Employer Eligibility

Eligibility requirements for small businesses with 1 – 100 employees interested in enrolling in CaliforniaChoice® are below.

For a complete listing of requirements, download our Underwriting Guidelines.

Employer Eligibility at Initial Enrollment
  • 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.
SUPPORT
Address

721 South Parker, Suite 200
Orange, CA 92868

Office Hours

Monday - Friday 8:00 am to 5:00 pm PST

Customer Service

Phone: (800) 558-8003
Fax: (714) 558-8000
Email: CustomerService@CalChoice.com

Sales

Phone: (800) 542-4218
Fax: (800) 500-9088
Email: Sales@CalChoice.com

Department of Insurance License

#0B42994

SUPPORT
Address

721 South Parker, Suite 200
Orange, CA 92868

Office Hours

Monday - Friday 8:00 am to 5:00 pm PST

Customer Service

Phone: (800) 558-8003
Fax: (714) 558-8000
Email: CustomerService@CalChoice.com

Sales

Phone: (800) 542-4218
Fax: (800) 500-9088
Email: Sales@CalChoice.com

Department of Insurance License

#0B42994