Group Market News
Published July 9, 2021
In order for Premera to comply with state and federal regulations, it is necessary for employer groups to provide certain information, a Group
Size Certification form, for determining their group size eligibility. This is required annually prior to each group’s renewal.
Why is this important?
Group sizes, determined by payroll count, can fluctuate from year-to-year. The following guidelines define a group’s size:
- A small group employer is defined as an employer who employed an average of at least 1, but no more than 50, common-law employees on business days during the preceding calendar year and who employs at least 1 common-law employee on the first day of
the current plan year.
- Large group employers are defined as having an average of at least 51 common-law employees on business days during the preceding calendar year and who employ at least 51 common law employees on the first day of the current contract term.
Sole proprietors with no common-law employees and self-employed individuals are not eligible to purchase (or renew) small group plans.
Please send completed Group Size Certification forms for 1/1 renewals to your designated Premera Account Manager no later than 8/1/21.