accepted in lieu of a Quarterly Wage Report, at the discretion of the Underwriter.
Employee Eligibility
Eligible employees are permanent and actively working on average of 30+ hours per week over the course of a month, at the employer’s regular place of business or, 20+ hours per normal workweek for at least 50% of the weeks in the previous calendar quarter.
Ineligible employees include:
1099 employees
Commissioned employees
Permanent employees eligible for medical health care coverage offered by or through a labor union
Part-time employees
Seasonal employees
Temporary or substitute employees
Employees on a leave of absence not categorized as FMLA, Workers Compensation, or Military
Required Employer Contribution
As the employer, you must contribute a minimum of 50% of the lowest cost medical benefit plan available to employees.
Dependent participation and contribution, if any, is at your discretion.
