Select a Question
1. Is the Health Insurance Partnership only available for a limited time?
2. How is the total subsidy divided?
3. How is the subsidy paid?
4. What happens when the Health Insurance Partnership reaches its capacity?
5. What happens if my business grows during the year?
6. What happens if my business’s average wage increases during the year?
7. What happens at annual renewal?
8. What is a “wellness benefit”? |
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Questions and Answers below:
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1. Is the Health Insurance Partnership only available for a limited time? |
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No, the Governor and the General Assembly intend for this to be an ongoing program.
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2. How is the total subsidy divided? |
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The employer receives the total subsidy in the form of lower premium payments, and
passes the employee’s share through to the employee in the form of lower payroll
deductions for the health insurance.
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3. How is the subsidy paid? |
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The insurance company will bill the State for the subsidy and will bill the employer
for the total premium less the subsidy. The employer collects the employee’s share
of the subsidized premium through payroll deduction, and pays the subsidized employer
and employee share of the premiums to the insurance company.
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4. What happens when the Health Insurance Partnership reaches its capacity?
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No new applications will be accepted. If you are interested in
the subsidy, see your insurance broker/agent promptly about qualifying.
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5. What happens if my business grows during the year? |
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Each business qualifies based on its size at the time of application. During the
policy year, new full-time employees are eligible for the subsidy. The business
pays the same premium per new employee and receives the same subsidy per new employee
as all other currently enrolled employees.
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6. What happens if my business’s average wage increases during the year? |
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Nothing. At renewal, your subsidy will be re-calculated annually to reflect the business’s
average wage at the time of renewal. The maximum subsidy available phases out when average annual wage grows
between $25,000 and $50,000.
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7. What happens at annual renewal? |
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Your premium will be re-calculated by the carrier based on the characteristics of
the group. The subsidy amount will be re-calculated based on the number of full-time
employees and their average wages. Note that subsidies are lower for businesses
with 10 - 19 employees. Businesses with 20 or more full-time
employees will no longer be eligible for a subsidy.
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8. What is a “wellness benefit”? |
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A wellness benefit consists of a Health Risk Assessment with written recommendations
to reduce risk, and a financial incentive to promote preventive care, healthy behavior,
or disease management.
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