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Enrollment Guidelines Employee Health Insurance Eligibility
The following are the Employee Health Insurance Eligibility and enrollment guidelines for full-time, part-time, partners and other employees of an organization.
Full-Time
Employees must be employed on a permanent, full-time basis and have a normal work schedule of at least 30 hours per week to be eligible for employee health care. In addition, they must be compensated for that work by the employer (subject to withholding appearing on a W-2 form) in order to receive employee health insurance.
Part-Time
Employees must be employed on a permanent, part-time basis and have a normal work schedule of at least 20, but no more than 29 hours per week to be eligible for employee health care. In addition, they must be compensated for that work by the employer (subject to withholding appearing on a W-2 form). NOTE: It is the employer's option to offer health coverage to part-time employees. If that option is exercised, all similarly situated individuals must be offered coverage under the employer's benefit plan.
Sole Proprietors/Partners/Corporate Officers
Sole proprietors, partners and corporate officers must work at least 20 hours per week to be eligible for employee health care.
Ineligible Employees
Temporary, seasonal or substitute workers and persons compensated on a 1099 basis are not eligible to enroll in a Blue Cross Small Group plan.
Cal-COBRA-, COBRA-, FMLA-Eligible Group
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